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.

09/10/2026

💡 FACT FRIDAY | Layer By Layer

THE FINAL CUT! 🎥

…Except nothing was cut!

Watch it turn.

Every curve. Every contour. Every angle.

This is what bespoke should actually look like. ❤️

You’ve probably had insoles before. Picked off a shelf. Posted away as a cast and returned a month later.

Close enough; never quite yours. Never truly tailor-made.

This one started with a scan of a real foot. Held in position. Captured in under a minute.

Podiatrist assessed.

Podiatrist designed.

Podiatrist curated. 👌

It was built, layer by layer, on an in-house printer.

No block of material carved away.

No offcuts in the bin. 🗑️

No lab two hundred miles away.

Just one orthotic, built for one pair of feet.

From scan to shoe in about a week.

Spin it all the way round and look closely.

The arch follows a real arch. The heel cup follows a real heel.

Nothing generic. Nothing guessed.

Today is the reveal: but not the final cut… it’s the first of our new generation of orthotics that are never cut at all.

📍 In Motion Clinics, Chester

🔗 Every bespoke orthotic starts with a podiatry assessment. Book online at InMotionClinics.com

👋 TEAM TUESDAY TALK“It’s only a corn.”
“It’s just hard skin.”
“I’ll sort it myself at the weekend.”I hear this every sin...
06/10/2026

👋 TEAM TUESDAY TALK

“It’s only a corn.”

“It’s just hard skin.”

“I’ll sort it myself at the weekend.”

I hear this every single week. Feet are the part of the body we’re taught to ignore… until they stop us.

But here’s what most people don’t realise: your feet are often the first place your body tells you something has changed.

That callus or corn didn’t appear by accident. It’s built up exactly where pressure is going through your foot in a way it shouldn’t.

The corn isn’t the problem — it’s the symptom. Treat the hard skin and it comes back in six weeks. Change the load and it doesn’t. That’s the difference between trimming and treating.

If you have diabetes, your feet stop being a cosmetic issue and become a clinical one. Diabetes causes more than 180 lower limb amputations in the UK every single week.

Many are preventable. Almost all begin with something small — a bit of hard skin, a rub from a shoe, a tiny break that nobody looked at, on a foot that had quietly lost its ability to feel pain.

That’s why a diabetic foot check isn’t a formality.

🦶 I’m checking circulation, sensation, pressure points and skin integrity — looking for the problem you can’t feel yet.

When a foot has an ulcer or painful pressure point, the single most important thing is taking the load off it.

Not creams. Not dressings alone. Offloading — the right insole, the right footwear, sometimes a bespoke device. Get that right and tissue heals. Get it wrong and you’re dressing the same wound for months.

“Everyday” stuff matters too. Nails you can’t reach. Thickened nails. Hard skin. The verruca that’s been there two years.

🚶If your feet hurt, you walk less. If you walk less, everything else gets harder.

I’ve spent my career across NHS senior appointments and private practice, with postgraduate training in tissue stress and skin & nail conditions.

I can use local anaesthetic and perform minor surgery where needed.

But mostly - I just want to stop you limping.

Kindest Regards
Hannah

👉 Book at inmotionclinics.com

📚 Evidence:
Diabetes UK. Diabetic foot assessment follows NICE guideline NG19.

FACT FRIDAY 🤩 Layer by Layer - Our Custom Insole🦶 Printing SOFT HERE. FIRM THERE.You’ve had orthotics/insoles before.The...
02/10/2026

FACT FRIDAY 🤩 Layer by Layer - Our Custom Insole🦶 Printing

SOFT HERE. FIRM THERE.

You’ve had orthotics/insoles before.

They felt like a plank.

Rock hard under the ball of your foot. Barely there under the arch.

And you thought: maybe insoles just aren’t for me.

⭐ Maybe the problem was never the insole.

Maybe it was the block it was carved from.

🔨 A carved insole is cut from one material, so it has one stiffness all the way through.

If it needs to be firmer somewhere, another piece gets glued on.

But your heel doesn’t need what your arch needs.

And your arch doesn’t need what the ball of your foot needs.

🖨️ Printing changes that.

As we build your insole layer by layer, we change its internal structure. Denser where you need support. More open where you need give.

Firmer under the arch. Softer under a painful spot. Cushioned at heel strike.

All in one printed piece.

❓Does density really matter? Research says yes. Changing the density of a 3D printed orthotic changes how the foot moves and where the pressure lands, including in people with flexible flat feet.

We have the control.

YOUR podiatrist sets every zone to YOUR bespoke prescription.

It’s not softer or harder.

It’s the right density, in the right place.

📍 In Motion Clinics, Chester

🔗 Book your podiatry assessment at

InMotionClinics.com

📚 References
1. Desmyttere G et al. Gait Posture. 2020;81:247–253. PMID: 32818861
2. Cherni Y, Desmyttere G et al. Clin Biomech. 2022;92:105553. PMID: 34973589
3. Walker K et al. Med Eng Phys. 2023;115:103978. DOI: 10.1016/j.medengphy.2023.103978

👋 TEAM TUESDAY TALK“I feel like I’ve aged ten years overnight.”I hear this most weeks.The shoulder that froze for no rea...
28/09/2026

👋 TEAM TUESDAY TALK

“I feel like I’ve aged ten years overnight.”

I hear this most weeks.

The shoulder that froze for no reason. The hips that ache getting out of the car. The knees that started complaining somewhere around your mid to later forties. The body that suddenly feels like it belongs to someone else.

And almost always, the same conclusion.

“I suppose this is just getting older.”

It isn’t. Not entirely.

Here’s what the research now shows.

Oestrogen doesn’t just govern periods and hot flushes. There are oestrogen receptors in your bone, your muscle, your tendons, your ligaments and your cartilage. When that hormone falls away, every one of those tissues is affected.

Researchers have given this a name — the musculoskeletal syndrome of menopause. Published in Climacteric in 2024, the paper found that more than 70% of women experience musculoskeletal symptoms through the menopause transition, and 25% are genuinely disabled by them.

Seventy per cent. And most women have never been told it’s connected.

The numbers behind it are stark. During perimenopause, women lose an average of 10% of their bone mineral density. After menopause, muscle mass falls by around 0.6% every year. Joint pain peaks in early post-menopause and often shows nothing at all on a scan — which is precisely why so many women are told there’s nothing wrong.

There is something wrong. It’s just hormonal, not structural.

❓So what can physiotherapy do about it?

Quite a lot, as it turns out.

Muscle loss responds to loading. Guided training is the single most effective intervention we have against sarcopenia, and it works at any age you start. Bone responds to load too. Pelvic floor symptoms — the ones nobody wants to raise — are genuinely treatable in treatments.

That’s what I do.

I’m an MSK physiotherapist first, with additional training in pelvic health and extensive training through Menopause Movement.

You’re not falling apart. You’re not imagining it. And you are very far from out of options.

Kind Regards
Suzanne

📚 Evidence
Wright VJ, Schwartzman JD, Itinoche R, Wittstein J. The musculoskeletal syndrome of menopause. Climacteric. 2024;27(5):466–472. PMID: 39077777

🖨️ FACT FRIDAY — Layer By Layer - We 3D print your custom-made orthotic insoles. This is “the minute” that replaced the...
24/09/2026

🖨️ FACT FRIDAY — Layer By Layer - We 3D print your custom-made orthotic insoles.

This is “the minute” that replaced the plaster casts!

If you’ve had custom orthotics before, you’ll remember this bit.

The plaster wrapped around your foot.

Or the foam box you pressed your foot down into.

The waiting while it set.

The mess.

Or the vague worry that the shape being captured wasn’t quite how you actually stand.

Then it was boxed up and posted off to a lab.

⭐ Here’s what happens now.

📷 We scan your foot instead — using LiDAR.

It takes about a minute.

No plaster. No foam. Nothing to set, nothing to dry.

What we’re left with isn’t a lump of plaster.

It’s a precise three-dimensional map of your foot on a screen — one we can rotate, measure, and design directly onto.

🔬 And here’s the part that actually matters.

Foam has a real, well-known limitation.

It’s genuinely difficult to hold a foot in the correct position — especially through the arch, where the shape matters most.

LiDAR doesn’t have that problem.

It captures your foot’s actual geometry, held exactly in position, with a precision that foam was never built for.

In our experience, that shows up directly in the finished orthotic: better arch accommodation, and a device shaped around what your foot actually does.

💾 And the scan is a file 🖥️ . A cast is an object 🧱 .

An object has to be posted somewhere.

Stored on a shelf in a building you’ll never visit.

And eventually thrown away.

A file can be designed on immediately, printed the same day, kept, and used again.

⏱️ And nothing has to travel.

Your scan doesn’t go in a courier van.

It goes to the design, then to our own 3D printers.

That’s how a month became about a week.

🦶 What it’s actually like

You stand. We scan. You see your own foot on the screen.

Then we talk through what we’re looking at — the genuinely useful part.

📍 InMotionClinics.com

👋 TEAM TUESDAY TALKYou’ve stopped wearing certain shoes.At night, even the weight of the duvet on that toe hurts! An ing...
22/09/2026

👋 TEAM TUESDAY TALK

You’ve stopped wearing certain shoes.

At night, even the weight of the duvet on that toe hurts!

An ingrown toenail is a small problem that takes up an enormous amount of your day.

Most people put it off for months. Usually because of one thing they say to me the moment they sit down.

“You’re going to take the whole nail off, aren’t you?”

No. I’m really not!

Here’s what I actually do:

I remove a sliver. A few millimetres down one edge of the nail — the part that’s growing into your skin and causing all the trouble. The rest of your nail stays exactly where it is. Most people look down a few weeks later and can barely tell.

I numb the toe with an anaesthetic first, so the procedure itself doesn’t hurt. Then I apply a chemical to that narrow strip of nail bed, which stops that sliver ever growing back.

That last part is the bit that matters. Without it, ingrown nails come back. With it, the published evidence shows success rates of up to 98% without recurrence.

❓The things I get asked every single week

🚶 ”Will I be able to walk afterwards?”
Yes. You’ll walk out of the clinic. You’ll want sensible shoes and a quiet evening, but you won’t be laid up.

⏰ ”How long does it take to heal?”
You’ll change a simple dressing at home for around six weeks. It sounds like a long time. It isn’t difficult — most people have it down to a two-minute job within the first few days.

😷 ”What if mine’s already infected?”
I’m an independent prescriber, which puts me in a small minority of podiatrists. If you need antibiotics, I can prescribe them there and then. No separate trip to the GP. No waiting.

👣 ”I’m really anxious about this.”
Then you’re exactly the sort of patient I’m used to. I treat nervous people of every age — teenagers who’ve never had a procedure before, adults who’ve been putting this off for a decade. I don’t rush anyone. I explain everything before it happens, and nothing happens until you’re ready.

Kind Regards
Nicky

📚 Evidence:
Bécerro de Bengoa Vallejo R, et al. Partial excision of matrix and phenolic ablation for the treatment of ingrowing toenail: a 36-month follow-up of 197 treated patients. PMID: 20573175

19/09/2026

🖨️ FACT FRIDAY — Layer By Layer Orthotic Printing!

Stop scrolling!

Watch this!

This is not stock footage.

This is our printer... Right now.

For weeks we've told you how this works.

The scan. The design. The layers.

Today, we show you.

🖨️ This is what "we 3D print our own bespoke orthotics" actually looks like:

No lab two hundred miles away.

No four-week wait.

No courier.

Just this machine, building a real bespoke orthotic insole after your assessment.

🏆 We believe we're one of the first clinics in the country doing this as Podiatrists.

Not off-the-shelf. Not Lab-Made.

Assessed and printed — by us!

🦶 By the time this print ends, there's a wearable, bespoke orthotic on that bed that didn't exist when it started.

Cushioned where needed. Supportive where needed.

Scanned from your feet to a tailor-made device.

Custom-fit Insoles built to last (and work) for you for years.

That's not a marketing line.

That's just Friday, in our clinic!

📍 See where your journey starts — offload your foot, ankle, knee, hip or back pain with your bespoke solution.

Book your Initial Podiatry clinic appointment via www.InMotionClinics.com

👋 TEAM TUESDAY TALK“I’ll just get some off Amazon.”I understand the instinct. £15, next-day delivery, done.But here’s wh...
15/09/2026

👋 TEAM TUESDAY TALK

“I’ll just get some off Amazon.”

I understand the instinct. £15, next-day delivery, done.

But here’s what the research actually shows:

A major systematic review and meta-analysis, published in the British Journal of Sports Medicine, looked specifically at prescribed (bespoke/custom) foot orthoses — not generic pre-fabs — and found they reduced overall injury risk by 28%, and stress fractures by 41% (Bonanno et al., 2017).

That’s not a small effect.

That’s the difference between training through an injury-free season and being sidelined for months.

And it isn’t just about feet:

A randomised controlled trial of 101 patients with chronic low back pain and a pronated foot posture found that those given custom-made orthotics saw significantly greater improvement in disability and pain scores than those given a placebo device (Castro-Méndez et al., 2021).

Your back > Connected to your foot posture > Genuinely measured, genuinely published.

❓So why the difference between bespoke and pre-fab?

A pre-fabricated insole is built for an average foot that, statistically, nobody actually has.

A bespoke, 3D-printed orthotic is built from a scan of your actual foot — prescribed for your specific biomechanics, your specific pattern of movement, your specific problem.

One is a guess. The other is a diagnosis translated into a device. That’s why we attend opticians 👓 for an assessment, diagnosis and prescription spectacles, rather than guessing at something off the shelf in a pharmacy.

If you’ve tried the drawer full of shop-bought insoles and you’re still in pain, the research is fairly clear about why.

👉 Book your initial podiatry assessment at inmotionclinics.com

We look forward to helping you soon,
Peter

📚 Evidence

Bonanno DR, Landorf KB, Munteanu SE, Murley GS, Menz HB. Br J Sports Med. 2017;51(2):86–96. PMID: 27919918

Castro-Méndez A, et al. Int J Environ Res Public Health. 2021;18(13):6816. PMID: 34201981

🖨️ FACT FRIDAY — Layer By Layer, Part 3Here’s how custom orthotic insoles are usually made: A podiatrist assesses you.A ...
11/09/2026

🖨️ FACT FRIDAY — Layer By Layer, Part 3

Here’s how custom orthotic insoles are usually made:

A podiatrist assesses you.

A podiatrist works out what your foot needs.

And then a podiatrist stops being involved.

Because the next step is a prescription form. Tick boxes. Degrees of correction. Shell material. A free-text box at the bottom.

That form is posted to a lab, where a technician builds what it says. A skilled technician — but not a podiatrist. And not someone who has ever watched you walk.

📋 And here’s the bit most people don’t know.

A study of prescriptions from 178 clinical practices found approaches vary considerably between clinicians, with no broad consensus on how foot orthoses should be prescribed at all.¹

>>The form isn’t a universal formula>It’s simply that the best translation is no translation

👋 TEAM TUESDAYA team post with an offer!Vasupar is opening up a short block of express massage appointments — Saturday 1...
07/09/2026

👋 TEAM TUESDAY

A team post with an offer!

Vasupar is opening up a short block of express massage appointments — Saturday 12 September, 11am to 1pm. One time only.

15 minutes. £20. Back, neck and shoulders.

The kind of taster offer you can fit around the shopping, the Saturday stroll or a day that’s already half gone.

A quarter of an hour is enough to release the shoulders you’ve been holding somewhere up near your ears all week. Enough to work into the spot between your shoulder blades that’s been quietly nagging at you. Enough to remind your body what it feels like when the tension isn’t there.

Places are limited and going on a first-come basis, so put your name down now.

👉 Book your massage directly with Vasupar at https://thepearltherapies.co.uk



📅 Saturday 12th September · 11am–1pm
⏱ 15 minutes · £20
📍 In Motion Clinics, Chester

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

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