Any age group can experience this sort of discomfort and a variety of pathomechanical disorders arising out of adverse foot function, however the practice has four major focus categories which rely heavily on biomechanical assessment, MSK functionality and orthotic therapy:
The young foot
It is important that during early development any biomechanical problems are identified early to allow appropriate intervention and correction. Many problems are transitional but without correction can last longer and often develop into a more long-term difficulty – see our section on the paediatric foot.
The active foot
A huge area is the sporting community where otherwise healthy feet sustain injury through overuse, weak muscle or tendon problems. The Biomechanical and MSK assessment assist in locating the origin and cause of these injuries and will seek to provide interventions and treatment to prevent a worsening condition, orthotic therapy to enable a sports person to continue their athletic activity or rehabilitate sports injuries.
The ageing foot
As part of our assessments in the ageing foot wellness clinic, we can assess where and how the muscle, tendon and bone interaction has become weak, causing not only pain but poor posture and balance problems. In addition to patients seen in the surgery we can arrange for assessments and visits to be carried out in our patients’ homes too.
Systemic conditions which have a biomechanical/MSK implication
Other groups of patients with systemic conditions may, because of these diseases, be more prone to develop biomechanical/MSK problems as a result. There is quite a range of pathology which can give rise to such physical consequences but the most common may include arthropathies such as rheumatoid and osteoarthritis; limb discrepancy, muscle wasting diseases, diabetes where ulceration is common and orthotic devices can assist to off-load pressure – see our section on the arthritic foot and the diabetic foot.