Chris Schafer

Gait analysis and orthotics

Gait analysis

Gait analysis looks at a person's pattern or style of walking and/or running. It is used to diagnose posture-related or movement-related problems and enable effective treatment. It is also used to help atheletes run with a more efficient gait.

Part of the assessment includes pressure plate gait analysis which involves a series of pressure images taken at high speed to capture in detail a person's characteristics of gait. This gives the clinician more information in terms of foot mechanics and will help with diagnosis and treatment and, if required, help in the design of insoles or orthotics. This system is useful when investigating conditions such as shin splints, ankle instability, plantar fasciitis, knee pain and pressure associated with an unbalanced gait.This equipment for assessment is available whether youa are attending the Podiatry Clinics in Northwood, or the City

The plate can also produce a pressure map of the foot which is of great use in the design of insoles for people with medical conditions such as diabetes or arthritis.

In addition, this technology can measure core stability which is essential for good posture and the prevention of injury. This information may form part of a patient's treatment plan.



Functional foot orthotics

What are they?

They are devices that are worn in the shoe to correct abnormal lower limb biomechanics and alignment by controlling the ankle and posture of the foot. The gold standard for podiatrists would be devices that are made from a cast of the foot and then adjusted slightly to enhance the individual’s foot position during standing and movement.

Are they different from the ones you can buy in the shops?

Yes, because they are individualised to your foot and its specific requirements as per your biomechanical assessment.

Temporary insoles will usually be trialled first, and offered as an interim measure to correct biomechanical problems early on in the treatment.

Who will orthotics particularly benefit?

Orthotics will particularly benefit people who have:

poor foot mechanics because of fallen arches (excessive pronation)

heel pain, tendinopathy (chronic)

long-term history of joint pain such as knees

weak unstable ankles

damaged feet from injury

feet prone to problems and injury e.g bunions , sprains

an active sporting background with history of foot pain


Insoles

Whereas orthotics are designed to improve biomechanical problems, insoles are a less complex device aimed more at comfort/cushioning and produced from measuring certain landmarks on the feet and adding appropriate padding where required. They can also play a minor support role for the feet.