Rachel Miller has an excellent understanding of biomechanics and orthotics. Rachel works closely with the specialist podiatrist Andrew Root, a respected expert in the field of biomechanics and orthotics, who manufactures most of her orthotics.

Normally a consultation lasts one hour. Please bring several pairs of shoes or trainers that you usually wear so that Rachel can see how your shoes have worn and how you wear them. Also, please wear comfortable clothes as you may be asked to walk, sit or lie down on a treatment couch.  If an orthotic is prescribed a cast may be taken of your foot.

An orthotic is an insole which slips into your shoe. It can help alleviate pain and discomforts by correcting imbalances and is used in many conditions by people of all ages. Orthotics are also used to help maximise sporting performances and get the best out of exercise regimes.

In this hour long consultation, called a biomechanical assessment, Rachel will perform a gait analysis and look at pronation, which is how you turn your foot when it touches the ground. The examination will look at the way you walk, sit, and stand and your posture and you will be evaluated on your joint range of motion. Your muscle strength will be assessed as well as your body alignment and Rachel will consider how different pressures are transferred around your body which may effect your condition.

From this biomechanical assessment a complex evaluation is made and you may be given a rehabilitation programme or prescribed an orthotic. In this latter case a cast can be taken during that consultation. A bespoke orthotic of durable material is then made by hand, based on the precise shape of your foot. There is a follow-up consultation and the orthotic is properly fitted into your shoes. You may be advised about your footwear.

Plaster casts are kept in storage to make further orthotics if needed. Only the very best materials are used to make different types of orthotics whether they are used for support or shock absorption.


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 the biomechanical assessment, the follow up consultation, the plaster cast and a pair of bespoke orthotics.  The orthotics are properly fitted in that follow-up consultation.  All orthotics are guaranteed for 18 months.

Biomechanical conditions include

  • Knee, hip and back pain
  • Ankle injuries
  • Planta fascitis
  • Runners knee
  • Bunions
  • Flat feet
  • Heel pain
  • Metatarsalgia
  • Achilles tendonitis
  • Neuroma
  • Spurs
  • Arthritic conditions
  • Morton’s neuroma
  • Shin Splints
  • Leg length discrepancies