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Biomechanical Assessment

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A biomechanical assessment is necessary to assess the quality and range of movement of the joints, to assess muscle strength and flexibility, to assess compensatory mechanisms, and to assess the way that you walk, paying particular attention to the way the foot contacts the ground at each stage of the gait cycle. This appointment last 2 hours and assesses your muscles, ligaments, posture, nerves, running and walking style in depth.

We carry our manual diagnostic tests which involves as full musculoskeletal screen as well as a computerised video gait analysis in addition to this we have access to a treadmill in our clinic, your running & walking pattern can be analysed enabling our podiatrists to offer accurate advice concerning the most appropriate orthotics for you.

We also carry out a gait scan using our TOG Gaitscan system with every biomehacnical evaluation. Improper foot motion may cause pain through the foot, or place extra pressure on the knees, hips and spine. The impressions feed into a computer which clearly displays areas of the foot which are under too much or little pressure. This information may guide our treatment towards manipulation of foot joints, low level laser, dry needling, taping etc. or indicate prescribing tailor-made orthotics designed for each foots’ needs.

We use advanced sensor technology and algorithms to precisely record your stride mechanics while your walking or runnign in your shoes. Shoe Analysis Metrics reports advanced metrics in 4 dimensions: Efficiency, Motion, Shock & Symmetry. This holistic view allows our podiatrists to precisely assess a runner’s style, quantify the impact of training on mechanics and identify trends.

As part of our unique biomechanical assessment we also use a hand held dynamometer, designed specifically for taking objective, reliable, and quantifiable muscle testing measurements. Modern adaptation of the time tested art of ``hands on`` manual muscle testing, the hand held dynamometer aids in diagnosis, prognosis and treatment of neuromuscular and musculoskeletal disorders. it also enables us to objectively rather than subjectively assess if a rehabilitation programme is successfully targeting an affected structure. This is an additional to the functional muscle testing screening protocols we provide

The cost of the biomechanical assessment is £295

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

yes all biomechancial assessments result in exercise prescription which will be designed to be adapted over time.

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 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 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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