Musculoskeletal Assessment

What is a musculoskeletal assessment?

A musculoskeletal assessment is an in-depth overall body check for any misalignments, injuries, or overuse issues you may be experiencing.

Who is it for?

Anybody can have a musculoskeletal assessment as biomechanics plays an important role in managing all lower limb concerns. They are most commonly performed for people who have a lower limb pain such as Achilles tendinitis, planter fasciitis or any pain relating to the lower limb.


What happens during my appointment?

History check 

Non weight baring assessment 

Weight baring assessment 

Gait analysis 




Firstly, we will take your full medical history, including anything related to the lower limb, history of your injury, and any previous treatment to have tried.

A non weight-bearing musculoskeletal assessment is an evaluation of joints, muscles, and limbs without the person having to support their own body weight. This helps to better understand your body while checking for pain, stiffness, and mobility limitations. This approach helps in diagnosing issues related to joint function such as those caused by injuries or arthritis. Non weight-bearing assessments are particularly useful for evaluating individuals who are unable to stand or bear weight comfortably due to pain, injury, or disability.

A full weight baring assessment is a detailed posture assessment, it helps us to understand more about the strength and structure under minimal stress.

Gait analysis is an evaluation of walking patterns. It involves observing and measuring body movements, body mechanics, and the activity of the muscles while under different levels of stress. Your analysis can be performed through various methods including video observation, wearables, pressure sensors on the floor, and sophisticated systems like 3D motion capture that tracks how joints and limbs move.

The insights from gait analysis are often used in medical and sports settings: medical professionals use it to diagnose and treat conditions related to movement disorders (like those from neurological or orthopedic conditions), while athletes might use it to optimise their performance and reduce the risk of injuries.


Hiren has taken great care of my feet for many years. I am an active walker so my feet come in for a fair amount of wear and tear. However thanks to Hiren my walking continues to be trouble free.
A few years ago on Hirens advice I had insoles made following a gait analysis at his Sydenham practice. I now use these insoles in both my walking boots and shoes. Consequently walking is much more comfortable especially on long hikes on rough ground.
Thanks to email reminders I never have difficulty quickly gaining a suitable appointment. I always look forward to a friendly chat and catch up with Hiren. After I feel like I am walking on air. I unconditionally recommend Hiren.
Bill Rowe

Why does this help?

Anyone needing customised insoles will undergo the above assessment, which can be used for

  • Musculoskeletal pain
  • Athletes who want to optimise their performance
  • Reduce risk of injuries
  • Offloading current injuries such as
  • Achilles tendinitis
  • Plantar fasciitis
  • Knee pain
  • Metatarsalgia
  • Bunions
  • Diabetic foot
  • Nail trauma
  • Symptomatic leg length discrepancies and misalignment
  • Arthritis