Gait & Postural Analysis in Newport Beach, CA

Standing is the first pass. Weight on one foot, a hip hitched, ribs shifted off the pelvis, a head that lives forward of the chest, knees that face different directions. They matter when they match a symptom. A posture that looks uneven and feels fine may be noted and left alone.

Gait and postural analysis does not require a force plate or a motion-capture suit. The doctor watches, may use a phone video so you can see the same thing in slow motion, and may palpate a landmark to confirm what the eye thought. If a fancier lab would be useful, that is a referral conversation. It is not pretended in the treatment room.

You walk a short path, turn, and walk back, more than once. The look is at foot strike, whether the arch collapses, whether the knee stays over the foot, whether the hip drops as the other leg swings, and whether the trunk sways or stays rigid. Arm swing is part of it. A trunk that refuses to rotate often shows up here before it shows up in a story about stiffness.

Shoes change the picture, so the walk may happen in your usual shoes and briefly without them. Plantar fasciitis that is blamed only on the heel often looks different when the hip drop and the foot collapse are seen in the same stride. Knee pain on one side is compared with the other side's step, not with a textbook drawing.

Treating the foot and ignoring the hip, or treating the low back and never watching a step, is how plans get stuck. The pass is one chain. A stiff big toe can change the knee. A hip that will not extend can keep the low back working overtime at the end of the stride. The note says which link is loudest, and the first treatment goes there.

Dr. Sani Kohen will say the link out loud and show it on the video if video was used. You should be able to see your own hip drop or your own rigid trunk. Hip and sacroiliac joint pain during the stance phase is a reason to test that hip on the table next, not a reason to hand you generic posture cues. Cues without a finding do not stick.

The analysis is finished when it changes a decision. A collapsed arch may lead to a foot drill, a shoe question, or a look at the hip that is driving the collapse. A rigid trunk may lead to a walking drill with a little rotation, or to dynamic neuromuscular stabilization if the trunk cannot organize even lying down. The exercise has to resemble the fault that was seen.

Reassessment is another walk, not only a question about pain. If the hip still drops, the drill did not transfer. Visits often run 30 to 60 minutes depending on the plan, and the walking portion is a slice of that time, repeated after treatment. A free 20-minute consultation can cover whether a walking look is the right start. The office is out of network and can provide a superbill. HSA and FSA cards are accepted.

Wear shorts or pants you can move in, and bring the shoes you actually walk or run in, including orthotics if you use them. You will stand, walk, and possibly try a small single-leg task. Expect to watch a replay if video is used. The commentary is specific: this hip, this part of the step, this shoe.

You should leave knowing one fault and one thing the plan will do about it. Mild awkwardness on camera is normal. The visit is not a posture grade. FRI does not rank your stance against an ideal statue. The question is whether the way you load matches the pain you have.

Most Newport Beach patients take the 73 north from MacArthur Boulevard or from Bison and stay on the toll road until the Mission Viejo exits that feed La Alameda. Door to door it is about 18 miles. Midday it can be close to 25 minutes. Late afternoon toward the coast, or the reverse commute when the toll road stacks, it stretches toward 40. The office is in a ground-floor suite at 26400 La Alameda, Suite 100, Mission Viejo, CA 92691, with parking at the building. Hours are Monday through Thursday, 9 to 6.

Plan the return before you book. A late-afternoon visit lands you back on the 73 toward Newport when the toll road is busiest. Morning and early afternoon slots are usually the calmer drive. Call (949) 312-1754 if you need to move a time. The first step for many people is a complimentary 20-minute consultation, which is a fit conversation, not a treatment squeezed into a sales pitch.

The first full visit is an evaluation. For pain and injury that means a history, movement testing, and the hands-on exam that fits the complaint, which may include joint motion, nerve tension, and orthopedic tests. You leave with an explanation of what we think is driving the problem and a short plan, often including something you do at home. Adjustments, soft tissue work, and exercise are tools inside that plan. They are not a package you are expected to buy before anyone has examined you.

If the main issue is hormones, digestion, energy, or an autoimmune diagnosis you already carry, the visit leans on history and on which labs are actually worth running. DUTCH, GI-MAP, thyroid panels, and the rest of the functional lab menu are chosen from the story, not ordered as a bundle. Medication changes stay with the physician who prescribed them. FRI is out of network with most plans. Many Newport patients pay with HSA or FSA funds, and we provide a superbill for whatever reimbursement your plan allows.