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Pain Treatments

Plantar Fascia Injection

Plantar Fascia Injection

The plantar fascia is a broad, thick band of ligament tissue that connects the base of the toes to the heel. This band of tissue is what makes up the arch of the foot. It is common for this structure to become stressed and strained, especially at the site of origin at the heel. The chronic stress and load can create inflammation and pain. Conservative treatment, such as physical therapy, chiropractic treatment, and a home exercise plan are the cornerstones for helping to address the root causes. In some cases, when conservative measures fail, injection treatment can be helpful in helping to alleviate inflammation and pain.

The doctor will numb the skin of the foot above the ligament attachment to the heel. Then, guided by feel or ultrasound, he will:

  • Insert a thin needle into the muscle using a technique called “peppering”, which is where the needle is moved rapidly and inside the inflamed ligament.
  • Inject a mixture of anesthetic (for temporary pain relief) and steroid or platelet rich plasma (for long term pain relief)

The medicines help to block the pain signal, like turning off a light switch. Usually, the procedure takes less than five minutes and you can go home the same day.

Some patients report pain relief within the first few hours after the injection, but pain may return later that day as the local anesthetic wears off. Longer-term relief is obtained when this kind of procedure is performed in conjunction with some form of manual therapy, such as osteopathic or chiropractic manipulation or physical therapy measures.

How long the pain relief lasts varies person to person. For some, the relief lasts several months or longer. If the treatment works for you, you can have periodic injections to stay pain-free.

The risk of a complication from plantar fascial injections is very low. Rarely, complications include bleeding or infection at the injection site, which is unusual for this procedure. Most of the time, these effects resolve within a few hours.

Do not do any rigorous activity for the first day after your injection. Take it easy. You can return to your normal activities the next day. No running or jogging for at least 72 hours after the procedure. Do not drive the day of the injection if you have had any form of anesthesia.

Not sure what treatment options are best for you?  Contact us today to see how we can help you.

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