We ask you to bring shorts, a couple of pairs of day to day shoes and sport shoes.
Before a physical assessment it is important to obtain a good history. This involves a pre assessment form covering any medical history, medication, surgeries along with information on the current sports or activities you are involved in. Not forgetting the current problem you have.
The rest of the history is completed at the appointment where detailed questions will be asked to help towards a diagnosis and organising a treatment plan. The history is key; which once completed, will allow for a good idea of a working diagnosis.
The examination involves non-weight bearing, weight bearing and gait analysis. Information on these assessments is available below.
This will assess the quality and symmetry of motion within the joints of the lower limb. It also includes checking the muscle strength for any imbalances.
Both a prone (laying on your front) and supine (laying on your back) assessment are used to look at the hips and knees joints, along with checking for any discrepancies; natural twisting within bones and functional and structural leg length discrepancies.
Weight- bearing assessment
As weight bearing is normally when you have pain, it is important to look how the lower limb functions in weight bearing, performing certain tests to see how the lower limb reacts when different forces are applied. This also gives a chance to assess again for any leg length discrepancies and to see if this matches the findings from the non-weight bearing assessment. It will also evidence whether and/or how your lower limb compensates for any abnormalities.
Gait Analysis – click here for more info
Gait analysis is looking at the way you walk and run. As most of the time our pains are when we are moving. If required a running analysis will be performed as our gait cycle during running is different from walking. Discrepancies can be exacerbated by running especially muscle imbalances which become more prominent when getting tired.
Also a pressure analysis is carried out to look at the pressure distribution through the foot during the gait cycle; highlighting any abnormalities. This can be particularly useful in assessing balance (proprioception).
If required we can perform a video gait analysis using the latest Dartfish software to analyse your gait in slow motion and even analyse your function during sport.
After the assessment a diagnosis will be given, along with a treatment plan out-lining all the possible treatment options for your problem. We can refer for imagining such as x-ray, Ultrasound and MRI. Where appropriate, we can refer onto the other health care professional such as Physiotherapists, Orthopaedic Surgeons etc.
A copy of the assessment and treatment plan will be set your referrer and GP.