Clinical biomechanics

Understand how you move before deciding what may help

We assess your symptoms, loading, mobility and gait to understand how the foot, ankle, knee, hip and pelvis interact in your individual case.

A footprint is only one piece of information. We integrate what we observe with what you feel, your activity and your goals.

Call for an appointment See how the assessment works

Gait analysis on a treadmill at MEDIPIE — Movement analysis as part of the clinical assessment

01We listen to the problem

02We examine and observe

03We integrate the findings

04We decide for your case

MEDIPIE biomechanical examination and analysis room

What it is

We do not assess an isolated footprint; we assess a person in motion

A biomechanical assessment is a clinical evaluation of function and movement. It starts with the reason for your visit and relates examination findings to loading, walking or running, footwear, activity and the way each patient responds.

The foot is part of a system. It may influence other structures, but the knee, hip, pelvis, load and movement strategy can also change how the foot behaves.

Important: finding an asymmetry or a particular loading pattern does not, by itself, mean it is the cause of pain.

How we assess

The assessment, step by step

Not everyone needs the same tests. We select the ones that answer the clinical question in each case.

Clinical history

We identify the problem, when it appears, how it has developed, what activities change it and what treatment has already been tried.

Functional examination

We assess mobility, muscle function, sensitive areas and load tolerance using tests related to your symptoms.

Loading and pressure

We observe posture and weight-bearing. Footprints and pressure data are interpreted as part of the context, never in isolation.

Gait and relevant movement

We analyse how you walk and, when appropriate, running or the movement that reproduces the difficulty or symptom.

Clinical integration

We relate symptoms, examination, movement, activity and footwear to distinguish relevant findings from normal variation.

Decision and follow-up

We explain the options and agree an objective: observe, modify load or footwear, coordinate with another professional, or treat when indicated.

How structures interact

Movement is organised as a whole and in both directions

Foot loading may relate to movement at the knee, hip and pelvis. At the same time, proximal control, mobility, speed, fatigue and the type of activity can change how the foot behaves.

That is why we avoid simple explanations such as “everything comes from the feet”. We look for relationships that are clinically relevant and modifiable for that person.

Footloading and adaptation

Anklemobility and load

Kneemovement management

Hip and pelviscontrol and overall strategy

Reasons for assessment

When can a biomechanical assessment be useful?

The assessment does not “solve conditions” by itself. It helps us understand the problem and decide what action may make sense.

Heel and plantar fascia area during loading

Foot and ankle

Heel or forefoot pain, overload, discomfort when walking or difficulty with particular footwear.

Relationship between knee, leg, loading and gait

Knee, hip and pelvis

When loading or gait may be one of several relevant factors in a movement or load-related problem.

Assessment of pelvis, legs and loading when asymmetry is suspected

Asymmetry and leg length

To distinguish functional findings from a possible structural difference and assess its clinical relevance.

Children's feet during loading and growth

Children and growth

Pain, stiffness, asymmetry, fatigue or functional limitation. Flexible flat feet without symptoms do not automatically need treatment.

Runner during analysis of technique and loading

Sport and running

Symptoms during activity, return to sport, or a specific question about load, technique, footwear or tolerance.

Older adult walking during balance and loading assessment

Older adults and complex cases

Pain, pressure areas, instability, after-effects, previous surgery or poor tolerance of earlier treatment.

Technology with purpose

We measure when measurement adds useful information

Technology complements the history and examination. It helps us observe, compare and document; it does not replace clinical reasoning or decide treatment automatically.

Baropodometry and digital podoscopeLoading and pressure distribution interpreted in the wider clinical context.

Treadmill and Kinovea videoObservation of walking or running and review of specific moments in movement.

RunScribeAdditional movement data during running when clinically useful.

2D scannerDimensional recording of the foot to support design and fabrication.

Juan Bautista Calero in the MEDIPIE biomechanics room — Technology provides data; the decision remains clinical and individual.

After the assessment

Not every assessment ends with a foot orthosis

The conclusion may be treatment, observation, changing a factor, or coordinating care with another professional.

Explain and observe

Understand the problem, monitor progress and avoid intervention when there is no reasonable objective.

Adjust activity or footwear

Modify load, habits or footwear characteristics when they are relevant factors.

Coordinate treatment

Refer or work alongside physiotherapy, medicine or other professionals when the case requires it.

Orthotic treatment

Consider a foot orthosis or adaptation with a specific objective, followed by checks and adjustments.

Clinical rigour

What a biomechanical assessment cannot claim

It does not diagnose from an isolated footprint.
It does not prove that the foot is the cause of every knee, hip or back pain.
It cannot predict injury with certainty or guarantee an outcome.
It does not require custom orthoses when there is no clinical indication.

Frequently asked questions

Common questions

Should I bring scans or previous orthoses?

If you have reports, imaging, footwear related to the problem or previous orthoses, they can help us understand the history and how earlier treatment was tolerated.

Do you always analyse running?

No. Running is analysed when it is part of the reason for your visit or provides relevant information. Tests are selected for the individual case.

Does an “abnormal” footprint mean I need orthoses?

No. The shape of the footprint is only one piece of information. Indication depends on symptoms, function, goals and whether there is a relevant factor that can realistically be modified.

Can the assessment explain knee or back pain?

It can help assess whether loading or gait are related factors in a particular case, but it cannot automatically attribute pain to the foot or replace other assessments that may be needed.

Appointments by phone

Tell us what you would like assessed

Explain when the problem occurs, what activity you do and what treatment you have already tried. We will guide you by phone and arrange the appropriate visit.

Clinical content reviewed by Juan Bautista Calero Márquez, podiatrist registered no. 115 in the Region of Murcia.

+34 628 342 080Appointments by phone