Biomechanical Assessments and Gait Analysis

Orthotics are custom made inserts that place and hold the foot and leg in the correct position. Orthotics only fit the person they are made for, but will fit into most shoe styles. The body is built from the ground up. The foot is literally the foundation of the body and just like a house when the foundation sags, eventually the walls, roof and chimney will also sag. The body will do the exact same thing, when the foot is maladjusted; eventually the lower back, mid-back, and neck will bare the brunt of the foot problem. This is the basic reason why Orthotics are necessary for certain people with back problems.

Why would you need orthotics

Every person is born flat footed. A bone in your foot called the talus unfurls itself between 6 months and four years of age. This should bring the front of the foot onto the same plane as the rear foot and perpendicular to the leg and floor. Frequently this bone does not unfurl itself enough and the front of the foot remains on an angle to the rear of the foot. This foot type is classed as flat feet. If the bone unfurls itself too far the foot is very high arched and is called a cavoid foot.

Speak to us today or book a treatment online at HealthHub, which covers Yarm, Eaglescliffe, Stockton on Tees, Ingleby Barwick and Middlesbrough, where our Specialist Podiatrist will advise on a personalised course of treatment.


Podiatry can help with the following conditions

  • Flat Feet
  • Overuse injuries such as shin splints, ilio-tibial band syndrome and tendonitis
  • Sports injuries
  • Anterior and posterior shin splints
  • Achilles tendonitis and ankle strains
  • calcaneal spurs
  • plantar-fasciitis
  • neuroma’s
  • low back, hip and anterior knee pain

Flat feet

The whole of the foot has to ‘roll in’ in order to make contact with the ground. As the foot is attached to the leg at the ankle the whole leg is forced to ‘roll in’ as well. This leads to the development of joint strain and pain in each of the 28 bones in the foot, the ankle, knee and hip joints. It can also cause pain in the sacro-iliac joints in the lower back. Early degeneration of the ankle, knee and hip joints has been closely linked to flat feet. Over use injuries such as shin splints, ilio-tibial band syndrome and tendonitis are also common.

Children are as susceptible to flat feet as adults. If you are concerned about the way your child stands, walks or runs, or if your child complains of pain in his feet or legs it is advisable to have your child assessed and be pro-active.

Sports and running injuries

Podiatrists are the most likely clinical practitioners to treat running injuries.

11% of adults either run or jog.(Lehman) Running injuries account for 45% of total injuries presented in the lower limb.(Browne) Overuse injuries are the most common complaint. A sports injury physician, Mckeag, stated ‘overuse is a process, not an event, and represents the result of a basic conflict between the physical body and the psychological mind’.

Podiatrists treat Sports injuries by realigning the whole lower limb and body, negating the need to overuse muscle groups. This is achieved with the use of orthoses. Sports injuries are frequently best treated by a multi-disciplinary approach. Chiropractors, Osteopaths and physiotherapists can all aid a speedy recovery when used in conjunction with orthoses.

Stress fractures account for 6% of presenting injuries to Podiatrists and are frequently the result on chronic overuse injuries. Compartment syndrome is thankfully seen less often, but is linked to overuse and malalignment of the limb. Anterior and posterior shin splints, Achilles tendonitis, calcaneal spurs, plantar-fasciitis, fracture of the calcanuem/calcaneal tubercle, deltoid ligament and lateral ankle sprains, neuroma’s and anterior knee pain are all injuries regularly seen and treated by Podiatrists.


An initial Consultation lasts 45minutes and you will require a pair of shorts or loose fitting trousers, a pair of shoes you wear regularly and trainers if you play sport. The Consultation involves assessing your whole body to ascertain how treating your biomechanics can help you personally. At the end of the Consultation we will discuss the outcome and how to progress from there. Frequently exercises and stretches are given as well as different forms of insoles and orthoses.

If you require orthoses a 20minute appointment will be made to have your feet casted out of plaster of paris and these casts will be sent away to have your individual orthoses manufactured.

A further 20minute fitting appointment is necessary and it is advisable to have a check up one month, three months, six months and yearly after that to check they are still working and that your body and/or activities have not altered too much. Most orthoses carry a 10 year guarantee against wear and tear.