Orthotics and Biomechanics

An orthotic is an insole which slips into your shoe. It can help alleviate pain and discomforts by correcting imbalances and is used in many conditions by people of all ages. Orthotics are also used to help maximise sporting performances and get the best out of exercise regimes.

In a consultation, called a biomechanical assessment, the practitioner will perform a gait analysis and look at pronation, which is how you turn your foot when it touches the ground. The examination will look at the way you walk, sit, and stand and your posture and you will be evaluated on your joint range of motion. Your muscle strength will be assessed as well as your body alignment and the practitioner will consider how different pressures are transferred around your body which may effect your condition.

From this biomechanical assessment a complex evaluation is made and you may be given a rehabilitation programme or prescribed an orthotic. In this latter case a cast can be taken during that consultation. A bespoke orthotic of durable material is then made by hand, based on the precise shape of your foot. After two weeks there is a follow-up consultation and the orthotic is properly fitted into your shoes. You may be advised about your footwear.

Plaster casts are kept in storage to make further orthotics if needed. Only the very best materials are used to make different types of orthotics whether they are used for support or shock absorption.

Biomechanical conditions include

  • Knee, hip and back pain
  • Ankle injuries
  • Planta fascitis
  • Runners knee
  • Bunions
  • Flat feet
  • Heel pain
  • Metatarsalgia
  • Achilles tendonitis
  • Neuroma
  • Spurs
  • Arthritic conditions
  • Morton's neuroma
  • Shin Splints
  • Leg length discrepancies


Rachel Miller Andrew Root