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Gait and footprint assessment

Looking at how you stand and how you walk, to understand where the pain comes from. It is the step before deciding whether insoles are needed.

Sending the request does not confirm the appointment: the clinic reviews it and confirms the time with you.

Gait assessment on the podoscope, with the feet resting on the lit glass

In short

The assessment that answers how you distribute weight standing and walking, and how that relates to what hurts.
For pain with no clear explanation, before increasing an activity, or if insoles have been recommended to you.
Skin, nails, mobility, alignment and gait. It does not always end in insoles: first assess, then decide.

A gait and footprint assessment answers one specific question: how your foot distributes weight when standing and walking, and how that relates to what hurts. It includes examining the foot —skin, nails, joint mobility, alignment of the toes and heel—, reviewing how you load it, and watching you walk.

It makes sense of symptoms that seem to have no explanation: heel pain first thing in the morning, discomfort in the sole at the end of the day, hard skin that always returns to the same spot, a toe that rubs in every shoe, or tired legs. It is also the step before deciding whether insoles are needed: without this assessment, insoles are guesswork.

If the discomfort is on the top of the foot, top-of-foot pain when walking without a knock explains what to watch for and when it is worth seeking advice.

What is examined

  • Skin, nails and areas of hard skin, which show where pressure is highest.
  • Mobility and condition of the joints of the foot and ankle.
  • Alignment of the heel and toes, both loaded and unloaded.
  • How weight is distributed while standing.
  • Observation of your walking pattern and how the findings relate to your symptoms.

Does your heel hurt when you get up, or do your feet feel tired by the evening?

Book an appointment

Frequently asked questions

Do I need to be in pain to have a gait assessment?
No. There are three pain-free situations where it adds a lot: when you are starting or increasing a sport and it helps to know how load is distributed before adding mileage; when footwear wears down strikingly unevenly, which is a clue about how you load the foot; and in a foot that already has a visible deformity — a bunion, a toe riding over another — to see what the rest of the foot is compensating for. It is also reasonable if insoles have been recommended to you and you want an assessment before deciding.
Will it tell me which trainers or shoes to buy?
It will tell you what to look for, not give you a brand and a model. The assessment produces concrete criteria that are useful in the shop: how much heel support you need, whether a wide or narrow toe box suits you, how much sole and of what kind, and which features to rule out in your case. With that you can choose among what is available and what actually feels comfortable, which matters. Recommending a specific model would be something else: models change every season, and what the appointment settles is the criteria, which do not expire.
Is the assessment I had years ago still valid?
As history, yes: knowing what was found then and what was done is useful information, so bring it if you have it. As a basis for deciding today, no. Feet change: with age the sole loses fat and the foot gains width, joint mobility reduces, a bunion progresses, a change in weight or activity alters how load is distributed, and surgery or an injury changes everything. Insoles made from an assessment done years ago describe a foot that is no longer yours.

Published by Clínica Podológica Seila Ivars

Knowing what will happen is reassuring too.

Four steps, from walking through the door to leaving knowing what comes next.

  1. You arrive and say what is wrong

    The practice runs by appointment. It starts by listening to the reason for your visit and any relevant history.

  2. Your case is reviewed calmly

    The assessment adapts to your age, your mobility, your general health and to what worries you.

  3. Your feet are examined and assessed

    The same podiatrist personally carries out the examination and whatever treatment is appropriate.

  4. You are told what comes next

    You leave with a clear explanation of what was found, of the treatment and of the recommended follow-up.

For your first visit: bring the shoes you wear every day, the insoles you use now if you have any, and any earlier report about your feet.

Seila Ivars sitting on the podiatry chair in the treatment room, wearing the practice tunic, with the clinic equipment behind her

Seila Ivars Ribes

Registered podiatrist

Who will see you

Related conditions

  • Plantar fasciitis

    The most common cause of heel pain. It hurts most in the first steps of the day and eases after walking for a while.

  • Metatarsalgia

    Pain in the sole, at the base of the toes. It is the area that carries most weight as the foot pushes off.

  • Morton’s neuroma

    A nerve in the sole that becomes irritated between two toes. It gives shooting pain, tingling or the feeling of something in the shoe.

  • Bunion (hallux valgus)

    The big toe drifting towards the others, with the bump that sticks out on the inner edge of the foot.

  • Flat feet in children

    At certain ages flat feet are exactly what is expected. What matters is whether they hurt, whether they are flexible and whether they change.

  • Heel pain in children (Sever’s disease)

    The most common heel pain between 8 and 14. It appears with sport and usually settles when the load is reduced.

  • Heel spur

    The spike of bone that shows up on a heel X-ray. It is usually the consequence of sustained traction, not the cause of the pain.

  • Knee pain

    Knee pain does not always start at the knee. The way the foot lands makes the leg rotate, and that rotation travels upwards.

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