Biomechanics (Orthotics)

Appropriate biomechanical assessment and management can literally be life-changing; often, resolving chronic pain and improving functional ability, thereby improving quality of life. Even knee, hip or back pain can be due to a biomechanical problem in the lower limbs.

Rarely do we find that our left and right sides are symmetrical. When we stand, walk or run our body has to cope with and compensate for these anomalies. It is these compensations
that put structures such as muscles, joints, ligaments and tendons under undue strain as they begin functioning in an abnormal or compromised manner. Over time these structures
become inflamed or injured.


shutterstock_97671347A biomechanics assessment is an investigation into your lower limb function – looking closely for abnormalities and compensations. We can look closely into the underlying possible causes of heel pain, knee pain and even back pain.

Once the podiatrist has identified the causes of the problems, a tailor-made treatment plan is developed to improve the symptoms. This may involve one or more of the following:

  • Exercises to stretch or strengthen muscles
  • Orthotics – specially made devices for you to wear inside your shoe to control, realign or cushion the abnormalities.
  • Footwear advice
  • Onward referral to GP or other healthcare professional, if shutterstock_170274431further specialist advice is needed.

Treatment Summary

Please note times stated below are a guide only and vary between patients.

  • Procedure Time 30-60 mins
  • Full Recovery Nil
  • Duration of Results N/A
  • Back To Work Time Immediate
  • Sensitivity Period N/A
  • Anaesthetic N/A
  • Risks & Complications N/A


Please note: after initial assessment the best package or suitable options for you will be advised

Package A
Basic Assessment, CAS insoles – £120
Repeat insoles – £75

Package B (Bespoke) Full Assessment, 3D Optical Foot Scan, Produced in lab (2 week turn-around) – £395

(Express service – 7 days) – £30 surcharge




If you are provided with orthotics you will be advised to gradually introduce use of
these into your daily routine. Any prescribed exercise regime should be followed
diligently to ensure the best possible treatment outcome.


What might be the cause of my foot pain?

Foot problems are many and varied, and the potential causes can be so too.

Common problems include: plantar fasciitis (‘policeman’s heel’), shin splints, achilles tendonitis, painful bunions, corns, calluses, aching feet or specific joints and Morton’s neuroma. These are usually associated with a particularly tight muscle(s) somewhere, a difference in the length of your legs, too much/limited movement available around a specific joint or even through simply wearing footwear not suited to your feet or activities. Also, walking or running in a way which overloads or overuses a particular structure could cause it to be injured. Note that your underlying problem may actually be located elsewhere in your lower limb eg knee or hip, or even higher up in the back.


What is a biomechanical assessment?

A biomechanical assessment involves your specialist taking a detailed history and performing a physical examination to identify the root cause(s) of your pain/concern. This will allow a treatment plan to be established to address your musculoskeletal problem. She will assess the range of motion at different joints throughout the lower limb to establish whether the limitations are bony or muscular in nature. Your gait cycle (walking) and your standing stance will also be assessed.



What treatment can I expect, to help resolve my pain?

Treatment for musculoskeletal problems can begin once we have identified the injured structure and factors contributing to, or causing your problem. We will develop a personalised treatment plan which may involve several or all of the following: specific stretching exercises, appropriate medication, footwear advice and the prescription of orthoses/insoles following a biomechanical assessment. The orthoses may be a prefabricated orthotic, a slim line insole which can be customised or a fully bespoke pair of orthotics made specifically for you and your problem. The purpose of the orthotic is to improve foot function or reduce pressure away from any problem area.

What is an orthotic and how will it help me?

A bespoke orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. It looks like an insole, but is a biomechanical & medical appliance that is custom-made to correct your specific foot imbalance. Custom orthotics work on your feet much like glasses work on your eyes – they reduce stress and strain on your body by bringing your feet back into proper alignment. The plastic body of the custom orthotic helps to re-align the foot by redirecting and reducing certain motion that takes place during the gait cycle. Our 3D optical foot scanner captures accurate measurements of your feet by measuring thousands of different points of the contours of the foot. This allows the lab to mill out a precise orthotic for your prescription.


Will the orthotics fit into my shoes?

They are milled precisely to the contours of your feet thus taking up less space then would be thought, however it is advisable to remove any existing insoles from your footwear to increase space. We also provide different orthotic styles and lengths to accommodate different styles of shoes. You may find you need a second set of orthotics of a different style for different footwear. For example, if you wear narrower court shoes/dress shoes to work but generally at home or for leisure you are in a wider, deeper shoe.

During your assessment the podiatrist will discuss your footwear and so we ask that you bring in a variety of shoes that you wear day to day.


How long will my devices last?

The customised insoles: depends on the wear they get plus the weight of the patient. These usually last about a year.


Prefabricated orthotics: approximately one year but dependant on your body weight and number of hours per day these are worn.

Bespoke orthotics: these take the patient’s weight and height into consideration. As long as the prescription has not altered (broken bones, progression of condition due to lack of orthotic use or considerable weight gain) the orthotic shell should not change shape nor break. The leather covering however will need refurbishing within in a couple of years for a small charge, due to expected wear and tear.

How long do I wear my orthoses for each day and for how long will I need to use them overall?

Initially, your orthoses may feel odd or even a little uncomfortable whilst your feet adjust to their new positioning. Therefore, it is important your devices are worn in gradually over the first week or two; starting with just 2-3 hours and adding an extra hour a day till they are able to be worn all day. It is advisable to wear these as much as possible even in the house where we do a vast amount of weight bearing/walking. The frequency of wear relates directly to the rate of recovery.

For long standing foot concerns it is advisable to wear the orthotics continuously for at least the first 6-8 months to see best results. Once your muscles and lower limb structures have strengthened to be able to hold your foot in a better position the wear time can be gradually reduced. However it is advisable – when possible – to wear your orthotics.