Foot, Ankle & Heel Pain

Biomechanical / MSK Assessment - £60

Biomechanics Review - £45

Soft tissue / Joint mobilisation - £45 

Orthotics / Insoles - from £35

Custom made orthotics - from £290

 

Further information

Foot, ankle and heel pain may have many causes. It is important to establish what is causing the pain or discomfort before any form of treatment, insole or orthotic is prescribed and that is where a podiatrist comes in!

Timely intervention and appropriate investigation and treatment is important so that healing can take place as quickly as possible. The longer the pain continues, it cam become long standing or chronic, and the longer it may take to treat for an effective outcome.

A podiatrist is able to assess, diagnose and treat foot, ankle and heel pain and prescribe the best course of treatment. In the long run this may save the patient time and money as over the counter insoles and inappropriate exercises may be doing more harm than good.

 

It is important for the podiatrist to understand how the pain started and the pattern of intensity and frequency of the pain as well as the site/s where the pain manifests and under what circumstances.  A full medical history and biomechanical assessment is carried out at the first appointment. This may involve an examination of the lower limbs particularly the structure and alignment of the shoulders, pelvis, knees, legs and feet at rest and weight bearing. Sometimes a weakness in one area can lead to pain or structural problem somewhere else.

Video analysis is often not required by the majority of patients but this can be arranged if required. 

 

A differential diagnosis is given after the assessment and investigations such as x-rays or ultrasound scans organised via the GP if appropriate to confirm the diagnosis. A recommended treatment pathway and treatment plan is discussed with the patient.

 

Treatment plans may include:

  • advice on pain control / rest / footwear advice

  • stretching, strengthening and proprioception exercises at specific intervals in the treatment pathway

  • insoles or semi custom made orthotics

  • soft tissue or joint mobilisation therapy

  • steroid injections

  • referral to an MSK Specialist Podiatrist or Surgical Podiatrist

  • referral to a Sports Therapist. We are affiliated to Marcus at Paeon Injury & Fitness based in Chasewater - see link button below

If orthotics are indicated, we offer a three tier solution to meet all budgets and needs.

  • 1st line solution - off the peg

  • Semi bespoke solution - which can be adapted and modified to the patient's prescription

  • Bespoke or custom solution - foam box impressions are taken and lab manufactured to meet the patient's exact requirements.