What is Podiatry? 

Podiatry is concerned with the way our lower limbs function, checking for abnormalities and possible causes of pain in the foot, ankle, knee and back. Very few people are symmetrical on the left and right-hand side, and this can affect the way they stand and move. This can include having particularly high or low arches, one leg longer than the other or a sports injury. In some cases, people adapt without any problems, however in others it can cause extra stress and pain in the joints, ligaments, muscles and tendons when they move.  A podiatrist will analyse your movement and function making recommendations for treatments such as temporary or customised orthotics or a rehabilitation programme. 

Why see a podiatrist? 

You may be referred to see a podiatrist for a number of reasons including: 

  • Activity related lower back pain associated with foot posture
  • Any activity related pain affecting the foot and ankle
  • Ankle instability (re-occurring sprains) 
  • Functional knee pain or other knee conditions 
  • Foot profile concerns (pronated or supinated feet) 
  • Iliotibial band (ITB) syndrome (runner’s knee)
  • Exercise induced shin pain (shin splints) 
  • Metatarsal pain on activity (metatarsalgia)
  • Morton’s neuroma 
Most of all thank you for your world class insight and giving one woman a “new” set of feet.

Podiatry Appointments 

Your first initial appointment will usually take up to an hour. Please arrive 10 to 15 minutes early so you can complete information about your previous medical history. We recommend you wear a pair of shorts or loose trousers.
Please bring with you:

  • Your usual sports trainers and everyday footwear to be assessed
  • A referral letter from your GP, if appropriate
  • Any information about your condition, including X-rays or test results if you have them 

You will be biomechanically assessed during your first appointment, while you are standing and walking, using digital gait analysis equipment. You may also be assessed while running on the treadmill, this is videoed and then played back for you to view and discuss with the podiatrist.

Following this, your podiatrist will be able to design a personalised and targeted treatment plan which may involve temporary or customised orthotics and made to measure insoles, best trainer or footwear advice, and where appropriate, a structured training or rehabilitation programme.  

Digital gait analysis 

Gait Analysis measures and records the movement of your lower limbs. Often used in sports injury treatment, it can help to monitor and improve performance. A gait analysis consultation will usually take about an hour. During this you will need to wear shorts so that we can see your knees and lower limbs as you move. 

We attach a number of sensors to points on your limbs below the knee, to record your movement as you walk, run, and walk up and down the stairs. Measurements are recorded as you move from weight bearing (when your foot is on the ground) to when you lift your foot off the ground to take the next step. These are recorded electronically as graphs that we can monitor over time as you recover from an injury or surgery. 

Biomechanical assessments 

You may need a biomechanical assessment to assess whether your injury is mechanical in origin, for example whether you have joint or leg pain that affects you when you are walking or exercising. You’ll be seen by an expert podiatrist who will discuss your medical history and any results from investigations and notes from your consultant. The actual examination takes around 10 minutes, during which you will want to wear shorts or loose and comfortable sports clothing. The examination is made of two assessments: 

  • A static assessment during which we will take various measurements while you are standing and lying down
  • A dynamic assessment during which we will video and analyse your gait (the way you move) as you walk and run on the treadmill.

Orthotics and insoles 

Orthotic devices at Fortius Clinic are made to measure in London by specialist technicians. They are specially designed to fit inside your shoes, helping to provide stability and cushioning for your feet. They are designed specifically for your feet and you should normally use them in all of your footwear. It’s important that the back of the insole stays at the back of your shoe and doesn’t cause blistering or rubbing. It’s perfectly normal for your leg muscles to ache for around a week after fitting as your body adjusts to the insole. However, you should get in touch with us if you continue to have pain after this.  

Looking after your orthotics 

Orthotics that are made to measure will normally last from two to three years with normal use. However, you should not put them in the washing machine. To clean them, you can gently wipe them with warm soapy water and leave to dry. 
If your symptoms continue, or worsen, before the orthotics are worn out, you should contact us for advice. We will examine your orthotics regularly as recommended by your podiatrist and will advise when they are no longer helping to control your foot function. This may not necessarily be when they wear out. It is important you bring your orthotics insoles to every podiatry appointment. 


Key Facts

- Improve the way you move to take stress off injured areas of the body
- Support your feet, avoiding overload on joints in the legs, feet and ankles
- Treat or adjust foot disorders, aligning the feet and lower limbs when you walk or run
- Compensate for deformities
- Relieve pain in feet, legs, hips and back
- Enable you to continue to play sport, reducing the risk of further injuries