Many people when they come in to the doctor with heel pain, they tread the heel injection.  It makes sense because it’s quite painful for the most part. I want to explain a little bit more about the heel injection that we do for plantar fasciitis. There are usually, in our office, four components. We use a short and a long acting Novocain derivative and we also use a short and long acting steroid. For typical plantar fasciitis that’s on the bottom inside of the heel, I use a side approach on the inside of the heel, about 2 cm up and about 3 cm forward right where it’s hurting.  You infiltrate it right at the insertion of the plantar fascia into the bottom of the heel.  This creates kind of a sac in there, a sac of fluid, and that’s able to spread around to reduce the inflammation. If there are other problems, you may have to do it directly on the bottom or other places on the heel or ankle region to reduce the inflammation.  

To Your Health,
Dr. Donald Pelto