Home » Biomechanical assessments – Part 2

Biomechanical assessments – Part 2

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Written By

Shaheen Aumeer-Donovan
Philip Aumeer-Donovan

See bottom of page for author information

Posted 1st September 2023

As featured in the Mulgoa Valley District Gazette

What is involved?*

1. History

A sound understanding of family history, onset, duration and intensity of pain, treatments already tried, etc. is an essential first step. Do not leave anything out (even if it seems insignificant) as this information might assist the podiatrist in eliminating or highlighting certain causes as the source of the discomfort right away.

2. Foot structure

We note any deformity or prominent structures in the foot that may be contributing to the discomfort.

3. Muscle testing

We see how strong and how flexible the muscles are. Too little or too much flexibility or strength can be problematic.

4. Joint range of motion

We see how the joints are functioning. Again, too little or too much movement can be an issue.

5. Gait analysis

We watch the patient walk to see how pressures in the feet transfer during the normal motion of walking (or running), and such things as whether you are compensating because of an issue and causing a secondary injury.

6. Footwear assessment

Wear patterns on the soles of footwear or inside can indicate the kinds of pressure the feet are under. Assessing footwear is also important in determining whether incorrect footwear is contributing to discomfort, and if a different style or some modifications will be of benefit.

7. Imaging

We examine any imaging reports, like x-ray, ultrasound or MRI. Sometimes we like to see the images (particularly x-ray) ourselves to check for anything not queried on the original referral. Sometimes we will refer for imaging to confirm or eliminate possible causes of discomfort based on our initial assessment.

What about treadmills, pressure plates and scanners?

Our opinion is that there is still no technology available that can replace a sound understanding of foot mechanics and keen observation. In fact, we have found that relying on a computer to tell us an answer is not only much less accurate than our own skills, but having those fancy gadgets can mean that a podiatrist loses their fundamental understanding over time and they can become lazy, relying on percentages rather than the patient’s unique foot function to guide their treatment. It also needlessly causes extra cost for the patient.

* For general information only – a healthcare professional must be seen for tailored advice

If you have any questions, please give us a call, email us, or send us a message – we’ll be happy to chat with you to discuss your needs.

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Shaheen Aumeer-Donovan

Shaheen is our Practice Manager. She works hard behind the scenes to ensure that the clinics run smoothly, best practices are being followed, and the staff have everything they need to look after the Repairs Afoot family. While a stickler for the paperwork, she’s also a little quirky and loves using her creativity to find new ways to encourage people to look after their feet.

Philip Aumeer-Donovan

Philip is our esteemed Clinical Manager and resident foot-whisperer. He has over 21 years of experience as a podiatrist and has been mentoring new graduates in the profession for over 12 years. He hasn’t met a sore foot he didn’t want to treat, which is why he has strived to build a clinic that can help patients with any kind of foot issue, and is committed to continuing education to ensure he is up-to-date with any new developments that could be beneficial for his patients. It is also why he is believes strongly in sharing his knowledge with the wider community.