The connection between compromised back function and foot and leg mal-alignment is well documented. In most cases back pain is caused, at least in part, by the presence of abnormal biomechanical forces. At Podiatry Clinics a detailed biomechanical assessment and gait analysis is undertaken to diagnose mal-alignments, so that effective treatment can be expedited.
A multitude of biomechanical deficiencies ranging from restricted ankle and great toe motion to abnormalities in hip alignment and knee position can all result in increased stress on the spine. At podiatry clinics we are often asked to provide an opinion on the presence of leg length differences and correctable pelvis mal-alignments that often mimick leg length differences. We can offer a range of treatment strategies to treat low back pain. This includes specialised orthoses, rehabilitation programmes and specialised footwear and shoe adaptation. Often we will provide treatment in conjunction with one of our partner allied health professionals such as physiotherapists, Chiropractors and osteopaths.

One mechanism which can lead to back pain is known as sagittal plane restriction. In this instance, normal forward progression of the body is impeded so leading to muscle fatigue and core weakness. Examples include functional “locking” of the great-toe joint and restrictions within the ankle joint. These restrictions can be subtle and may not be picked up without in-depth analysis and gait analysis. At Podiatry Clinics we work closely with other specialists allied health professionals such as Physiotherapists Chiropractors and Osteopaths to ensure that any patient presenting with back pain is treated in a holistic, effective manner. Orthotic therapy can play a key role in treating back pain and many patients with flat feet suffer from the condition.