At one time, policemen patrolled their neighborhoods on foot, spending hour after hour on their feet. Over time, the overuse led to heel pain that doctors dubbed policeman’s foot syndrome. Its medical name is plantar fasciitis, which is a painful inflammation of the tissue at the base of the heel where the plantar fascia attaches to the heel.
The plantar fascia is a band of tissue that originates at the heel and connects to the toes. Fat tissue sits between it and the base of the foot to cushion the heel from the impact made by walking and standing.
Symptoms
Although there are other causes for this syndrome, too much time standing or walking are the most common, hence its name. The sharp, stabbing pain plantar fasciitis causes is most intense upon rising after sleeping or a long rest, and it lessens throughout the day.
Diagnosis and Treatment
Untreated, plantar fasciitis is likely to worsen, especially if the underlying causes aren’t addressed. Besides overuse, high heels, a tight Achilles tendon, arch problems, or poorly fitting shoes aggravate the plantar fascia. Over time, the micro-tears develop scar tissue and bone spurs may form. Scar tissue forms as part of the healing process, and bone spurs are painful calcium deposits that form at the base of the heel.
A podiatrist examines the foot and collects information about activity levels, commonly worn footwear and may need an x-ray to rule out a bone spur or fracture of the heel bone. Treatment options include rest, a change in footwear, or even custom orthotics that properly align the foot. Stretching exercises may help, as might cushioned heel cups or shoe inserts. Surgery is the last option, and with early treatment, is normally avoidable.
Contact Casteel Foot and Ankle
If you suspect you have Policeman’s Foot Syndrome or plantar fasciitis, contact Casteel Foot and Ankle Center in Rowlett or Royse City at 972-412-4449. Dr. Casteel, DPM, will diagnose the condition and lay out an effective treatment program for you.