At JYphysiotherapy we offer a biomechanical assessment, this will consist of gait analysis (looking at walking patterns), and foot biomechanics. Often when treating someone presenting with a lower limb problem it is important that a clinician observes how the foot is moving.
The feet provide a stable platform for the knees and the hips. If we are not moving in a balanced way through our feet it can put more pressure through our joints, especially at the knees and hip joints. (picture of poor hip alignment)
Foot mechanics can also be affected by tight calf muscles and tight hamstrings so alongside any foot correction we give a flexibility and strengthening programme. Physiotherapists can analyse your walking pattern as well as your foot positions. (Videos hamstring stretch)
Flat feet or over pronation is a term that is often heard relating to running. This term can be over used and only if the foot stays pronated throughout the walking movement do we consider this an issue. (picture of runner)
At JYphysiotherapy we assess the foot mechanics as part of our full assessment. We can do this at either our Kingston or Surbiton clinic. If we feel that correction of the foot with an orthotic would be beneficial we can offer bespoke orthotics.
Conditions that can benefit from orthotics that JYphysiotherapy can provide include:
Plantafascia is the term used for pain in the sole of the foot and is often synonymous with Heel pain. The plantafascia is a strong fibrous tissue that acts like a hammock and holds up the joints of the foot. There are many small joints that all move together during the walking cycle. The plantafascia also acts as an elastic recoil to help lift the arch of the foot as you step through from your heel strike. This fascia is can become inflamed and even show small tears and this can cause varying degrees of discomfort. Often it starts with stiffness and pain in the mornings and if not treated early can get worse. Plantafascia is often aggravated by increased impact work such as jumping or faster running. It can also be caused by wearing poor supportive foot wear such as flip flops. (VIDEO FOR FOOT MOBILISATION)
Mid foot pain
Mid foot pain can be caused either if the foot is quite mobile or the foot is immobile, and can also be caused by trauma.
Tibialis Posterior Tendinopathy
Tibialis Posterior tendon runs along the inside of the foot and acts as an arch lifter. This tendon can be over strained especially if your foot pronates for too long during your step through phase. If you start to feel pain, on walking, along the inside of the foot and are not sure what can be the cause it is always worthwhile checking it out with a physio.
Inner knee pain
Knee pain especially on the inside of the knee can be influenced by the position of the foot. If you can control your foot position with orthotics this can sometimes take some of the pressure of the knee. (picture of poor knee mechanics)
Please contact us to discuss an assessment of if you need any advice on orthotics.