These dynamic and structural investigations are used to determine how symmetric or asymmetric you may be: 

  • Very seldom do humans demonstrate symmetry in function (our function changes as time passes) or structure (genetically we are seldom designed symmetrically) .
  • Often the pain and discomfort people experience from their feet is created over many years functionally, from the different ways in which we stand, walk or run.  
  • There are 26 bones in each foot, which interreact with each other in subtly different ways creating asymmetry between function of the two feet.
  • This asymmetry is magnified into subtle differences in ankle leg, knee and leg function escalating to affect hips and back structures as well.  
  • Carrying out a biomechanical analysis allows us to identify and quantify abnormal function.

A biomechanical assessment and gait analysis typically includes:

  • static measurement of joint movements
  • limb length measurements
  • computerised gait analysis
  • sometimes computerised pressure analysis

Gait Analysis

  • Gait analysis is a visual assessment of an individual’s walking pattern.  
  • The patients walking pattern (gait) is video recorded whilst walking/running on a treadmill and this is replayed in slow motion to break down components of their gait pattern in a more detailed manner.  
  • It is a diagnostic tool which helps highlight any functional abnormalities that may have caused or have contributed to the individual’s problem.
  • The differences are explained to you as the patient by the practitioner verbally and abbreviated in writing as required.

Computerised Pressure Analysis

  • Computerised pressure analysis is a useful quantifiable tool which helps map how the foot loads during the gait cycle and whether there are any prolonged high pressure points placed on the foot during this process.  
  • This allows us to identify where changes need to be made to help relieve pain and/or improve efficiency with the introduction of padding or orthoses.

I have had first class treatment at the Gait and Posture Centre over many years from Simon Costain and more recently from Denzil Trebilcock, but what Mr. Costain did for me today was really exceptional. I woke up this morning to discover that my long term problem foot could hardly take any weight. I could barely walk. I was very lucky to get an appointment today and received truly excellent treatment and diagnosis. The pain has already been much reduced thanks to a change in my orthotics. (And my husband’s March fishing trip was restored.) I highly recommend the Gait and Posture Centre.

Katherine P