51 The Garstons, Great Bookham, Surrey KT23 3DT
Mon–Thu: 10am–3pm  |  Fri: 12pm–3pm

Diagnostic Services

Advanced diagnostic testing to understand the health of your feet — from diabetic risk assessments to circulation testing and pressure mapping.

Biomechanical Assessment

Diabetic Foot Assessment

People with diabetes face a significantly higher risk of foot complications, including reduced sensation, poor circulation, and delayed wound healing. Early detection and regular monitoring are essential to prevent serious outcomes such as ulceration.

Amanda provides comprehensive diabetic annual reviews as recommended by clinical guidelines. Each assessment includes:

Neurological assessment — testing sensation to identify neuropathy
Vascular assessment — checking circulation and blood flow
Deformity assessment — noting bunions, hammer toes, and other structural changes
RS Scan pressure plate analysis to identify abnormal high-pressure areas
Risk categorisation with clear recommendations and a written report
The annual diabetic review is priced at £70. Early detection of foot complications can prevent serious outcomes — including amputation. This assessment could be life-changing.
Biomechanical Assessment

Circulation Assessment

Good circulation is fundamental to foot health. Reduced blood flow — which can result from conditions such as peripheral arterial disease, diabetes, or lifestyle factors — can lead to cold feet, slow healing, pain, and, in severe cases, tissue damage.

Amanda performs a thorough circulation assessment using clinical testing to diagnose reduced blood flow to the lower limbs. Following the assessment you will receive:

A detailed assessment of peripheral circulation
A written report summarising findings
Clear recommendations for onward management where required
Referral to GP or vascular specialist if indicated

Circulation assessment is priced at £70. See the Fees page for full details.

Biomechanical Assessment

Foot Injury Risk Assessment & Pressure Mapping

Abnormal pressure distribution across the foot is a key driver of many conditions — including plantar fasciitis, metatarsalgia, diabetic foot ulcers, and stress fractures. Identifying these patterns early allows targeted intervention before injury develops.

Amanda uses the RS Scan pressure plate — a state-of-the-art system that captures 300 pressure measurements per second as you walk, producing a detailed map of how load is distributed across every part of your foot.

RS Scan analysis reveals exactly where abnormal pressure is concentrated, allowing Amanda to design targeted treatment — whether orthotics, exercises, or footwear changes — with precision.

This assessment is included within the initial biomechanics appointment (£62) and can also be performed as part of a diabetic review. Results are explained in full during your consultation.

Biomechanical Assessment

Fungal Infection Testing

Not all nail changes are caused by fungal infection — nails can become discoloured or thickened for a variety of reasons. Accurate diagnosis is essential to ensure the correct treatment is prescribed.

Amanda can assess and diagnose fungal infections of both the nails and skin. Where a fungal nail infection (onychomycosis) is confirmed, treatment options include:

Lacuna method — micro holes drilled into the nail to deliver antifungal medication directly to the nail bed
Topical antifungal medicaments with clinical-grade penetration
Nail thinning to improve medicament penetration
Referral for oral antifungal prescription if warranted

Lacuna treatment pricing is dependent on the number of nails affected — confirmed at consultation.

Book a Diagnostic Assessment

Early diagnosis leads to better outcomes. Book your assessment today.