Finding Your Feet

Welcome to Holmewood Osteopathic Practice Newsletter. This summer we are all hoping to get our boots off, into our Summer footwear and enjoy whatever the elements bring us. A pedicure is lovely especially if your feet have not have seen the light of day for sometime. Quite apart from cosmetic appearance comfortable well supported feet can make all the difference to posture and pain. Standing on your own two feet is a complex matter, the foot is composed of more than 25 individual bones; and the shape and integrity of the foot is created by the contour of the bones, the ligaments and the muscles of the calf and shin. The arches of the feet are important for spreading load equally through the foot and transferring forces up to the pelvis and lower back.

Poor footwear can create pain and discomfort in the muscles and joints of the foot, ankle and legs which may aggravate arthritis of the hips, knees, ankles and toes and contribute to lower back pain. Footwear that is fit for purpose may help to reduce strain and pressure on th

ese areas. Osteopaths are excellent at taking a history, and performing examination and treatment that can draw these issues out.

There are plenty of stylish shoes around that offer support and cushioning. Shop around and try shoes on, think about how much walking or standing you do throughout the day. There is good evidence to support the use of insoles or orthotics for arthritis of the hip and lower limb, as well as sports related mechanical foot, knee and ankle problems. However there is poor evidence for the role of insoles and orthotics for back pain, and the recent NICE guidelines do not recommend them.

If you need to wear an insole, don’t try to wear it all day when you first get it. Wear it for a short

period at first and gradually build up to longer periods. Ageing, hereditary factors and disease

processes such as diabetes * can lead to pain in the feet and toes, loss of sensation in the feet, and ulcers or sores of the legs and feet. (* For more information go to: )

Joint related and soft tissue problems such as bunions, plantar fasciitis, bony spur pain and tendonopathies may be helped with osteopathic treatment, and I may be able to point you in the right direction if I cannot help. Contact me on 020 32921375 or go to

Elderflower Cordia

May and June is the time of year to look for these fragrant delicate flowers which are found almost everywhere. The best ones are creamy yellow in colour. Do not pick them if they have any brown bits. If possible pick them in the morning.

Ingredients: 35 elderflower heads/sprigs, 1.36kg sugar or sugar alternative, 1.7L boiling water, 57g citric acid, 2 lemons and 2 oranges.

Equipment: 2 large saucepans or plastic buckets, a sieve and a large piece of muslin cloth, a funnel, about 4 glass bottles, a piece of rubber tubing to use as a siphon.

Method: Place the sugar in the large saucepan, and pour over the boiling water, stir to dissolve. Allow the sugary water to cool. Tip in the citric acid, and stir. Slice the lemons and oranges and add these. Give each flower head a shake and discard any which are dropping flowers. Add the flower heads to the liquid.

Cover the pan with a lid or a cloth and leave for 1-2 days. If it starts to ferment you are making champagne not cordial (and that is another story). Once the mash is ready place the muslin in the sieve and sieve the liquid into another large container. Let the contents settle whilst you sterilise your bottles. Do this by placing them in a medium oven without their caps for 10 minutes. Carefully pour or siphon your cordial into your sterilised bottles. Store in a cool dry place. Once opened store in the fridge. This cordial will not keep without fermenting, but not to worry as it will be drunk very quickly.

Serve by diluting with chilled carbonated water, or look up some elderflower cordial cocktail recipes.

Have a great summer


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