Biomechanical Assessment with a Podiatrist & Physiotherapist

Kevin Reese (Physiotherapist)

Chartered Physiotherapist / State Registered HCPC / BSc Hons Physiotherapy / MSc Manipulative Therapy /
Post Grad Cert Med Ed.

Richard Robley (Podiatrist)

BSc (Hons) Podiatry / HCPC Registered / MChS.

 

What is a Biomechanical Assessment...?

Biomechanical assessments can be of great benefit to people from the elite sportsperson to the elderly with poor mobility. Our assessment look at the whole body’s alignment and movement analysis from the head to the feet. This assessment can be particularly valuable if you have tried other avenues of treatment which haven’t resolved your pain, function¬† and performance issues.

Kevin and Richard have over 40 years combined experience working in their respective fields. We are confident that if your problem is biomechanical; affecting joints, soft tissues and nerves, we will be able to identify its potential source. Direct treatments to the biomechanical flaw can solve long term problems very quickly but if other approaches are necessary, such as custom made insoles or in rare cases the diagnosis of a condition requiring other input eg surgery, we are hear to guide you through the process.

If your biomechanical problem is coming from the upper body eg spine and shoulder girdle affecting the lower limbs we have the skills to identify and correct them. If the reverse is true and foot positioning is causing pain and loss of function higher, our combined approach will be equally effective

Kevin and Richard work together and well as a team. Therefore  when you book a biomechanical appointment you will see them both at the same time. We can come to your home or even gym or training venue to analyse your movement whilst undertaking the activity it is affecting.

Although orthotics is part of our service our philosophy is that if we can correct the problem at source without them, this is the preferred option. Orthotics when necessary can be a valuable corrective tool but if we can eliminate your problem without them we will.

 

Your Biomechanical Assessment will consist of the following:

A Subjective Assessment (Verbal)

1. An opportunity from you to tell us the full range of your problems

2. Screening of your problems for a non biomechanical reason. This can be a medical explanation mimicking a musculoskeletl one but is rare in most cases

3. Screening to determine if your problems are not so serious as to require other input eg surgery. Again these are rare but our wealth of experience in the healthcare system means we can help you access top north east surgeons specialising in the part of your body affected

4. Questioning to acquire as much information we can get from you that will help us give an accurate diagnosis of your problem/s

 

Objective Examination (Physical)

  1. Movement Observation; this can have many forms from a complete gait analysis, to individual body parts actively, passively or with resistance

  2.  Palpation; feeling the affected sites for restrictions, hypermobility or clues to the structures involved

    3. Special tests; almost every area has them. From the knee it may be to check for cartilage or ligamentous damage, these depend on the body segment you are having the problem with. In the case of referred nerve pain the seriousness of the condition requires several tests to be performed by a skilled practitioner. Ironically pain may not be something that gives the greatest concern. Once again the need in these cases to refer on are rare.

Treatment

In this first session if your problem requires treatment we will. This can involve joint manipulation of which Kevin is highly skilled from the neck to the foot.

A host of soft tissue approaches for muscle, tendon, ligament and fascia issues. Soft tissue approaches can use; traditional massage, trigger point pressure, connective tissue manipulation or even Tui Na the Chinese method of soft tissue work
Therapeutic exercise, where the muscle balancing approach is utilised to give targeted corrections to specific or whole body areas.

Sometimes diagnostic treatments can help resolve biomechanical problems such as acupuncture. An example of which would be extreme muscular spasm.

We believe our experienced working partnership and head to foot analysis in both directions, give us a unique advantage in the world Biomechanics