Steroid shot for plantar fasciitis

“If a person comes in with heel pain, and they say that it’s on the milder scale, I tend to hold off on the injection at an initial visit. I would instruct them to do stretching, icing, modify activities and shoewear, as well as avoid walking barefoot on hard surfaces. Occasionally I’ll prescribe anti-inflammatory medications by mouth,” MacGill said. “If a patient comes in with more severe pain, in the absence of any kind of trauma, and I don’t suspect that there’s any kind of rupture of the plantar fascia, then I’m more likely to give them the cortisone injection.”

Cortisone injections are extremely safe, but they do still have potential problems. If you are concerned about having a cortisone shot, talk with your doctor. While cortisone is a powerful treatment for many orthopedic conditions, there are usually other options that can also be tried. Many doctors will offer an injection as they are quick, easy, and most often effective. However, your doctor should also be able to offer other treatments for inflammation that may also be effective for those that cannot have, or don't want, a cortisone injection.

When you suffer an injury such as plantar fasciitis, it starts out as a small tear in the fascia of your foot.  Your body’s natural defense to injury is to protect it so it lays down adhesive tissue over the small tear.  The problem is that people continue with their normal activities, which caused the tear in the first place, and now this new tissue gets broken down again and the tear becomes larger.  The viscous cycle of tear – repair – tear forces your body to develop scar tissue.  Now the scar tissue prevents the fascia from moving freely and as a result pulls and it’s this pulling effect that causes the pain and discomfort.

Kenalog in blood - Derby et al. "Size and aggregation of corticosteroids used for epidural injections"

  • Depo-Medrol also formed large aggregations in the study by Tiso et al [6]
  • Celestone Soluspan formed large aggregations only in the Derby et al study  [7 ]
  • It is speculated that these large aggregates occlude smaller vessels, and thus lead to infarction .
  • Injection of methylprednisolone vs dexamethasone vs prednisolone into the vertebral artery of pigs – see summary of study here

    Injections are particularly effective because the cortisone is administered directly into the inflamed tissues, but because the underlying issues are not corrected it should not be viewed as a cure but rather an intensive and abrupt method for reducing inflammation. A comprehensive treatment plan for plantar fasciitis must therefore necessarily include a multi-pronged approach that encourages reduced activity levels, orthotic devices and/or inserts, stretching exercises, night splints and any other measures deemed suitable by a healthcare provider.

    Steroid shot for plantar fasciitis

    steroid shot for plantar fasciitis

    Kenalog in blood - Derby et al. "Size and aggregation of corticosteroids used for epidural injections"

  • Depo-Medrol also formed large aggregations in the study by Tiso et al [6]
  • Celestone Soluspan formed large aggregations only in the Derby et al study  [7 ]
  • It is speculated that these large aggregates occlude smaller vessels, and thus lead to infarction .
  • Injection of methylprednisolone vs dexamethasone vs prednisolone into the vertebral artery of pigs – see summary of study here

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