The
New York Times released an article today
that claims President Trump was given the diagnosis of “heel spurs” so he would
be exempt from military service. Putting
aside the ethical, moral and political components of this story; one might
wonder why heel spurs would disqualify someone from service.
A heel spur is actually an abnormal outgrowth
of bone of the calcaneus (heel bone). They
may occur on just one foot or both. The
tissue on the bottom of the foot called the plantar
fascia attaches to the bottom of the heel bone and when stressed, can produce
a spur of the bone due to the traction that is occurred with the stress of the
fascia attachment. It is the plantar fascia that actually causes
the pain.
Heel pain is VERY common. One estimate is that there are 5 million
Americans that have heel pain at a given time. Approximately 35-40% of patients
at Family Podiatry Center present with the complaint of heel pain.
Plantar fasciitis developed as a
diagnosis to more accurately define the source of the pain over time and it
takes on definite course with consistent symptoms of pain in the morning and
after periods of rest. More recently, some podiatric physicians that specialize
in heel pain recognize that there are two forms of plantar fasciitis including
a chronic version called plantar fasciosis.
The plantar fascia is much easier
to treat before it becomes chronic and it’s important to seek
treatment from a qualified podiatrist once the pain cycle changes. Chronic plantar fascial damage will not respond
to the traditional treatments and may require regenerative medical treatments.
So why did “heel spurs” exempt people from military service? Aside from being very painful, heel pain was often
associated with “flat feet” which tire easily.
Nowadays, both flat feet and heel pain are easily maintained using
custom orthotic devices and no long pose a threat to our soldiers.
