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Initial Consultation

The First
Step...

Your body and your injury is unique to you which is why your first appointment involves an extensive assessment that lasts for 60 minutes.

We pride ourselves in implementing research based, evidence led practice. Providing the most effective treatment and rehabilitation programme for each client.

This is a comprehensive muscle balance testing process which identifies tight, weak, overactive or underactive muscles which may have contributed to your injury. These screening tests allows the sports podiatrist to identify any abnormal patterns of joint movement or weakness within specific muscle groups. Optional blood tests can be a vital missing component to recovering from your current injury quicker, preventing further injury and to make sure you are in the best possible shape before you increase your mileage. See below for what type of markers we are looking for in your blood tests.

The key to every effective treatment plan is getting the basics of a diagnosis correct. Once diagnosis has been confirmed an appropriate individualised treatment plan can be recommended.

Some patients only need an initial consultation and with the right advice and treatment provided they can begin to take the first steps to recovery, others may require a few treatment sessions before they can return back to running or to sporting activities. You will receive a tailored strength & conditioning programme to improve flexibility and strength of structures that are identified at this appointment.

The cost of the initial consultation is £95

The podiatrist will advise you If you need a injection, shock wave, orthotics or other treatment options at the initial assessment for your particular problem.

Bring shorts, t-shirt and your running shoes.

A blood test has a additional fee of £100 but can provide you invaluable information to prevent injuries from occurring and to maximise your performance and recovery. Some of the the markers we are look for include:

Liver function

Exercising causes muscles to break down and for liver enzymes to go up. Small rises are normal and are actually expected, however excessive high levels of Cretinine Kinase can lead to problems.

HbA1c (testing for type 2 diabetes)

It is essential to know if you are diabetic or pre diabetic before you start or increase a workout programme.

Iron

Iron is necessary to help your blood bind to oxygen. Low iron levels can seriously impact your recovery in between workouts. Low levels of Ferritin can also seriously impact your performance. We can advise you after the blood test whether you should consider increasing iron intake in your diet or adding an iron supplement.

Vitamin B12

Vitamin B12 and folate are important for red blood cell formation and DNA synthesis. Low levels of B12 can lead to fatigue and weariness.

Vitamin D

Vitamin D is vital for healthy bones and for absorbing key minerals in the gut. Low vitamin D levels can cause fatigue, aches and may contribute to stress fracture risk of bones in the leg or foot.  According to a study in the Journal of Foot & Ankle Surgery at least half of patients with stress fractures who had their vitamin D levels tested had insufficient levels.

Calcium

Calcium is the most common mineral in the body and one of the most important. The body needs calcium to build and repair bones. The majority of calcium in the body is stored in bone, the rest is found in the blood. The role of calcium and vitamin d to prevent stress fractures has been extensively researched, view more here.

Magnesium and Zinc

Magnesium is an essential building block for hundreds of chemical processes in the body. Your muscles’ ability to contract and relax is highly dependent on how much magnesium your body is getting. Low-level magnesium may lead to muscular symptoms such as cramping, muscle spasms, and prolonged muscle soreness and tension without improvement or recovery. Mild magnesium deficiency can also present symptoms of poor sleep, anxiety and an inability to relax.

Zinc is an essential trace element involved in a range of vital biochemical processes and is required for the activity of more than 300 enzymes. Zinc deficiencies in athletes have been suggested to contribute to impaired immune function and decreased performance.

Testosterone and Oestrasdiol 

Testosterone is a male sex hormone which is produced in the testicles of men and, in much smaller amounts, in the ovaries of women. It is responsible for bone and muscle strength, as well as mood, energy and sexual function. Testosterone levels decline with age and it is unusual to find naturally elevated levels in men. Low testosterone is more common than raised testosterone in the absence of supplementation.

Oestradiol is a female steroid hormone which is produced in the ovaries of women and to a much lesser extent in the testes of men. Oestradiol can also be raised in men due to excess fat (which produces oestradiol) or in relation to testosterone levels which have declined with age. Low levels of oestradiol in women can lead to osteoporosis, problems with the menstrual cycle and fertility as well as fatigue and depression.

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