About Precision Gait Clinic
Specialist biomechanics assessment for persistent foot and ankle pain
Persistent heel, tendon and forefoot pain is rarely random.
In most cases, it reflects a mismatch between the load placed on a tissue and its capacity to tolerate it.
Precision Gait Clinic uses a structured biomechanics assessment to identify the mechanical drivers of that load — and what needs to change to resolve it.
The Precision Gait Approach
In many cases, symptoms are not the primary problem.
They are the result of how load is applied to a tissue over time.
The Precision Gait Approach focuses on identifying and addressing the factors that drive that load.
Every assessment is structured to answer four key questions:
- What tissue is being overloaded?
- Why is that tissue being overloaded?
- What mechanical factors are driving this load?
- What capacity is currently insufficient?
This allows treatment to move beyond symptom management and towards resolving the underlying drivers of pain.
The Assessment
Every patient begins with a 60–90 minute biomechanics assessment.
This is a structured clinical process designed to understand why your symptoms have developed — not just where they are felt.
The assessment focuses on how load moves through your foot and lower limb, and whether it is exceeding the capacity of specific tissues.
It includes:
- Detailed load and symptom history
- Pressure mapping analysis
- Strength and capacity testing
- Footwear review where relevant
Findings are analysed and explained clearly, with a tailored plan focused on reducing excessive load, improving capacity, and restoring efficient movement.
The aim is to identify what is driving your pain — and what needs to change to resolve it.
Who This Is For
This service is designed for people who:
- Have persistent or recurring foot and ankle pain
- Notice symptoms return as activity increases
- Have tried treatment but not achieved lasting resolution
- Suspect their walking or running mechanics may be contributing
- Want a clear explanation of what is driving their pain
- Are willing to follow a structured rehabilitation plan
Have persistent or recurring foot and ankle pain
Notice symptoms return as activity increases
Have tried treatment but not achieved lasting resolution
Suspect their walking or running mechanics may be contributing
Want a clear explanation of what is driving
their pain
Are willing to follow a structured rehabilitation plan
If your symptoms are not primarily mechanical, you will be advised accordingly.
This approach is best suited to those looking to understand and address the underlying cause
of their symptoms, rather than short-term symptom relief.
Why This Assessment Is Different
Persistent lower limb pain is often a problem of load tolerance — not simply flexibility or tightness.
Shorter appointments often focus primarily on symptoms.
This assessment is designed to identify what is driving load through the foot and lower limb, and why specific
tissues are becoming overloaded.
It allows time to:
- Identify the primary tissue involved
- Understand the mechanical drivers of load
- Assess tissue capacity and load tolerance
- Develop a targeted plan for recovery
The focus is not just on reducing pain, but on addressing the underlying cause and restoring efficient
movement to support long-term resolution.
Location
Based in Bramhall, Stockport, serving patients across Greater Manchester and surrounding areas.
Considering an Assessment?
Many patients attend after months — or years — of recurring symptoms.
A structured biomechanics assessment helps identify what is driving the problem and what needs to change.
Your consultation includes:
- 60–90 minute assessment
- Pressure and gait analysis
- Strength and capacity testing
- Clear explanation and plan
You leave with clarity about your condition — and a structured path forward.
Conor Costello — MSK Podiatrist
Specialist in lower limb biomechanics and rehabilitation
Book Your Assessment
A 60–90 minute biomechanics assessment designed to
understand why your symptoms have developed — and what
needs to change to resolve them.
Structured, unrushed, and focused on identifying the cause of your pain.