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Posted by Sher A on 11/11/03 at 11:27 (137045)

Hi all.. A couple months ago I saw the pod and got a shot on the inside of the heel. That was agony beyond agony, I saw stars with that shot. It must have had a lot of lidocaine in it or something because my heel area was mainly numb afterwards, but hey I could walk. The relief lasted about 2 weeks. Then it was back.

Yesterday I had another appt with the pod and he suggested getting a shot. Boy did I have to gear up for that, mentally. I took a xanax and asked him if it'd be a problem to give me a few minutes to compose myself, because I wasn't expecting to get a shot. He had no problem with that at all and gave me 10 mins or so to 'adjust'.

He came back in and gave me the shot, this time on the outside of the heel. I was really surprised because this time it didn't about kill me like that last one did. The relief was instant, but my heel area was not at all numb, it's like the pain was just mostly gone. I told him it still hurt but nothing like before and he told me to give it a day or two to work. Today I still have some pain but I can at least walk!! I'm in a great mood too because I'm not in agony.

So my question is - was it a different kind of shot from the last one? It felt totally different, both as he gave me the shot and the effect afterwards. The xanax didn't turn me into a zombie or anything, it just took the edge off my ragged nerves. The first time, I didn't know what to expect, this time I was worried sick that I wouldn't be able to stand the pain from the shot. I forgot all about asking him if it was different because I figured it was the same. My heel feels a lot better today, and I am actually encouraged now that maybe it'll even work. Are there different kinds of shots that they can give you?

Re: Shots

Kathy G on 11/11/03 at 18:19 (137127)


I've never received shots for my PF but I did for my neuroma. One of the problems with the shot, my Pod said, was that because they had to combine it with the Lidocaine and thus there was a great deal of excess liquid being inserted into the foot. He said there was no option but to use the Lidocaine.

When I had a shot of cortisone for the arthritis in my hand, the doctor gave me the option of going with or without the lidocaine and for the same reason, I opted to go without. He was able to insert it in just the right spot and not nick the bone and so it wasn't that painful. He said the lidocaine can cause a lot of discomfort for the same reason --- the extra fluid.

The point of all this rambling is that perhaps he didn't use lidocaine the second time? Just guessing.

Either way, I'm glad to hear you're pain free! May it continue!!!

Re: Shots

Kathy G on 11/11/03 at 18:20 (137128)

My first sentence above doesn't make total sense. I seem to be running off at the fingers, but you get my drift!

Re: Shots

marie on 11/11/03 at 19:06 (137132)

Do you think you were a little less stressed about it this time? Maybe the first shot worked more than what you thought. I had a similar experience. The doc felt that I had recieved some relief from the first shot.


Re: Shots

Sher A on 11/11/03 at 19:26 (137137)

I just want to hear everything, and am grateful for any ideas or advice. I wonder if that wasn't the thing, there was a lot less lidocaine in it. It just seemed that this time I felt the relief moreso. Maybe the more pain, the greater the relief? Maybe the shot didn't hurt as much because this time he went in from the outside rather than the inside of the heel. I just don't know.

Lord, I was incredibly stressed, I geared myself up for agony, and then was surprised that it didn't hurt nearly as much as that last one. At least now that I know what to expect, I think I'll be more relaxed next time. I think this has reduced the inflammation substantially and hope it stays that way. I was so happy today that I went to the mall and actually enjoyed walking around. What a thing I took for granted, walking!

I guess the shot always consists of the same medication then, plus or minus the lidocaine?

Re: Shots

nancy s. on 11/11/03 at 20:25 (137152)

sher, according to a bunch of past posts, the shot coming in from the side is much less painful. that is likely why this shot was easier for you to take. i had one shot -- through the bottom of the heel, straight into the infamous PF Spot -- and the pain was out of this world. i nearly passed out. if i'd had my cane in my hand, i'd have killed the doc right then and there. i never had one from the side, but i recall several people posting that those aren't nearly as bad.


Re: Shots

Necee on 11/12/03 at 02:13 (137191)

Most Dr.s will give you a shot first to numb the area, then give the Cortizone shot, because they can be quite painful.
I had that done 2 yrs ago, and the shots were virtually pain free.
As with most Cortizone shots......they provide relief for a little while, but then the pain returns.
I found that wearing the right kind of shoes, resting my feet, and not going barefoot, really did more for me than anything else I have tried.

All the best to you

Re: Shots

Sher A on 11/12/03 at 19:08 (137293)

I don't know what else I can do. I've done everything except surgery, which includes, ice, heat, physical therapy, stretching, taping, custom orthotics, ART, no barefoot or flip flops, the wedge platform, Bextra, Celebrex, Vioxx, Xanax, I only wear Birkenstocks - what did I miss? I won't even sleep over the 2 negative energy areas in my room. I wore New Balance tennis shoes with the orthotics but that hurt to high heaven, so I'm a Birks believer and convert. Haven't done splints yet but did order that sock thingie - more $$$. I had to get the shot or not walk. I've spent hundreds of dollars on this already.

That's why I was wondering if there are different kinds of medications they put in the shot. The first one didn't help much but this second one sure did. Nothing was reducing the inflammation except for the shot, so that's been my saving grace. I'm happy for ANY relief, even if it's just for 2 weeks. The pod is optimistic that this may help in a more permanent way. I want to avoid surgery at all costs, since it's pretty touch and go, and because doctors don't believe in treating pain adequately - neither for the intensity or the duration. So my fingers are crossed; and my nerves are raw. I hope that the right shoes, rest, etc. etc. work for me too.

Re: Cortisone

Victoria on 11/13/03 at 11:27 (137379)

My doc gave me a couple of shots of cortisone my heel-bottom of foot area last week and it hurt like hell.

But---It was the first true relief I've had from the pain for months. Bliss for a few days, but gradually the pain started to return, though NOT nearly as severe.

I have another appointment with him next Monday, and can't wait to let him know that it actually worked--even if somewhat temporarily.

Re: ...and what about meds?

Victoria on 11/13/03 at 11:30 (137380)

My doc also put me on an anti-inflammatory med in addition to the shots.

Re: ...and what about meds?

Sher A on 11/13/03 at 20:48 (137448)

Good Lord, in the _bottom_ of the heel? I had that done ONCE by a regular doctor not a pod. The pod says it's too painful to be in the bottom of the heel! No kidding! The only thing that hurt on that same scale was when I had a root canal and had a shot right up into the roof of my mouth. Sometimes I think that doctors, well never mind.. I just have issues with them.
For me the shot was just as effective, if not moreso, from the _side_ of the heel, you might want to ask about that on Monday just to see what they say. I go back for another one in 2 weeks if I need it. For now I am just loving life, even if it is living a lie. I tried meds, vioxx, celebrex, bextra, lortab, nothing touched the pain that I was having. I realize that you have to keep taking the anti-inflammatories for awhile before they work, but after 6 weeks I gave up.

Re: Cortisone

Pauline on 11/14/03 at 07:37 (137473)

When I had my injections, the ones that helped the most were the ones given in the bottom of the foot, however, the pain relief was fleeting as in your case and for many others.

Doctors usually inject a long acting and a short acting steroid along with anesthesia. My doctor's method of delivery was with two injections. The first was to numb the area and it was immediately followed by the steroid injection which may or may not have had more anesthesia included.

He didn't use any freezing spray ahead of time, it was just a 1,2 punch injection. I didn't have a great deal of pain during the delivery, however, because of the amount of fluids injected into a small space it felt like I had rockers on the bottom of my feet for a couple of days and that tissue hurt afterwards. It's my belief and I'm not doctor that the layers of tissue in that area were separated my fluid that needed to be absorbed.

You need to understand that I've had P.F. three times, so when I speak about having had multiple injections they were spread out over several years.

Needless to say as is usually the case, the pain relief was short but greatly appreciated. You'll find when the pain begins to return you must then get down to doing all the other conservative treatments listed in Scott's book. If you haven't read it make that a top priority. You're going to need all that information.

P.F. for most is a long term condition that will require constant attention and lots of patience. When I say long term I'm speaking about months not weeks, however, some people have responded very quickly. My cleaning lady was one of them. (Was I happy about that? You bet!)

You've come to the right spot to beat this thing, because all of use have been there and understand what your going through. Keep posting and we'll be glad to respond with support and hopefully helpful answers to any of your questions.

Re: ...and what about meds?

Kathy G on 11/14/03 at 07:58 (137478)


Some people don't find the anti-inflammatories help PF pain at all. In fact, it seems to me that a majority of people on this Board have said they don't notice much difference while taking them. But I think they do decrease the inflammation, just not enough to notice any difference in pain levels.

Re: ...and what about meds?

john h on 11/14/03 at 09:30 (137480)

I read an interesting article on a recent study concering anti inflamatories. I will scan it and paste it soon. The thrust of the article is that inflamation in many cases is necessary to healing and that anti inflamatories can sometimes be counter productive. The article indicated often we would be much better off treating the pain with tylenol type products.

Re: ...and what about meds?

john h on 11/14/03 at 09:32 (137481)

Two other wonderful places I have had shot were into the lip when i fell into the bleachers and ended up with my tooth through my lip. Also a shot into the eye.

Re: ...and what about meds?

dave r on 11/14/03 at 12:11 (137498)

John, I had me index finger slambed in a sliding door on a van when i was younger. Well you can imaging what my finger looked like. Being 11 years old at the time didnt help the situation. Anyhow i ended up getting shots all over the place but the one that still sticks in my head is the one that i got underneath my finger nail

Re: ...and what about meds?

john h on 11/14/03 at 14:21 (137511)

Dave: You and I traveled the same road. In second grade a large door slammed on my first finger and basically took the end off of it. 4 years ago a metal storm window came down on three fingers on my left hand. It just caught the tips and pulled out all three nails and broke all three fingers. Looking at those nails pulled out and hanging there really frightend me. The Doc called this 'de-gloving'.The doc pushed them back under the skin but they of course died but lucky me some 5 month later they grew back. My fingers were hurting so bad I did not even notice the shots.

Re: ...and what about meds?

Kathy G on 11/14/03 at 16:30 (137536)

The most painful place anyone suggested getting a shot, for me, was when I was having a tough time with TMJ and the dentist suggested that I go to some specialist and have my temple injected with novicaine (sp?). I said that I didn't know anyone I trusted enough to inject my temple with anything!

Re: ...and what about meds?

Dorothy on 11/14/03 at 23:24 (137566)


Re: Cortisone

Victoria on 11/16/03 at 13:31 (137648)

Thanks for the kind response. It is very comforting to know that other people can relate and identify with my circumstances because they've been through it.

It is physically and mentally draining to deal with because it so deeply affects everything we do, every day. We sure take walking for granted, don't we?

I really have a greater respect now for people who live and cope with debilitating illnesses and life-long handicaps, too.

I have an apt. on Monday the 17th with my podiatrist again--I'm eager to let him know about the shots.

Take care.

Re: Shots

LorindaN on 11/20/03 at 07:02 (138040)

I just had the second shot on my left foot and the first shot on my right today. Last week was the first shot (11/12), I almost passed out ( lol... I understand what you mean about seeing stars). Well, today 11/19 round Two. The podiatrist told me this shot may be even more painful then the last, as he was using a stronger medicine. So I mentally prepared myself..and the shot in my left foot(which was the 2nd one to this foot) was not bad, in fact extremely mild compared to the shot one week prior. My right foot ( the 1st shot for this foot), was a whole nother story, excrutiating like the previous weeks shot. So I wonder myself if it has something to do with the fact that the left foot already had one shot. Regardless, tonight my right foot , I am barely able to walk on. But I know tomorrow it will be better. The 4 days I was without pain in just one foot was like walking in Heaven,,, the reason I opted to try it again in both feet. My one concern is..... should shots be given consecutively like this?... my Podiatrist said he will only give 4 in a year.. but is so close together good/ bad?.... He said he is hoping since it worked for 4 days, the stronger one will help,,, much longer. any opinions on this?...... Glad you found some relief with the shot Sher... I know its wonderful to not be in pain......even for a short time.

Re: Shots

Sandra on 12/09/03 at 15:09 (139661)

About two years ago I went through a series of shots for PF in my left heel. I was an aerobic intstructor at the time and was told that I was overdoing it, working out on improper surfaces, etc. Since then I have backed off considerably (went almost 9 months without working out at all). Recently I started activity again on and off. Walking outside when weather permitted, and step aerobics on the lowest level. After considerable knee pain, my dr. says no more step aerobics, walking only. Since I find the treadmill boring, boring, boring, I bought an indoor walking tape and I love it. After about a week of using it, my old friend PF is rearing its ugly head again. Is it worth it to start the shots again. The relief is only temporary, I've tried every home remedy except for taping. The thought of not being able to workout at all is not a comforting one at all. Any advice is appreciated.

Re: Shots

Aly on 12/10/03 at 07:43 (139713)

Hi Sandra,

Have you tried custom orthotics? It would seem to me that if you healed and it's recurring, perhaps there's something biomechanical going on...?

Re: Shots

Julie on 12/10/03 at 08:21 (139720)

Sandra, have you seen a podiatrist this time around? You won't know what is causing your PF without a full evaluation. Given that you do so much treadmill work, Aly's idea is probably along the right lines: that you've got a biomechanical fault that is stressing your plantar fascia. Injections may give temporary relief, but they won't address the cause, and that's what you need to identify and treat.

Re: Shots

Sandra on 12/10/03 at 08:52 (139725)

I've just been seeing my family dr. I'll definetly take your advice and ask for a referral to see a podiatrist this time. It's kind of disheartening to want to be active and can't.

Re: Shots

Sandra on 12/10/03 at 08:54 (139726)

I've only used the heel pads that are available in stores, and needless to say they don't do much. Tell me if you can what are some possible biomechanical faults? I will try to see a podiatrist. Thanks for the advice.

Re: Shots

Julie on 12/10/03 at 09:36 (139730)

Yes, I know it's disheartening! PF is a nasty business. General practitioners understandably don't know a great deal about it: they know a little bit about a lot of things, and you need someone with specialised knowledge of feet and their problems.

You asked about biomechanical problems. The most common is abnormal pronation. Pronation is the normal turning in of the foot during the gait cycle; too much pronation stresses the fascia. It can be corrected by orthotics, for which you need to be casted. A mould of your foot is taken, and the orthotics are constructed from this. Your podiatrist, when you find one, will know about it.