Clinical Biomechanics and MSK

Musculoskeletal (MSK) and clinical biomechanics assessments of the lower leg, foot and ankle involve looking more deeply into the inner workings of these structures and their individual parts, their relationships with each other, and the forces acting upon them, thereby providing a deeper understanding of the causes of painful conditions affecting the lower leg, foot deformities like bunions (hallux abducto valgus), and sport’s injuries, and also how best to create a personalised treatment plan to manage them.

The primary therapeutic method in MSK podiatry care is providing or prescribing foot orthotics. Foot orthotics are medical-grade insoles or in-shoe devices that change foot function and alter the forces and loads acting on the tissues of the foot, ankle and lower leg that can lead to pain and pathology. This is supported by therapeutic exercises, manually mobilising and manipulating the joints of the foot and ankle, applying therapeutic strapping and padding, providing medical acupuncture and electroacupuncture, and sometimes suggesting changes in footwear. Occasionally people can use the aforementioned treatments without orthotics. This is something that can be discussed during a consultation. Referrals can also be provided if diagnostic imaging is required to make a firm diagnosis or if another form of treatment is needed.

With over 11 years of experience and an interest in the area of MSK and Clinical Biomechanics, as well as hundreds of satisfied customers ranging from the casual walker to the ultra-marathon runner, you can feel confident trying MSK, Clinical Biomechanics and bespoke orthoses for any sort of lower leg pain, however new or old.

Ian only provides high-quality, bespoke in-shoe orthotic devices produced by Discovery Orthotics.

Biomechanical Therapy Sessions cost £53 per 45 minute session.

Non-Casted Bespoke Orthoses cost £168 per pair.

Casted Bespoke Orthoses cost £252 per pair

Assessment for Insoles

Initial appointments will involve several tests to determine what underlying structural and/or functional issues may be causing or contributing to your presenting symptoms. These tests include a range of non-weight-bearing, standing, and functional (moving) assessments. All findings will be explained in clear and simple terms. Orthoses vary in complexity, and price, so several options will be provided so you can make the best choice for yourself.

Therapeutic Exercises, Foot Mobilising, Manipulation, Padding and Taping

Ian will also be able to assess if any soft tissues, such as muscles, are involved in or aggravating your presenting condition. He will then prescribe some simple, therapeutic exercises, such as stretches or strengthening exercises, to help address these issues. Several joints in the feet can also be assessed and gently mobilised or manipulated using FMT to improve function, range of motion, postural stability and muscle strength and reduce pain. Ian may also apply special padding or tape to help support or offload injured or painful structures.


Ian has undertaken specialist training in the field of acupuncture and holds a second degree and a post-graduate certificate in this area. Acupuncture can be a very useful pain management tool both for acute and chronic conditions. It may also help reduce inflammation, improve blood circulation, and facilitate healing.

The insoles and exercises Ian gave me have helped tremendously. My foot pain is much better now and I can finally play tennis again.

M. from Baldock

I would like to say a big thank you to Ian for successfully diagnosing that the ankle pain I have been suffering from since April has been caused by a stress fracture of the fibula, and for the letter I received on Wednesday. I went to Addenbrookes yesterday and an x-ray confirmed that it was indeed a stress fracture and I can finally get the correct treatment. The doctor who treated me was also very complimentary about the diagnosis.

Once again, many thanks for your professional and prompt service.

J. from Baldock

The journey of a thousand miles begins with a single step – Lao Tzu

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