Corticosteroid Injection for Plantar Fasciitis

Podiatrist treating feet during procedure

Overview

Cortisone injections provide good immediate relief of foot pain, but their effect is short-lived (2-3 months). There are potential risks or complications that may outweigh the benefits.

RESCU Treatment Ratings

R = Risk      E = Effectiveness      S = Self-Care

C = Cost     U = Usefulness (overall rating)

1 = Least Favorable     5 = Most Favorable

R

RISK: 2/5

2_Hearts_Treatment_Rating

Once a mainstay of treatment for plantar fasciitis (PF), cortisone injections (CSI) are generally no longer recommended. They do provide good immediate relief, but the effect is fairly short-living, lasting only 1-3 months. CSI injections can cause damage to the cartilage, making the fascia weaker and susceptible to rupture. It can also reduce the size of the protective fat pad on the bottom of the foot. Other potential complications include plantar fascia calcification, injury to nerves, sterile abscess, calcaneal osteomyelitis and even impaired vision.

Sources:

Grice J, Marsland D, Smith G, Calder J. Efficacy of  Foot and Ankle Cortisosteroid Injections. Foot Ankle Int. 2017 Jan; 38(1):8-13.

Dean BJ, Carr AJ. The Effects of Glucocorticoid on Tendon and Tendon Derived Cells. Adv Exp Med Biol. 2016; 920:239-46.

LI Z, YU A, QI B, et al. Corticosteroid versus placebo injection for plantar fasciitis: A meta-analysis of randomized controlled trials. Experimental and Therapeutic Medicine. 2015;9(6):2263-2268. doi:10.3892/etm.2015.2384.

David JA, Sankarapandian V, Christopher PR, Chatterjee A, Macaden AS. Injected Corticosteroids for treating plantar heel pain in adults. Cochrane Database Syst Rev. 2017 Jun 11; 6:CD009348.

E
S
C
U
FIND HELP
LATEST

Spinal Infection

Overview Spinal infections involve the: Intervertebral disc space Spinal canal Surrounding soft tissue Vertebral column The infections, bacteria or fungal can present 3 days to 3 months after surgery. Intervertebral disc space infections are between two vertebrae. Disc space infections are classified into 3 subcategories: Discitis (childhood) Postoperative Spontaneous (adult hematogenous or blood-borne) Vertebral Osteomyelitis is…
Read More

Spinal Cancer

What is Spinal Cancer? Overview Spinal cancer involves tumors or masses of abnormal cells originating in spinal tissue or brain (also known as spinal tumors).  Primary tumors may start due to certain inherited gene mutations. Those that metastasize or spread to the spine from other body areas are secondary spinal tumors. Typically they come from…
Read More

Stay in Shape During COVID-19

Corona Virus, COVID-19: Restricted to shelter at home: What can you do to stay in shape? With the shelter in place happening all over the world, you may be asking yourself what you can do to stay in shape or at least continue to manage your health, fitness and in some cases, your rehab while…
Read More

TOP BLOGS