Why Precision Gait Clinic
A different way to understand persistent foot and ankle pain
How I think About Persistent Pain
Every assessment at Precision Gait Clinic is guided by a simple principle.
Persistent foot and ankle pain rarely occurs in isolation. It usually reflects a mismatch between the demands placed on a tissue and its ability to tolerate those demands.
Rather than focusing only on where symptoms are felt, I aim to understand why that tissue has become overloaded and what needs to change to support lasting recovery.
Meet Conor Costello
Specialist MSK Podiatrist | MSc Clinical Biomechanics
Many people I see have already spent months trying to resolve their foot or ankle pain.
They’ve tried exercises, insoles, different footwear or treatment elsewhere, yet their symptoms keep returning.
Working in the NHS, I increasingly found myself wanting to spend more time with these patients. Persistent problems rarely have simple answers, and I felt that the time available wasn’t enough to fully understand why their symptoms had developed or what was preventing recovery.
That led me to establish Precision Gait Clinic.
I wanted to create the type of assessment I felt many people were missing—one that gives us the time to understand the underlying cause before deciding on the most appropriate treatment.
My aim is simple. I want every patient to leave with a clearer understanding of their symptoms, confidence in what’s driving them, and a personalised plan to move forwards.
- HCPC Registered Podiatrist
- MSc Clinical Biomechanics
- Specialist assessment of persistent foot & ankle pain
- Rehabilitation-first policy
Is This Assessment Right For You?
This assessment is designed for people who:
- Have persistent or recurring foot and ankle pain
- Have tried treatment but symptoms keep returning
- Want to understand why they are in pain, not just reduce it
- Think the way they walk or run may be contributing
- Want a clear explanation of what is driving their pain
- Are looking for a personalised rehabilitation plan rather than a one-size-fits-all treatment
Have persistent or recurring foot and ankle pain
Have tried treatment but symptoms keep returning
Want to understand why they are in pain, not just reduce it
Think the way they walk or run may be contributing
Want a clear explanation of what is driving
their pain
Are looking for a personalised rehabilitation plan rather than a one-size-fits-all treatment
If your symptoms aren’t primarily mechanical, I’ll explain that too and help you decide on the most appropriate next step.
Why This Assessment Is Different
Most people who attend Precision Gait Clinic have already tried treatment.
What they often haven’t had is the opportunity to understand why their symptoms developed or why they continue to return.
Every assessment is built around three simple questions:
- What tissue is overloaded?
- Why is it overlaoded?
- What needs to change to resolve it?
To answer these questions, I combine your history with movement assessment, gait analysis, pressure mapping and functional testing to identify the mechanical factors contributing to your symptoms.
Rather than simply treating the painful area, the assessment is designed to identify the factors preventing recovery and use those findings to guide a personalised rehabilitation plan.
The goal is simple:
- Understand the cause of your symptoms
- Identify the factors preventing recovery
- Build a clear rehabilitation plan, so you know exactly what to do next
Frequently Asked Questions
Do I need a referral from my GP?
No. You can book directly without a GP or consultant referral.
What should I bring to my appointment?
If you’ve had previous scans, reports or treatment letters, bring them along if you have them. Wear comfortable clothing that allows assessment of your lower limbs and walking pattern.
What happens after the assessment?
You’ll leave with a clear explanation of your diagnosis, the factors contributing to your symptoms, and a personalised rehabilitation plan. Where appropriate, follow-up appointments can be arranged to progress your recovery.
Will I receive exercises?
Yes—but only if they’re appropriate for your condition.
Any exercises form part of a personalised rehabilitation plan based on the findings of your assessment, rather than a generic programme.
Is the assessment suitable if I have already had treatment elsewhere?
Yes.
In fact, many of the people I see have already tried previous treatment but continue to experience persistent or recurring symptoms. The assessment focuses on understanding why those symptoms have persisted and what needs to change to move forward.
How soon should I seek an assessment?
If your symptoms have persisted despite previous treatment, continue to return, or are preventing you from doing the activities you enjoy, a detailed assessment can help identify the factors contributing to your pain and provide a clear plan for recovery.