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Finding your feet

By West Norwood Therapies Team, May 23 2018 08:00AM

Osteopath and Yoga teacher Yinka Fabusuyi considers foot support, how choosing footwear can influence posture and pain and whether it's worth using insoles or not...


This summer we are all hoping to get 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. The shape and in-tegrity of the foot is created by the shape 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 these areas. Osteopaths are excellent at taking a history, examination and treatment that can draw these issues out, give treatment and advice.


There are plenty of really 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 and sports related mechanical foot, knee and ankle problems such as knee tendon inflammation. However there is poor evidence for the role of insoles and orthotics for back pain, and the recent NICE guidelines do not recommend them. https://www.nice.org.uk/guidance/conditions-and-diseases/musculoskeletal-conditions/low-back-pain#guidelines


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. gradually build up to longer periods.


Ageing, hereditary factors and disease processes such as diabetes * can lead to more specific conditions such as bunions, arthritis, fallen arches, planter fasciitis, loss of sensa-tion in the feet, and ulcers or sores of the legs and feet.


Joint related and soft tissue problems may be helped with osteopathic treatment, in addi-tion there may also be occasion to seek advice from a podiatrist, chiropodist, your local pharmacist or your GP.

 For more information go to: www.diabetes.org.uk/putting-feet-first

Have a great Summer

Yinka Fabusuyi





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