Dear James,

Thank you for visiting Performance Podiatry for your initial biomechanical assessment. Following our consultation, I wanted to provide a summary of our findings and the treatment plan we discussed.

Your gait analysis revealed a moderate over-pronation pattern in your left foot, which is contributing to the medial tibial stress syndrome you've been experiencing during your half-marathon training. The pressure mapping data confirms asymmetric load distribution that we'll address through a combination of targeted orthotic intervention and a structured strengthening programme.

I've enclosed your custom orthotic prescription and the exercise protocol we reviewed together. Your follow-up appointment is scheduled for 20 March at 10:30am, where we'll reassess your progress and make any necessary adjustments.

If you have any questions before then, please don't hesitate to reach out. We're here to help you get back to training at full capacity.