Injections in the Foot and Ankle

Injections in the
Foot and Ankle

Many types of injections may be used by your Certified Foot and Ankle specialist in treating painful conditions of the foot, ankle and lower leg. Some of the most widely used injections are cortisone injections which are potent anti-inflammatories. These are used to treat injuries or conditions that cause pain and inflammation in the foot and ankle. Foot and Ankle Doctors also may use local anesthetics, like lidocaine, to temporarily provide relief which can help with the diagnosis of certain problems in the leg, heel, foot or ankle.

Newer injections such as PRP (platelet rich plasma), Stem Cells or Amniotic Fluid may be employed as well. These are known as regenerative medicine which can cause your own body to heal better and faster. Collagen fillers can also be used as injections to treat certain painful conditions of the foot. Below are some of the more common types of injections used by Podiatrists or foot and ankle specialists.

Foot Injections for Heel Pain

Heel pain, often caused by plantar fasciitis, is the result of inflammation of the tight ligament that attaches to the bottom of the heel bone. Therefore, in addition to stretching and arch support, anti-inflammatory medicine is necessary to get rid of the inflammation which causes the pain! Cortisone is an extremely strong anti-inflammatory. Therefore, your Podiatrist might recommend a cortisone injection to treat pain in your heel. These can be very effective for foot pain. In difficult cases which do not respond to Cortisone Injections, Stem Cell, PRP or Amniotic Injections may be of benefit.

Foot Injections for Neuropathy

Neuropathy simply means “disorder of the nerve” and often results in pain. Certain neuropathies, such as nerve entrapment in scar tissue or neuritis due to inflammation of the nerve may respond to cortisone injections in the foot, ankle or lower leg as well. Pain from generalized neuropathy has been shown to respond to Stem Cell, PRP injections or Amniotic Fluid, which is also a strong anti-inflammatory, but causes regeneration of diseased tissue and prevents scar tissue formation. Local anesthetic injections around a nerve in the foot ankle or lower leg may also aid in the diagnosis of a nerve injury,  entrapment or neuropathy.

Foot or Ankle Injections for Joint Pain

Arthritis, or inflammation of a joint, may cause pain, swelling and stiffness in the foot and ankle. This can make any activity, even walking, very difficult. Cortisone injections can be used very effectively to treat arthritis or joint pain in the foot or ankle. Amniotic injections are effective for joint pain as well. In the case of joint pain, the proper diagnosis is of utmost importance as there are many joints in the foot and ankle area. Proper examination and imaging are necessary to diagnose and treat effectively.

adult-acquired-flat-foot

Foot or Ankle Injections for Tendonitis

Tendonitis, or inflammation of the tendon, may occur in the foot or ankle as well. This painful overuse injury or chronic condition may be treated by cortisone injections in certain limited cases in which the tendon is not weakened and the inflammation is present in the lining of the tendon, such as stenosing tenosynovitis. Cortisone can cause weakening of tendons however and therefore must be used very cautiously for injury to the tendons of the foot and ankle. It the tendon is degenerated or partially torn, Amniotic Fluid Injections are utilized, which also reduces pain and inflammation but stimulates healing of the diseased tendon. Stem Cell injections and PRP may also be of benefit.

Collagen Filler Injections for Foot Pain

Pain in the ball of the foot, or metatarsalgia, has traditionally been a very difficult problem to treat. This painful condition is caused by thinning of the natural fat pad that provides cushioning to the bones on the bottom of the foot. This happens naturally over time and results in severe pain in many patients, and an inability to wear certain shoes such as heels or loafers. Fortunately, Sculptra is now used to restore cushioning to the bottom of the foot. Sculptra is a collagen filler which has been used for years in the face and is now used in the foot to plump up areas which need more cushioning. Patients report a sensation of “walking on pillows in their feet”, which is of course a huge relief over the feeling of walking on pebbles!

If you have had an injury or pain in your foot ankle or lower leg, call Certified Foot and Ankle Specialists to schedule an appointment in any of our convenient locations. The excellent physicians and staff will accurately diagnose you with the most up to date technology so that the latest, most advanced treatments may be properly begun as soon as possible. We will get you back on your feet in no time.

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