Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Careful when treating plantar fasciitis

Mr Rohit Madhav's article on plantar fasciitis covers the subject very well. (The information: plantar fasciitis)

But as a rheumatologist, I was somewhat concerned by your photograph showing injection through the sole.

I advocate a lateral approach because it is far less painful and no less effective, although there are several variables in regard to steroid injections – such as length of needle, steroid dose and type plus post-injection advice. Also, I think it is good to use local anaesthetic before injecting, rather than the combined steroid/local injection. The more comfortable the first injection, the less likely a patient will refuse a repeat, which are sometimes needed.

One other point – plantar fasciitis is sometimes associated with raised urate levels, and it may be helpful to treat that for a time, if persistent, especially in bilateral fasciitis.

From Dr Geoff Clarke, Brentwood, Essex

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say