Sport & MSK Podiatry
Assessment, diagnosis & management of foot, ankle & lower-limb pain.
Management Options
Exercise Rehabilitation
Exercise rehabilitation forms the foundation of our management approach & is tailored to address the specific strength, control & load-tolerance deficits identified during assessment. Programmes are individualised to the individual, targeting key areas such as foot & ankle strength, calf & hip capacity, balance & movement control. Exercises are selected & progressed based on objective findings, ensuring rehabilitation is relevant, efficient & matched to the demands of sport & daily activity.
Rehabilitation is not just about pain reduction, but about restoring confidence in loading & movement. By progressively increasing tissue capacity & improving how force is absorbed & generated, exercise rehabilitation supports a safe return to running or sport while reducing the risk of recurrence. Progress is monitored & adjusted over time to ensure continued adaptation & long-term resilience.
Custom Foot Orthoses
Our Custom Foot Orthoses are designed using a highly advanced, data-driven approach that allows us to create truly individualised orthotic solutions. PHITS integrates clinical assessment, gait analysis & precise digital modelling to design orthoses that are matched to how you move, not just how your foot looks in static posture. This makes them particularly effective for runners & active individuals who require both support & freedom of movement under higher loads.
Prescription is informed by a comprehensive assessment. This allows us to identify where excessive stress occurs during walking or running, how forces are transferred through the foot & how these mechanics influence the ankle, knee & hip. Using this information, PHITS enables precise control of variables such as arch support, rearfoot control, forefoot accommodation & material stiffness, ensuring the orthosis works in harmony with your biomechanics & footwear.
Running Footwear
Running shoes play a key role in injury management by influencing how load is absorbed, distributed & transferred through the lower limb. When an injury occurs, tissues often have a reduced capacity to tolerate stress, meaning even normal training loads can provoke symptoms. Strategic footwear selection allows us to temporarily modify loading patterns, for example by altering cushioning, heel-to-toe drop, stiffness or rocker geometry, reducing stress on the injured structure while maintaining the ability to continue moving & training where appropriate.
In the early & mid-stages of recovery, running shoes can be used as a load-modulation tool. Increased cushioning or specific foam properties may help reduce impact-related stress, while changes in heel-to-toe drop can offload the calf–Achilles complex or forefoot depending on the injury. Rocker geometry & midsole stiffness, including carbon-plated designs where appropriate, can assist propulsion & reduce demand on injured joints or tendons. These adjustments are selected based on the individual’s biomechanics, injury presentation & stage of recovery, rather than applied generically.
As recovery progresses, footwear choices are reviewed & adapted to support a gradual return to normal loading & performance demands. Shoes are used alongside rehabilitation & strength work to ensure tissues are progressively reloaded rather than over-protected. This planned progression helps restore load tolerance, confidence & efficiency, allowing runners to transition safely back to full training while reducing the risk of recurrence.
