In addition to reviewing the patient’s medical history, the podiatrist compiles information on his overall training program: types of physical activity, intensity, frequency, weights used, previous injuries, objectives and calendar of competitions. He then performs several functional tests with the patient lying down and standing.

Afterwards, a comprehensive gait analysis is conducted thanks to software using pressure sensors connected to cameras. This allows the podiatrist to assess a number of factors that are important in walking and running: distribution of pressure points, trajectory of the mass centre, asymmetry and deviations, synchronism, movement of the various parts of the lower limb, etc.

The same technology is then used to evaluate the patient’s standing posture: weight distribution between both feet, pressure segmentation on the front and back of the feet, deviation and shifting of the mass centre.

The X-rays of the feet are then studied to assess bone and joint health, search for anatomical variations that can negatively impact the feet’s function and most importantly, evaluate alignment by calculating various angles or even the length of certain bones. If the patient has pain, the X-rays can also help pinpoint the diagnosis.

After this exam, additional tests can sometimes be required to establish a more precise diagnosis. For example, if the affected structure cannot be seen on an X-ray, which is the case for tendons and ligaments, an ultrasound may be appropriate. When a leg-length discrepancy is suspected, a scananogram is often necessary to confirm the diagnosis and take more accurate measures.

Finally, once your condition has been analyzed, your podiatrist will provide an overview of your foot health and suggest an appropriate treatment based on your needs if one is required. Depending on your case, he may prescribe stretching and strength-building exercises, plantar orthotics, splints, drugs, manipulative therapy and other treatment modalities (radial shockwave therapy, cortisone injections, etc.).

Podimedic clinics use a unique technology that makes it possible to analyze plantar pressures directly inside the patient’s shoes. This allows the podiatrist to evaluate the feet’s response to an intervention such as plantar orthotics and really know if they are doing their job.