Rachel Miller is a specialist podiatrist in the field of biomechanics, gait analysis and orthotics. Her clinic is in the Highgate Health Centre, Highgate village in North London. Rachel works closely with Andrew Root, a respected authority of biomechanics who manufactures many of her orthotics. She is HCPC registered, a member of Society of Chiropodists and Podiatrists and registered with the major healthcare providers. To learn more about Rachel’s other podiatry and chiropody services please go to the Podiatry page.
- Heel pain
- Plantar fasciitis
- High arches and flat feet
- Sports injuries
- Arthritic conditions
- Back pain
- Achilles tendonitis
- Knee and ankle pain
- Foot length discrepancies
Call 020 8348 5553 to make an appointment
Biomechanics and Gait Analysis
Biomechanics is the scientific study of movement. Biomechanical assessment and gait analysis investigates irregularities in the way you move to assess how to treat many conditions that effect adults and children. Rachel is a specialist in the field of biomechanical assessments and orthotics, also giving advice about self-care, prevention, exercise as well as guidance on foot care and footwear. Rachel treats athletes to support them in their chosen sport and help alleviate stresses and strains that have occurred. See the Children’s page for more information about biomechanical assessments and conditions relevant to young children and adolescents.
Consultation and Assessment
A biomechanical assessment and gait analysis lasts one hour. Rachel can examine the way you walk and stand as well as your posture. You may be evaluated on the range of motion of your joints and the examination can look at pronation and supination, which is how you turn your foot when it touches the ground. Rachel may evaluate your muscle strength as well as your body alignment and consider how different pressures are transferred through your body which may affect your condition.
It will be very helpful to see some of your shoes during our first consultation to assess how you wear them and how they have worn. Please bring to your consultation several pairs of shoes or trainers that you usually wear.
Rachel is happy to discuss and recommend footwear and, depending on your condition, an orthotic can be worn with a wide range of shoes.
Please wear comfortable clothes as you may be asked you to walk, sit or lie down on a treatment couch.
You can be prescribed a bespoke orthotic to help alleviate pain. The orthotics provided are a custom-made insole that fit the individual characteristics of your foot. An orthotic slips comfortably into shoes and can help improve deficiencies in gait, correct imbalances, support and improve foot function.
An orthotic can alleviate knee, neck, back and hip pain. Orthotics can also redistribute pressure which can reduce stress on toes and joints. Rachel is experienced in giving biomechanical assessments to young children and teenagers. See the Children’s page for more information about biomechanical assessments and conditions relevant to young children and adolescents.
During your consultation, if it is appropriate, you may be prescribed a bespoke orthotic and a cast taken of your foot. This is a skilled procedure, completely individual to you and reflects your unique condition. From this cast, based on the precise shape of your foot, an orthotic is made using the very best of materials for both shock absorption and support. You can prescribed a range of orthotic materials which will depend on your individual needs and condition.
Rachel is very involved in all aspects of the manufacture of your orthotic which will ensure it is crafted exactly to your needs. Working in the field of biomechanics and orthotics for many years does mean that she has mastered the techniques to give an expert biomechanical assessment, take a precise cast and make a bespoke orthotic that can effectively help you.
There is a follow-up consultation three to four weeks after your initial one when the orthotic is fitted into your shoes. If any adjustments are needed to be made to your orthotics after your follow-up no extra charge will made. Plaster casts are kept in storage to make further orthotics if needed. An orthotic will normally last be-tween 12 – 24 months depending on your age, your condition and type of use. Many patients have several orthotics for different shoes making them easier to use and extending their life.
Rachel Miller’s clinic is at the Highgate Health Centre in Highgate Village, London. Clinics are held every weekend either on a Saturday or Sunday and every Tuesday. Please contact the Centre for an appointment on 020 8348 5553. For the Centre’s address, map and directions go to the Contact page, for information about chiropody go to the Podiatry page.
Consultation for a biomechanical assessment – £60
If it is appropriate to have an orthotic the fees are:
Plaster Cast – £80
Pair of Orthotics – £160
Total cost is £300 which includes the initial consultation with biomechanical assessment, the plaster cast and a pair of bespoke orthotics which are properly fitted in a follow-up appointment in three to four weeks. All orthotics are guaranteed for 18 months.