How to Treat Plantar Fasciitis

Tips for a Successful Cortisone Injection

For this injection I recommend a 27 gauge needle that is 1 1/4" in length.  I use 1cc of Lidocaine Plain, 5mg of Kenalog, 2mg of Dexamethasone Phosphate, 0.3cc Sodium Bicarbonate (for your patient's comfort).

I also highly recommend using a topical "cold freeze" prior to the injection.  This decreases the pain of the initial injection and also minimizes your patient moving their foot in the beginning of the procedure.

I would suggest this inexpensive but very effective product manufactured by
medique pharmaceuticals.

Lastly, It is worth having a medical assistant help hold your patient's leg (right at their knee and above the ankle)

  

It is also important to have your patient stretch, ice and massage the plantar fascia.  Here is a link to a printable patient education handout that you can utilize in your practice.  Patient Education Instructions

Finally, many of your patient's will require the use of a supportive shoe insert.  Some individual's will need a custom orthotic but many will do great with a high quality pre-fabricated device.  Please do not send your patient to the local discount store to purchase "gel pads" or heel cups.  I highly recommend the Pro Powerstep orthotic.  This pre-fabricated insert is supportive & easily transitioned into.  Your patient's will be very pleased with this product.  The wholesale pricing is under $18.00 and the inserts retail at $40.00.

ProTech Powerstep Orthotics

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