Corticosteroid Injections

Corticosteroids are a class of synthetic medications that closely resemble cortisol, a hormone that your adrenal glands produce naturally. They reduce inflammation and are therefore used for a variety of inflammatory conditions.

Corticosteroid injections are helpful in treating a variety of conditions including: Plantar fasciitis, Arthritis, Hallux Valgus (Bunions), Morton’s neuroma, Fibromas, Heel pain

How does it work?

Using a combination of several different corticosteroids, all with different pharmacological effects including short, medium and long acting relief, the solution is injected to the problematic area. This offers relief of pain usually right after the treatment and for several weeks after. Some patients require up to 3 injections per site, per year, depending on the severity of the symptoms. 

How to prepare for the Injection: 

  • You may be advised to have someone accompany/drive you to the appointment if the injection will be for the right foot (driving foot)

  • Make sure to wear comfortable shoes to your appointment 

  • When you arrive for your appointment, you will be asked to sign a consent form stating that you are aware of the procedure and possible risks associated 

  • Do not hesitate to ask any questions!

After the Injection: 

  • Rest, ice, and elevate the area for the first 48 hours after injection.

  • If you experience pain after the injection, you may be experiencing a POST INJECTION FLARE (allergic reaction). Call the clinic immediately or go to your nearest emergency department. 

  • If you have Diabetes, make sure you monitor your glucose levels carefully. Cortisone injections can temporarily elevate the blood sugar levels

  • If you have Hypertension (high blood pressure), monitor your blood pressure regularly after the injection 

  • Avoid strenuous exercises for 3 days post injection to prevent tendon ruptures 

Potential Short Term Risks/Effects: 

  • Bruising and/or soreness at the injection site

  • Allergic Reaction (postinjection flare): allergic reaction to corticosteroid injection is rare. 9 times out of 10 this would occur in the office within 15 minutes of the injection and can be treated with antihistamines or an epinephrine injection if necessary. 

  • Bacterial Infection: with any injection, the risk of introduction of bacteria into the body is possible and can be treated with antibiotics 

  • Tendon Rupture: Corticosteroid injections in or near tendons can cause the tendons to weaken. Strenuous activity after injection in or near tendons can cause the tendons to weaken. Strenuous activity after injection can cause tendon rupture. This is why we ask you to take it easy for a few days following the injection.