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In Motion Clinics

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In Motion Clinics

In Motion Clinics will keep you moving! Don't be slowed down by pain. Our team of Podiatrists and Physiotherapists successfully treat all causes of pain.

We are a team of Podiatrists with a blend of Special Interests. Many people ask us: what’s the difference between Chiropody and Podiatry? Basically, Podiatric Medicine (Podiatry) is a Graduate Profession. As the University degree training encompasses Minor Surgery, Lower Limb Biomechanics, Anaesthesia and Injection techniques, Dermatology, Wound care and more(!) it is a broader and deeper training than routine foot-care (often called ‘Chiropody’ in the UK). We proudly offer both Podiatry and Chiropody appointments as they complement each other perfectly. For example, your Podiatry assessment may show that you need orthotic insoles, specialist trainers or other hands-on treatment to relieve foot pain. However, before the application of orthotic insoles, it may be necessary to remove Hyperkeratoses (“corns” or “callouses”). In this instance, a Chiropody treatment can painlessly remove the Lesions by Scalpel, on both feet in one session. On other occasions, you may require nail care; either for the treatment of an ingrown nail or for discoloured nail analysis. In these cases, we may offer Podiatry to resolve these problems (which could include Minor Surgery with an Anaesthetic if indicated). Equally, we may resolve some issues with a more straightforward Chiropody appointment. Regular Chiropody sessions could then be ideal to assist you with your ongoing foot-care and nail trimming regime. To book your Chiropody or Podiatry appointment, please book online at www.inmotionclinics.com or feel free to phone us first on 01244 37 37 57 if you are unsure of your appointment needs.

24/03/2026

TEAM TUESDAY 👋

Meet Mrs Marie O’Brien — Podiatrist (Chiropodist).

Marie is passionate about podiatry and specialises in comprehensive foot and ankle care, with a particular focus on vascular health and holistic assessment. She has completed postgraduate study in lower limb vascular health and emphasises the importance of vascular assessments as part of great foot care.

Her expertise includes routine footcare (Chiropody), nailcare, nail surgery and falknors verrucae surgery: delivered with a gentle, therapeutic approach and attention to detail.

Marie also brings valuable perspective from holistic therapies before undertaking her podiatry degree — a strength that helps her consider underlying causes and promote overall wellbeing.

She has prior NHS clinical experience, is a member of the Royal College of Podiatry, and (like all our podiatrists at In Motion) is qualified to use local anaesthetics to perform minor surgery.

20/03/2026

🦴 FACT FRIDAY: Hip Pain & “Bursitis” — What’s Really Going On?

If you’ve been told you have trochanteric bursitis, the diagnosis may be incomplete. Evidence from ultrasound and MRI studies shows that in the majority of cases, lateral hip pain originates from pathology of the gluteus medius or minimus tendons — not the bursa itself ¹.

The more accurate clinical term is Greater Trochanteric Pain Syndrome (GTPS), which encompasses gluteal tendinopathy, ITB involvement, and bursitis ².

It affects around 15% of women and 8% of men, peaking between the fourth and sixth decades of life ³.

Physiotherapy is the recommended first-line management, targeting progressive tendon loading, hip abductor strengthening and movement retraining — producing better long-term outcomes than anti-inflammatory approaches or corticosteroid injections alone ⁴.

For persistent cases that haven’t responded to conservative management, we also provide extracorporeal shockwave therapy (ESWT). It’s a NICE validated clinically viable non-invasive option ⁵. Multiple RCTs have demonstrated meaningful pain reduction with focused ESWT, and it has been shown to outperform corticosteroid injection at longer-term follow-up. ⁶

At In Motion Clinics, we assess and physically treat the actual source of your hip pain — not just the label. 📍 Chester · inmotionclinics.com

1., 2.Williams & Cohen, Anesth Analg, 2009 (PMID 19372352)
3. Segal et al., Arch Phys Med Rehabil, 2007 (PMID 17583568)
4. Harding et al., Musculoskeletal Care, 2024
5. Oderuth et al., BMC Musculoskelet Disord, 2021 (PMID 34784804)
6. Ramon et al., J Bone Joint Surg Am, 2020 (PMID 32769596)

17/03/2026

TEAM TUESDAY 👋

Meet Hannah Jackson — one of our Podiatrists (Chiropodists) at In Motion Clinics.

Hannah brings years of experience across private practice and Senior Clinical Lead NHS roles.

As a podiatrist, Hannah is qualified to use local anaesthetics and perform minor surgery.

She has a real love for providing both regular/routine chiropody for patients and performing nail surgery when indicated: doing precise work that keeps people comfortable, mobile, and pain-free.

Book your initial chiropody appointment with Hannah now at InMotionClinics.com

13/03/2026

🦵 FACT FRIDAY: Sciatica

Sciatica is not just “back pain that spreads into the leg”. True sciatica usually involves irritation of a lumbar nerve root (most often L5 or S1) and that matters because diagnosis changes the plan.

How common is it? Lifetime estimates are often quoted around 13–40%, but that wide range exists because studies use different definitions of sciatica. (1)

The good news: many acute episodes improve over weeks to months, especially with well-delivered conservative care. (2)

So what does effective physiotherapy do?
✅ early and clear assessment (what is irritated, what is driving it)
✅ education and confident movement (reduce fear and guarding)
✅ progressive exercise and load management
✅ appropriate manual therapy (hands-on treatments) (3)

📍 Book your Chester physiotherapy appointment online · www.InMotionClinics.com

References:
(1) Konstantinou & Dunn 2008 (PubMed ID 18923325).
(2) BJA Volume 99, Issue 4, P461-473, October 2007
(3) Ostelo 2020 Journal of Physiotherapy.

10/03/2026

TEAM TUESDAY 👋

Meet Mr James Dunford - Podiatrist at In Motion Clinics.

James holds an Honours degree in Podiatry, with years of senior experience across private practice and NHS senior musculoskeletal podiatry roles.

He has also completed specialist post-graduate training in surgical procedures, injection techniques, lower limb gait analysis and orthotic insole prescriptions.

What James particularly loves (and what patients come to him for):

✅ Verrucae (foot) and wart (hand)
surgery using evidence-based needling techniques (carried out under local anaesthetic)

✅ Ingrown toenail surgery under a completely numbing local anaesthetic, with options ranging from partial to total nail procedures

✅ Foot and ankle steroid injections for pain relief

Suitability is always discussed and planned properly during your initial podiatry appointment (pre-op assessment) as with all surgeries and injection procedures in UK clinics and hospitals.

Pre-operative assessment and consent: £60
Verrucae or wart needling surgery: £275
Ingrown toenail surgery: £350 (one toe) or £450 (two toes)
Steroid Injection: £150

06/03/2026

FACT FRDAY!

FIRST-LINE CARE: WHY PHYSIOTHERAPY IS THE EARLY WIN

Still being told to “rest and see how it goes”? Still waiting for a scan before you start treatment?

Here’s what the evidence actually recommends for back pain, neck pain, osteoarthritis, and shoulder pain:

Research synthesising the highest-quality clinical guidelines (Lin et al., British Journal of Sports Medicine, 2020) found the consistent early recommendation isn’t watchful waiting or immediate imaging — it’s structured, active care…

✅ Education — understanding what’s happening and what’s safe (clearing immediate ‘red flags’)
✅ Progressive exercise — graded loading that rebuilds strength and tolerance
✅ Manual therapy — as the useful add-on to improve movement and settle pain

That’s physiotherapy at InMotion!

Why it works:

Pain is often driven by weakness, sensitivity, stiffness or movement habits. Good physio’ identifies the driver, gives you a clear plan and breaks the cycle of fear → guarding → deconditioning → more pain.

NICE guideline NG59 (the UK’s gold standard for back pain) backs this up: manual therapy as part of a package — always alongside rehab/exercise and self-management.

If you’re ready for a clear diagnosis, a progressive plan and hands-on care rather than another “wait and see” — we’re at InMotionClinics.com

03/03/2026

TEAM TUESDAY 👋

Meet Mrs Nicola Higgins — one of our podiatrists (chiropodists) here at In Motion Clinics.

Nicola has a Bachelor of Science with Honours degree in podiatry from Salford University. She has extensive NHS experience as a Senior Podiatrist — including leading regular nail and skin surgery clinics.

Nicola’s key clinical interests

Ingrown toenail surgery with local anaesthetic (minor operations carried out with proper consent and aftercare planning).

Skin and nail dermatology (the wide world of tricky foot skin and nail conditions).

High-risk foot care, including diabetes-related foot management: ulcers, wound care, and dressings — the type of work where detail and vigilance matter.

A rare extra skill: independent prescribing

Nicola is also a prescribing podiatrist, and is in a relatively small group of podiatrists who can independently prescribe medicines (something more commonly associated with practice nurses and general practitioners).

That means that when clinically appropriate, she can prescribe items such as antibiotics, and can also provide a private prescription that can be filled at your local pharmacy.

Nicola is also appointed by many private medical insurers (including Bupa) for minor operations such as nail surgery with local anaesthetic.

27/02/2026

FACT FRIDAY! 🦶

What is Pronation and when does it become “OverPronation”!?

Pronation (your arch lowering a bit as you load the foot) is normal and useful! It helps the foot become more flexible so it can absorb shock and adapt to the ground.

OverPronation may be a cause of pain for you - but it is not something that can be quantified for the mass population with a universal formula, eg, it is not like “Overweight” which correlates to a BMI.

The goal therefore, is not to “eliminate pronation”, despite the abundance of anti-pronating trainers on the market! The goal is to understand if and why you hurt.

The Tissue Stress Model (why people actually get pain) helps us! A classic clinical paper explains mechanical foot pain using a tissue stress model:
“Symptoms occur when the stress going through a specific tissue exceeds what it can tolerate (especially over time).”

That is why two people can “pronate” the same amount and only one gets heel pain, shin pain, or forefoot pain. The difference is usually load, recovery, capacity, and which tissue is taking the hit.

At In Motion Clinics we focus on identifying the irritated structure and the driver of overload — not just judging a footprint. We can then provide a temporary or permanent orthotic (along with footwear advice) to offload the stressed tissue where indicated.

24/02/2026

TEAM TUESDAY 👋

Meet Mr Peter Colhoun — our Clinical Director and a Foot and Ankle Specialist Podiatrist at In Motion Clinics.

Peter is a Member of the Faculty of Podiatric Medicine, Royal College of Physicians and Surgeons of Glasgow.

He particularly enjoys the “detective work” side of podiatry:

• Biomechanical and gait (walking) analyses
• Bespoke (prescription) orthotic insole prescription

Peter’s specialist interest is skeletal alignment.

He loves measuring the “tracking and balancing” of patients, not visually estimating it!

He quantifies hip and lower limb angles… and thinking of the lower limbs like triangles, uses trigonometry to understand how small asymmetries can ripple upwards.

From there, he can design corrective shoe insoles (orthotics) using tiny wedges or lifts to help restore balance and symmetry during walking and running — often as part of a wider plan for persistent back, hip, or knee pain linked to biomechanics.

To schedule your Biomechanical appointment with Peter, visit our website and choose “book online”.

20/02/2026

FACT FRIDAY! 🦶🦴

A “heel spur” on an X-ray is often not the real problem.

Lots of people see “heel spur” on an X-ray report and assume: “That must be what is stabbing my heel.”
Reality is sneakier.

Research shows plantar heel pain often involves plantar fascia thickening, and heel spurs and plantar fascia changes frequently coexist—but the presence of a spur alone does not neatly explain what hurts and what doesn’t.

So think of a heel spur as more of a “mileage marker” (a sign the area has been under load for a long time) rather than an automatic smoking gun.

What matters more than the X-ray:
How you load the foot, calf and ankle flexibility, footwear, training volume, and whether the plantar fascia and surrounding tissues are irritated.

If heel pain is hanging around (especially “first steps” pain in the morning or after being seated for a while), get it assessed in-person.

Book your appointment at: www.InMotionClinics.com

17/02/2026

TEAM TUESDAY SPOTLIGHT 👋

Meet Suzanne Whitfield — one of our physiotherapists at In Motion Clinics.

Suzanne is a dedicated musculoskeletal physiotherapist with expertise in:

• Musculoskeletal physiotherapy (bones, muscles, and nerves)
• Women’s pelvic health
• Low back pain
• Chronic pain management

Menopause support is a big part of Suzanne’s work. She is a certified Menopause Movement Coach and supports women through perimenopause, menopause, and postmenopause — blending physiotherapy assessment with practical, holistic guidance.

Her menopause coaching commonly covers:
• Understanding and managing hormonal change symptoms
• Exercise and training guidance (with a tailored home exercise plan)
• Pelvic floor health (including prolapse support)
• Nutrition and weight management
• Evidence-based supplement and natural remedy recommendations
• Ongoing encouragement and accountability

If you would like help building resilience, strength, and confidence through this stage of life:
• Initial one-hour menopause coaching appointment: £100
• Follow-up half-hour appointments: £50

Suzanne also got a Guinness World Record last year for being part of the physio team for “the longest recorded game of Rugby”. Way to go!

13/02/2026

FACT FRIDAY! 🦶⚙️
Your big toe is basically the “go button” for walking.

As you speed up, the pressure and push-off under the big toe ramps up fast. One 2024 study found the big-toe area contributed about 65 per cent more to push-off in fast versus slow walking. [1]

Why that matters: when your big toe bends back, it tightens the plantar fascia (the strong band under your foot) like a windlass (think: tightening a rope on a winch). That stiffens the arch and turns your foot into a stronger lever for push-off. [2]

Add in your Achilles tendon storing and releasing elastic energy like a spring, and you have a brilliantly efficient system… until pain, stiffness, weakness or injury starts stealing the “free energy.” [3]

If your heel, arch, or big toe keeps complaining, do not just “push through.” Let us check how you load, move, and recover.

[1] https://pubmed.ncbi.nlm.nih.gov/38150947/

[2] https://pmc.ncbi.nlm.nih.gov/articles/PMC385265/

[3] https://journals.biologists.com/jeb/article/217/17/3159/12443/Tendon-elastic-strain-energy-in-the-human-ankle

Book your clinic appointment at www.InMotionClinics.com

Address

137 Long Lane
Chester
CH21JF

Opening Hours

Monday	8am - 8pm
Tuesday	8am - 6pm
Wednesday	8am - 8pm
Thursday	8am - 6pm
Friday	8am - 6pm
Saturday	9am - 5pm

Telephone

+441244373757

Website

http://www.inmotionclinics.com/

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