Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Cortisone Injection?

Posted by Kathy R on 8/28/01 at 11:40 (058221)

Tonight I visit the pod, and I'm sure he'll ask me whether I want a cortisone injection or not. I've had one, and the pain was horrible, and the injection didn't work. Not sure if I should try it again, or go on to the next step. I've tried 6 anti-inflammatories, cortisone, night splint, heel pads. Any advise is appreciated.

Kathy

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 13:33 (058233)

People respond differently to cortisone injections. I tend not to repeat an injection which did not work the first time. Have you had orthotics made?
Ed

Re: Cortisone Injection?

Kathy R on 8/28/01 at 13:42 (058235)

No, would that be the next step in the process?

Re: Cortisone Injection?

Dr. Zuckerman on 8/28/01 at 13:55 (058236)

How long have you had the heel spur pain. Have you tried physical therapy
taping, read the heel pain book on this web site. If surgery is beginnng to enter the topic of treatment then ESWT would be an option

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 14:36 (058243)

The need for orthotics is based on your biomechanics. I would consider it a fairly early step in the process. See how well taping works. A lot of practitioners tape to test the effect of mechanical reduction of tension in the plantar fascia, that is, if taping helps, then orthotics usually help.
Ed

Re: Cortisone Injection?

Kathy R on 8/28/01 at 14:49 (058248)

I've had the heel pain for over 1 year, and have had taping. I haven't tried physical therapy.

Re: Cortisone Injection?

kathy R on 8/28/01 at 14:49 (058249)

I've had the taping, but it only helped for about 1 hour, then it hurt again.

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 16:55 (058263)

Hard to say. There are different taping techniques. Wonder if taping loosened too much too quickly.
Ed

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 13:33 (058233)

People respond differently to cortisone injections. I tend not to repeat an injection which did not work the first time. Have you had orthotics made?
Ed

Re: Cortisone Injection?

Kathy R on 8/28/01 at 13:42 (058235)

No, would that be the next step in the process?

Re: Cortisone Injection?

Dr. Zuckerman on 8/28/01 at 13:55 (058236)

How long have you had the heel spur pain. Have you tried physical therapy
taping, read the heel pain book on this web site. If surgery is beginnng to enter the topic of treatment then ESWT would be an option

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 14:36 (058243)

The need for orthotics is based on your biomechanics. I would consider it a fairly early step in the process. See how well taping works. A lot of practitioners tape to test the effect of mechanical reduction of tension in the plantar fascia, that is, if taping helps, then orthotics usually help.
Ed

Re: Cortisone Injection?

Kathy R on 8/28/01 at 14:49 (058248)

I've had the heel pain for over 1 year, and have had taping. I haven't tried physical therapy.

Re: Cortisone Injection?

kathy R on 8/28/01 at 14:49 (058249)

I've had the taping, but it only helped for about 1 hour, then it hurt again.

Re: Cortisone Injection?

Ed Davis, DPM on 8/28/01 at 16:55 (058263)

Hard to say. There are different taping techniques. Wonder if taping loosened too much too quickly.
Ed