Plantar Fasciitis and Cortisone Understanding and Effectively Treating Foot Pain

Plantar fasciitis and cortisone injections are critical topics in podiatry.

This text aims to educate the public on these conditions frequently encountered during podiatric consultations. Before diving into the main topic, it’s essential to understand the anatomy of the foot and the history of hammer toes to fully grasp what plantar fasciitis entails and the use of cortisone. We will also explore the connection between foot type and these conditions.

Plantar fasciitis is characterized by inflammation of the plantar fascia, a thick tissue connecting the heel to the toes.

Heel spurs, a bone growth under the heel, are often associated with this condition. Pain, primarily in the arch and heel, is a major symptom of this condition. By evaluating these symptoms, a podiatrist can offer various treatments, including cortisone injections to reduce inflammation and pain.

Plantar fasciitis, often accompanied by heel spurs, mainly manifests as sharp heel pain. This pain is particularly intense during the first steps after a period of inactivity or in the morning, the heel spur itself can cause pain under the heel, resembling a sting. These conditions are frequently caused by tension on the plantar fascia. This tension can result from various factors, such as flat feet, an abnormally high arch, or being overweight. Athletes, older individuals, and those whose jobs require standing for long periods are particularly at risk.

Evaluation and treatment by the Podiatrist

During the evaluation, the podiatrist examines the symptoms, the patient’s weight, foot position, and medical history. Based on this, they can propose a suitable treatment, options include targeted exercises, wearing appropriate shoes or orthotics, and in some cases, cortisone injections to alleviate inflammation and pain.

Prevention and self-care

Preventing plantar fasciitis includes measures such as maintaining a healthy weight, choosing appropriate shoes, and regularly practicing foot muscle-strengthening exercises. These measures are particularly crucial for individuals at risk, such as athletes and those with a family history of foot problems. People with occupations that require standing for long periods, like nurses or salespeople, must pay special attention to prevention. Regular breaks, appropriate shoes, and good workplace ergonomics are essential to prevent plantar fasciitis.

Genetic factors and plantar fasciitis

A genetic predisposition can play a role in the development of plantar fasciitis. Individuals with a family history of foot issues, such as flat feet, may be more prone to develop this condition. These individuals must be particularly vigilant in their preventive measures and treatment choices.

Advanced Podiatric interventions

Beyond cortisone injections, podiatrists may employ advanced treatments like shockwave therapy or surgery in severe or chronic cases. These interventions are considered when conservative measures fail, and the patient’s quality of life is significantly impacted.


Plantar fasciitis and Cortisone injections: procedure and benefits

Cortisone injections are an essential part of treating plantar fasciitis, especially in cases where conservative methods are insufficient to relieve pain. These injections are administered precisely to maximize their effectiveness while minimizing risks.

Injection procedure

Lateral ppproach: The cortisone injection is often performed from the side of the foot to reduce pain. This method avoids passing directly through the painful area, offering increased comfort to the patient during the procedure.

Ultrasound use: For increased precision, podiatrists may use ultrasound. This technology allows real-time visualization of the foot’s internal anatomy, ensuring the injection reaches the exact inflammation site.

Treatment benefits

Rapid pain reduction: One of the main benefits of cortisone injections is the speed at which they can relieve pain, allowing patients to quickly resume daily activities.

Inflammation reduction: By targeting inflammation directly, these injections help reduce swelling and discomfort associated with plantar fasciitis.

Complements other treatments: Cortisone injections are often used in conjunction with other treatments, such as orthotics or physiotherapy, for a more comprehensive treatment approach.

Podiatrists expertise

Podiatrists are particularly qualified to administer these injections. Their in-depth knowledge of foot anatomy and plantar fasciitis enables them to perform precise and effective injections. Moreover, their experience in pain management and potential complications ensures safe and tailored patient care.

Understanding cortisone: Myths, Realities, and Benefits

Cortisone, a powerful anti-inflammatory steroid, plays a crucial role in treating plantar fasciitis. It works by inhibiting chemicals responsible for inflammation in the body, thus providing rapid relief from pain and swelling.

Demystifying cortisone

Myths often surround cortisone use, particularly the idea that it could weaken tissues and cause ruptures, while repeated injections may present risks, moderate and well-controlled use is generally considered safe. Likewise, contrary to popular belief, cortisone, when administered correctly, should not worsen pain in the long term but instead offer lasting relief without causing major side effects.

Benefits of appropriate use

When cortisone is used judiciously, it can provide effective relief from pain and inflammation, significantly improving the quality of life for individuals suffering from plantar fasciitis. Moreover, it can effectively complement conservative treatments, speeding up healing and allowing for a quicker return to daily activities. Under the supervision of an experienced podiatrist, cortisone injections can be strategically used to manage the most painful and resistant cases, maximizing benefits while minimizing associated risks.

In summary, cortisone injections, when used wisely and under medical supervision, constitute an effective and safe treatment for plantar fasciitis. They offer rapid relief and can be a valuable complement to other treatment methods.

Final thoughts on plantar fasciitis and cortisone injections

Understanding the complexities of plantar fasciitis and the judicious use of treatments such as cortisone injections is crucial for effective management. Tailoring treatment plans to individual needs, considering factors like occupation, lifestyle, and genetic predispositions, is key to relieving symptoms and preventing recurrences. Emphasizing prevention, early intervention, and a combination of professional podiatric care with self-management strategies offers the best approach to treating this common but often debilitating foot condition.


Dr Martin Tranchemontagne, podiatrist Dr Martin Tranchemontagne podiatrist, is the first of this new generation of children of a former or existing podiatrist. We can say that he fell both feet in the trade! He loves to discuss trips with his patients. Passionate about his work, he is always looking for new techniques or technologies that can improve their well-being. Working as a podiatrist for almost a decade, he makes sure you are in good hands when consulting with him!

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