What is the plantar fascia?
The plantar fascia (PF) is a thick band of tissue that connects your heel bone to your toes. It helps support the overall shape of your foot, especially when standing, and helps with shock absorption. Irritation and scarring of the plantar fascia, known as plantar fasciitis, is one of the most common causes of heel pain.
When would a plantar fascia injection help heel pain?
Ten percent of people have pain in the bottom of the heel at some point in their life. The most common cause is plantar fasciitis. Overactivity, improper shoes, flat feet or excessive weight on the feet can bring it on.
The standard treatment for plantar fasciitis starts with approaches to decrease pain by decreasing inflammation. Initial methods include daily stretching and splinting of the foot at night. Aspirin-like medications may also be used. If these treatments do not help, the next step is often steroid injections into the PF.
What signs indicate an injection may be needed?
Patients who have plantar heel pain because of plantar fasciitis may benefit from an injection when other nonsurgical treatments do not help.
When should I avoid an injection?
Do not have an injection at the PF if there is an allergy to the medicines being used or skin problems at the heel.
General Details of Procedure
The PF is injected where it is most painful. The injection can be made of steroids, numbing medicines, or a combination of both. Once the injection is done the site is covered. The patient is encouraged to restart exercises when it’s comfortable.
Most doctors inject the PF from the inner or medial side of the heel, instead of directly underneath. This helps to avoid pain and injury at the heel’s fat pad. With the patient lying down, the heel is marked where it will be injected. A thin needle is used to inject into the patient’s foot.
What happens after the injection?
The numbing effect usually lasts a few hours after the injection. When this numbness wears off, your heel pain may return temporarily. The steroid will relieve heel pain over the next several days, and it will continue to work for several weeks to months.
Most doctors recommend that patients resume foot stretching. Hard activities should be avoided for the first few days after the injection. A removable walking boot may be used for a short period of time to decrease pain and inflammation.
Risks include thinning of the fat pad and bleaching of the skin at the plantar heel. Tearing or rupture of the PF can also occur.
Frequently Asked Questions
What is the chance that a steroid injection will cure my plantar fasciitis?
Steroid injections do not cure plantar fasciitis, but they can relieve pain for three to six months.
The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. The content of FootCareMD, including text, images and graphics, is for informational purposes only. The content is not intended to substitute for professional medical advice, diagnoses or treatments. If you need medical advice, use the "Find an Orthopaedic Foot & Ankle Surgeon" tool at the top of this page or contact your primary doctor.