Cortisone injections might be an option if conventional podiatric therapies are ineffective for chronic foot discomfort. In regions like joints, bursae, nerves, or tendons, this treatment works very well to reduce inflammation. Let’s examine this process’s operation and the particular ailments it can treat
What to Know About Cortisone Injections in Podiatry
In podiatry, cortisone injections are frequently used to treat inflammatory pain brought on by chronic illnesses, arthritis, or traumas. The body’s natural reaction to damage or irritation is inflammation, which frequently manifests as pain, swelling, and redness. The body naturally produces the hormone cortisone, which has been converted into drugs intended to reduce inflammation. Corticosteroid drugs are utilized in podiatry to immediately address foot and ankle pain.
When conservative therapy have failed and the patient’s pain substantially interferes with their day-to-day functioning, this treatment is usually advised. The severity of the problem will determine how many shots are needed. The ability of cortisone injections to lower inflammation and restore mobility—both of which are critical for accelerating recovery—is one of their main advantages. Depending on the patient, the effects may linger for weeks or even months, and the relief may come quickly. In addition, there is typically less chance of adverse effects than with oral cortisone. Injections of cortisone can help with the following conditions.
Foot Conditions That Can Be Treated with Cortisone Injections
Several inflammatory foot conditions can be effectively managed with cortisone injections.
Plantar fasciitis, one of the most prevalent podiatric disorders, affects the bottom of the foot. The fibrous ring of tissue that extends from the toes to the heel is inflamed. Patients frequently suffer stiffness during walking and heel pain, especially after rest periods. Even though orthotics, taping, and laser therapy are frequently successful therapies, excruciating pain can make recovery more difficult. In some situations, cortisone injections can help reduce inflammation and hasten recovery in addition to conventional treatments.
Degenerative joint diseases like arthritis can also be treated with cortisone injections. Patients with arthritis in their feet may experience stiffness and difficulty walking, which can worsen with inactivity. By reducing joint inflammation, cortisone injections encourage movement, which is essential for slowing the progression of arthritis and alleviating pain.
Cortisone injections can also help patients with Morton’s neuroma, a condition caused by inflammation and swelling of a nerve in the foot. Symptoms include burning sensations, tingling, cramping, or the feeling of a lump under the toes. Activities like walking or cycling can become painful, disrupting daily life. Cortisone injections help reduce nerve inflammation, providing significant relief from these symptoms.
Pros and Cons of Cortisone Injections
As with any treatment, cortisone injections come with both advantages and potential risks.
Before recommending cortisone injections, a podiatrist will thoroughly evaluate the patient’s condition. This treatment is generally reserved for cases where non-invasive methods have failed to provide relief. The podiatrist will determine the frequency and number of injections required.
During the procedure, an ultrasound may be used to guide the injection, minimizing the risk of error. The localized dose of cortisone provides immediate relief, often after just one session. Unlike long-term oral corticosteroid use, injections carry a lower risk of systemic side effects, such as weight gain, bone weakening, or high blood pressure. However, these risks can still occur with prolonged use.
Temporary side effects may include redness or soreness at the injection site within the first 24 to 48 hours. For diabetic patients, cortisone can temporarily raise blood sugar levels, so close monitoring by a healthcare professional is advised.
Alternative Solutions to Cortisone Injections
Alternative therapies are available if cortisone injections are not appropriate for your medical condition. Options like shockwave therapy or therapeutic laser treatments might be discussed during a consultation at a podiatrist clinic. Your podiatrist can create a customized treatment plan to help you restore comfort and mobility by doing a thorough podiatric assessment.
