Hip & Back Pain
Diagnosis & Biomechanical Treatment at The London Podiatry Centre
Back and pelvic pain are often linked to problems in the feet and lower limbs, yet this vital connection is frequently overlooked in standard treatment approaches.
At The London Podiatry Centre, we specialise in uncovering the biomechanical relationships between foot function and spinal or pelvic alignment. For example, something as simple as a unilateral flat foot can cause the pelvis to tilt, creating asymmetry in the spine and triggering hip drop, low back pain, or sacroiliac joint discomfort.
Other, more subtle issues are also common. A stiff big toe joint, for instance, can restrict hip extension during walking — leading to compensatory movement patterns and chronic strain on the hips and lower back. Leg length differences, even small ones, can also contribute to misalignment, muscle fatigue, and joint overload.
Through advanced 3D gait analysis and detailed biomechanical assessment, we can detect these contributing factors with precision. But we don’t stop there.
Why the Feet Matter in Back Pain
The spine is entirely dependent on the foundation provided by the feet. Dysfunction in foot alignment alters how forces are transferred up through the legs, pelvis, and back. Over time, this can lead to:
- Pelvic torsion and rotation
- Sacroiliac joint strain
- Leg length discrepancy effects
- Spinal misalignment or compensatory scoliosis
- Abnormal impact loading through the lumbar discs and joints
Many patients who share identical risk factors such as long sitting, poor posture or inactivity experience different outcomes depending on whether their underlying biomechanics are stable or dysfunctional.
The Key Role of Sacroiliac Joint Dysfunction
The sacroiliac joint (SIJ) is often a major — and frequently missed — contributor to back pain:
- SIJ function is highly dependent on rotational control of the lower limb, which starts with correct foot mechanics.
- Abnormal pronation, arch collapse, or pelvic asymmetry can destabilise this crucial joint.
- We routinely perform targeted SIJ assessments as part of every back pain evaluation.
Measuring Function: The Core of Effective Treatment
The key to successfully treating back pain is optimising function.
But to optimise function, you must first be able to measure it. Most clinics rely on observation alone. At The London Podiatry Centre, we are one of the few centres worldwide to utilise:
- 3D Computerised Gait Analysis
- Plantar Pressure Mapping
- Objective Functional Efficiency Indices
This technology allows us to:
- Accurately quantify rotational asymmetry, pelvic tilt, and loading imbalances.
- Provide measurable data on how efficiently patients walk.
- Track improvements following treatment.
This objective data is often the missing link that explains why many patients continue to suffer despite previous therapies.
Other Biomechanical Causes of Back & Pelvic Pain We Commonly Treat
Leg Length Discrepancy
- Even small discrepancies can have major long-term effects.
- Assessed both dynamically (walking) and statically (standing).
- CT scanograms can be arranged for high-precision assessment where indicated.
Lower Limb Malalignment
- In-toeing, out-toeing, knock-knees or bow-legs.
- Each creates compensatory rotations that affect spinal load.
Foot Pronation & Supination
- Arch collapse or rigidity alters pelvic stability and shock absorption.
Functional Scoliosis
- Often develops as a result of pelvic asymmetry or leg length difference.
Compensatory Pain Cycles
- Chronic back pain often leads to weakened lower limb muscles, stiff gait, and progressive secondary strain.
Comprehensive Diagnostic Work-Up
Every patient undergoes full multi-level assessment including:
Every patient undergoes full multi-level assessment including:
- 3D Gait Analysis (rotational, sagittal and coronal planes)
- Plantar Pressure Testing
- Static and Dynamic Leg Length Evaluation
- Pelvic and Spinal Alignment Screening
- Diagnostic Ultrasound for lower limb tissues
- Collaboration for MRI, CT scanogram or spinal imaging where necessary
Non-Invasive Treatment Options
Biomechanical Correction
- Custom Orthotic Devices to optimise lower limb alignment.
- Footwear Adjustments to optimise shock absorption and stability.
- Pelvic Alignment Correction based on precise functional measurements.
Specialist Rehabilitation
- Structured programmes to strengthen:
- Pelvic stabilisers
- Hip control
- Core stability
- Postural balance
Collaborative Interdisciplinary Care
- Close liaison with:
- Chiropractors
- Osteopaths
- Physiotherapists
- Spinal surgeons (where needed)
In the vast majority of cases, surgery can be avoided through correct functional correction.
Why Choose The London Podiatry Centre for Back & Pelvic Pain?
What sets The London Podiatry Centre apart is our holistic, multidisciplinary approach. We recognise that treating back and pelvic pain rarely involves just addressing the feet. Equally, an unstable or injured spine can have a detrimental effect on foot mechanics — so our goal is to break the cycle by restoring balance across the entire system.
We collaborate with expert physiotherapists, osteopaths, and rehabilitation specialists to ensure your treatment is comprehensive and tailored to your specific needs.
Contact The London Podiatry Centre today to arrange your specialist consultation.
