Here at Centre Sports & Spinal, we are often asked to provide specific spinal assessments for other health professionals, such as podiatrists, in relation to the potential use of an orthotic or orthosis. Your physiotherapist will look at your spine and pelvis and the way they move in relation to symmetry, function and structure. We will also look at your gait and foot mechanics to see if the biomechanics of the spine and pelvis are affecting the lower limb mechanics or visa versa. We will then give a report to the requesting practitioner including recommendations.
In some cases, what we find is functional changes which means the asymmetry or dysfunction is caused by something external and is modifiable through either a passive support, strengthening, manual therapy or a combination.
In other cases, we find structural changes that are not modifiable. In this case, the treating practitioner needs to be aware that any passive support needs to account for the structural changes and we give advice on this. Strengthening is also often useful in this scenario.