Plantar Fasciitis - Policeman's Heel
What is it?
The plantar fascia is a broad band of fibrous tissue running in the sole of the foot from the heel to the end of the rays (metatarsals). Along with the calf muscle, it forms part of a 'windlass' mechanism around the back of the heel and helps to maintain the arch of the foot.
What Causes it?
Most commonly it is associated with tightness of the calf muscle or an alteration of the mechanics of the foot when you are walking.
What are the symptoms?
Pain is usually the most significant problem. It's felt under the sole of the foot and is classically worse in the first few steps taken in the morning or after resting.
How is the diagnosis made?
The doctor will listen to the description of the symptoms and will examine the foot and ankle. Sometimes it is necessary to have an MRI or ultrasound scan to make the diagnosis.
What is the initial treatment?
A combination of, physiotherapy splints worn overnight and soft insoles (orthotics) are the mainstay of treatment.
If initial treatment doesn't work, what's next?
Very rarely, surgery may be suggested as a last resort, in particular to relieve the tight calf muscle if stretching proves unsuccessful.
Our practice covers the following hospitals:
For appointments phone : 0208 971 8026
St Anthony's Hospital
For appointments phone : 0208 335 4678
For appointments phone : 01372 221441
Shirley Oaks Hospital
For appointments phone : 0208 6555500