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Biomechanical assessment of the kneeBiomechanical assessments focus on assessing your body in great depth to pin point the cause of the problem and highlight how to correct or eradicate the cause.  This includes a thorough examination of the body’s structure, alignment, muscle balance and movement patterns.

A biomechanical assessment is the starting point for understanding the cause of your problem, what treatment is needed or whether further investigations are necessary. Unless the cause of your pain or injury is found and dealt with, the problem is likely to persist or become recurrent.

A biomechanical assessment is very beneficial if you are experiencing pain but no cause has been established or if you have recurrent pain. Biomechanical assessment has helped many people in the rehabilitation from injury and can help to prevent future injury.

flat feet diagramOrthotics
Perfect feet are very rare, and we often recommend orthotics/insoles to improve/correct compromised biomechanics. The correct orthotics can help to prevent or alleviate discomfort in different regions of the body.
There are two main problems that can occur in this mechanism:

  1. Flat foot/Pronated foot: This is when the arch flattens too much.  In such cases, the weight distribution on the foot is too far on the medial-inner side.  A flat foot is unstable and cannot maintain a proper arch.  Over time, the weight of the body on an unstable foot can lead to the development of bunions, hammer toes and other foot deformities. It can also predispose ankle, anterior knee, hip and back pain due to misalignment and poor biomechanics.To correct this condition, an orthotic with an increased arch will be prescribed to distribute the weight laterally.  Depending on the shape of the foot, the heel of the orthotic can be slanted to shift the weight more toward the centre of the heel.
  2. High arch

  3. High arch/Cavus/supinated foot: This is when the arch does not flatten at all.  Due to the arch not flattening it absorbs shock poorly.  As instead of spreading it throughout the entire foot, the weight of the body falls only on the heel and the bases of the toes.  This increases stress on the foot and heel, because the weight is not absorbed in the foot, it radiates up the leg into other joints and over time this can cause pain in the knees, hips and lower back.To correct this condition, an orthotic is used to bring the ground into even contact with the rest of the foot.  This allows the entire foot to support the weight of the body.  Extra cushioning can be built into the orthotic so that some of the force does not reach the foot.