Anyone had a cortisone shot in the heel????

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Replies

  • uscooleys
    uscooleys Posts: 34 Member
    Not in the heel but I did a series of shots in the top of the foot and the pad of my foot to deal with pain while running. They were some of the most painful shots I have ever had (even worse than getting a tattoo on my foot). They would help for a couple of weeks and then back to constant pain. I finally went to an accupuncturist and after a couple of sessions, the pain was gone and has not returned for 5 years. I also started wearing the blue birkenstock insoles as a precaution.

    Good luck to you and I hope it provides some relief.
  • I had a cortisone shot once. When it came back I was instructed to stretch my foot every morning with a towel. I had to flex it as much as I could every morning. After a while the pain subsided. I bought MBT shoes about 3 years ago. I couldn't feel any heel pain in them. All the pain is gone now. I still stretch every so often. The key was pulling the towel back as much as I could to really stretch my Achilles tendon.
  • I just got one today for the same reasons u mentioned. The pain from the shot is nothing compared to the pain from the heel pain. It made my feet feel like new. I'm just wondering how log it will last.
  • EllenKay63
    EllenKay63 Posts: 516 Member
    Been there and had the shot for the same reason. I got the shot , trying to cure the problem, before testing for a job that required I walk a mile under 17 minutes then a running test under 35 seconds. I past the test, got the job, and the problem is gone. I haven't even worn my inserts in months. It hurt at the time of the shot, but, I forgot about it quickly. For me it was worth a few minutes of discomfort.
  • kangaroo33
    kangaroo33 Posts: 76 Member
    I have both pf and spurs. Have had the cortisone shot, but didn't feel if did much good, just immobilized me for a longer period of time because it created more residual pain.

    I stretch with a belt on both feet every morning before my feet hit the floor. It's just a few minutes. I hang the belt over the edge of the bed post, reach for it and extend my leg, with the belt at the ball of my foot (one at a time). Flex and hold 'til count of 20 and repeat for a few times. You can do it sitting up with leg extended in front of you or lying on your back with leg elevated straight in the air while you flex.

    I also purchased spenco orthotic inserts for some shoes, but the best is…and yes, they're kinda ugly…birkenstocks! I have an old pair that I actually use as my slippers (never go barefoot), and a few others that I trade off with. Dansko clogs work best in the winter. I have done this same thing for about 2 years now and can actually get away with wearing some alternate shoes for a day here and there without any pain at all. It's awesome. So I'd swear by the stretching and the birkenstocks. And as for the running shoes, I have a couple of pairs of Brooks with decent arc support and a couple of Asics with good arch supports. The advantage of the Asics is that the soul is a little softer so the heel cup is more pliable and spongy.

    Anyway, hope this helps.
  • eyleene
    eyleene Posts: 264 Member
    Hi there

    I would recommend see a podiatrist 1st as the cortisone actually stiffens the muscle which can then lose flexibility and cause more trouble later

    Do you get the " screaming feet like stabbing pains after getting out of bed or resting that go away after a few minutes ??

    I too have plantar fasciatis in both feet , i am very flat footed and walk around barefoot a lot but didnt actually start having any problems until i had a hip replacement done .I used to walk with probably 60-80% weight on my left side being weakest meaning that right side didnt get much weight bearing . Now i walk perfectly straight the weight has shifted putting more pressure on right side . took about a year after hip surgery before plantar , ankle etc started *****ing badly . did scans etc no bone spurs or other .
    GP said get cortisone shots which i did , yes it can hurt a lot and they give you a local anaesthetic 1st and i wasnt allowed to drive myself after . personally i didnt feel iy much at all , the doc and nurse were amazed and kept saying how brave i was , i said i had 5 kids so that was nothing compared to labour lol .

    worked only short term so i went to a podiatrist who immediately had a fit . why did i get cortisone etc , well i said if the GP tells you something you kindve have to trust they know what they are talking about ???

    Anyway i ended up getting orthotics fitted , yes probably more expensive but once you get through the 1st couple of months and everything settles down you dont have to wear all the time , i only really have flare ups when i am either barefoot too long or wearing gumboots for hr or so without the orthotics , my feet also roll in at the ankles so the orthotics stop that which also stops the plantar issue

    ok so hopefully this helps you decide , and either way it works for you

    goodluck
    cheers eyleene
  • I just got a shot in the heel 5 days ago. He didn't numb the area. It hurt like hell for the 15 seconds he was in there but the pain was well worth it. For the first few minutes, I couldn't put any weight on the heel. But as the day went on, the pain went away. The spot where he put the needle in was a little swollen, but 5 days later, I can stand up in the morning and not have any pain on the bottom of my foot. I have PF and a heel spur. I have to keep up with the PT and the icing but to me, it was well worth it.
    I hate needles. But I knew I had to suffer this pain to help heal my heel. I can't wait to go exercising again. :)
  • sobit1970
    sobit1970 Posts: 39 Member
    I have plantar fasciitis and it resulted in a very painful heel spur. I could barely walk on it without crying. Working out doing any weight bearing activity including walking was out of the question. I had a cortisone shot in my heel in April 2013 and it has resulted in a significant decrease in pain. I still have some off and on but nothing compared to before. I should go for another one but haven't done so because it isn't bad enough right now.
    the shot isnt as painful as I expected it to be and they do inject freezing in as well so its not too bad. The pain of the heel spur and plantar fasciitis was worse than the injection itself.
  • navyrigger46
    navyrigger46 Posts: 1,301 Member
    I have had them in the spine, they burn a bit but I wouldn't characterize the pain as anything more than an annoyance.

    Rigger
  • PinkNinjaLaura
    PinkNinjaLaura Posts: 3,202 Member
    I did get them in both heels. I thought it hurt quite a lot, but it worked. The specialist I saw didn't address the cause of it, though, so the heel pain came back. At that point I went to a different doctor who told me I needed to buy better shoes.
  • Followingsea
    Followingsea Posts: 407 Member
    I haven't seen it mentioned here but if the pain is something you are really worried about, you could ask if they could phone in a one-dose prescription of an anti-anxiety medication you could take before the shot. You'd need to have someone drive you home afterwards, but I'm sure they would accommodate you.

    I have a needle phobia I'm determined to kick, so for my last 3-4 flu shots I've had them call in a single dose of valium for me to take immediately prior to my doctor's appointment to squelch the panic reaction before it happens. I have friends with phobias of flying call their GPs before travel for the same thing. Worth a shot, maybe? (No pun intended).
  • wonderwoman234
    wonderwoman234 Posts: 551 Member
    Yes, I did for plantar faciitis. It helped a lot, but I could not run for almost a year and I have still not resumed the type of running I did before that. My ortho said that you should not have more than one cortisone shot because it can then degrade the tendon/cartilage.

    I was also given arch supports to put in my sneakers and was also told not to walk in bare feet, avoid flip flops and other flats. Anything with an arch is helpful, so I got a pair of Dansko Clogs and they are so supportive and comfortable. In addition, I did lots of stretching each day to my calves, achilles, etc.

    I am slowly getting back into running but I'm trying to take it slow because once you have plantar faciitis, the recovery is long.
  • Years ago I was suffering miserably with plantar fasciitis and a heal spur. I tried everything the doctor recommended and still had lots of pain. So much so that it was making it hard to exercise at all. I could barely walk. So I had the cortisone shot to the heal. Yes, it hurts a bit but I was willing to do anything to stop the pain. Well, it didn't fix anything really. Still had the pain. The ONLY thing that worked was having shock therapy to it. I had to pay out of pocket and it hurt like hell, but it WORKED. Years later, I am dealing with pain again but I've managed to have it under control for now. Good luck..I feel your pain.
  • marlea_0619
    marlea_0619 Posts: 16 Member
    I've never had one in the heel, but I have had one in the hip joint.

    I'm not going to lie-it was excruciating. I have broken bones, given birth -no tears, but this thing made me cry! I could hardly walk. Pain was at least an 8.

    I will say that in two days, though, my pain was gone. And it has stayed gone. But if I ever was offered another one, I would say no. I'd rather work through the pain on my own.

    I agree that you could ask to take some anti-anxiety meds before to help you relax. And if you can, don't go back to work. Take it easy.
    Good luck on your recovery!
  • sad0711
    sad0711 Posts: 17 Member
    I had shots in both heels. It hurt like hell but was worth it. I have inserts in my shoes now (doctor recomended) and am running half marathons. Just remember to stretch, slowly add miles to your runs, and no flip flops. They have no support for your feet. Good Luck :)
  • ERMBSN
    ERMBSN Posts: 32 Member
    My wife has had several. Sometimes they work and sometimes they don't. It's kinda hit or miss. She did say they were painfull.
  • GiddyupTim
    GiddyupTim Posts: 2,819 Member
    You might want to try the stretch that is shown on the page linked here:
    http://www.urmc.rochester.edu/ortho/foot-ankle/_documents/plantarfasciitisteachingsheet.pdf

    The doctor who developed this stretch did a study with almost 80 people who had chronic plantar fasciitis (defined as having lasted at least one year, despite efforts to get it better). He had almost 90 percent of those people dramatically improved in eight weeks.
    I found it because I was thinking I had to have surgery. I googled 'surgery' and 'plantar fasciitis,' and read many comments that said: 'I have never been able to run the same again!'
    And, as many people have said, a cortisone shot is only a temporary fix.
    This stretch worked wonders for me, and I now run and play tennis with no pain whatsoever.
    Get the insoles too! Superfeet are best.
  • DavPul
    DavPul Posts: 61,406 Member
    This ancient *kitten* thread is quite relevant to my current interests. Kudos to whomever bumped it
  • recriger
    recriger Posts: 245 Member
    This link shows how to do a stretch that really benefited about 90 percent of about 70 patients with chronic PF (That is, people who had tried many other things for at least one year with little or no improvement).
    http://www.urmc.rochester.edu/ortho/foot-ankle/_documents/plantarfasciitisteachingsheet.pdf
    I do the same stretch by sitting down in a yoga "hero" pose, except that I put my toes underneath me, so that the bottom of my toes are on the floor and the sole of my foot points at the wall behind.
    Do it at least twice a day.
    It takes some time, but that and some Superfeet insoles in your shoes will do the trick.
    I have had plantar fasciitis off and on for about 20 years. I keep getting it because I played soccer -- hard ground, cleats, lots of twisting and torquing.

    This exactly. I also do the "hero" with the toes under me. In addition, just squat down on the balls of your feet and roll back a bit until you feel a stretch going up the back of the heel. Twice a day. Took a while, like 3 months (it is a tendon after all), but after 3 years of the pain those 3 months weren't much.

    The two other things I did were:
    1: switched to a heavier padded running shoe.
    2: tape the heal in question. to do that you:
    Take a 10" strip and wrap it around the back of the heel, traveling down each side of the foot (this is to give the smaller strips something to stick to).
    3 or 4 - 5" strips under the heal (I go 2-3 strips wide with a second layer over the most painful point) attaching to the first strip on either side of the foot. Pull them kinda tight as you apply them.
    Then 1 more 10" strip applied in the same manner as the first (this helps hold the smaller strips in place.).

    This taping works great and receives high praise from me IF, and it is a big IF for me, you can find athletic tape worth a damn. 2 years ago all the tape I could get had good adhesive that stuck well even through sweat. Since then I think both local brands (Ace and some generic) switched processes to save money and reduced the quality of their adhesive. Any minute ammount of moisture and I have a lot of trouble getting it to stick to the skin.

    Edit to add:
    I did have a shot in my left heal. It hurt, but you can tolerate most any pain for the ten seconds necessary to inject the fluid. It isn't easy, but it can be done. The after effects didn't hurt any more than the faciitis itself so I wasn't walking any differently or with any additional pain due to the shot. I already limped everywhere. It knocked the edge off, but still hurt. The pain came back full force after about 3 weeks. In my opinion the stretching, therapy, shoes and tape are the way to go.

    My podiatrist made a good point about the frozen bottle rolling. Think of stretchy stuff... Bubble gum for example. When it gets cold it gets brittle not more flexible. So when you are stretching with cold you are causing more damage to the individual fibers. Cold is good to reduce swelling, but don't use it in concert with the stretches. Cold first to reduce swelling, then wait a few minutes before stretching and then cold again if you have time.
  • pcchristy
    pcchristy Posts: 8 Member
    Hi! Had the same issues and had a cortisone shot on Friday afternoon. I jerked when the doctor initially stuck me with the needle, so he had to stick me twice. And yes, it hurts! It is Monday night and the pain in my heel is horrible. I am having throbbing pain in the heel and at times feel like a hot poker stick is going through my heel. Ice was helpful and I am wearing the night sling and laying on the couch. Arghh. Good luck making a decision.
  • dt3312
    dt3312 Posts: 212 Member
    I have had plantar fasciatiis (however you spell it). But I notice that it has greatly improved since I started takling Yolaties (yoga-pilates) class. It is like standing pilates. We do a lot of balance work standing on one foot, bare foot--no shoes. My teacher said this strengthens the tendons and ligaments (or whatever they are--I'm not familiar with medical terminology) in your feet. Before, I could hardly go 15 minutes without wearing shoes with arch supports. Pretty much the only time I went barefoot was in the shower and in bed. But now I go for hours at a time without shoes with no problem. We do things standing on one foot on the ground. We also do things standing with one foot on one of those inflatable discs.
  • deliacm
    deliacm Posts: 66 Member
    You might want to try the stretch that is shown on the page linked here:
    http://www.urmc.rochester.edu/ortho/foot-ankle/_documents/plantarfasciitisteachingsheet.pdf

    The doctor who developed this stretch did a study with almost 80 people who had chronic plantar fasciitis (defined as having lasted at least one year, despite efforts to get it better). He had almost 90 percent of those people dramatically improved in eight weeks.
    I found it because I was thinking I had to have surgery. I googled 'surgery' and 'plantar fasciitis,' and read many comments that said: 'I have never been able to run the same again!'
    And, as many people have said, a cortisone shot is only a temporary fix.
    This stretch worked wonders for me, and I now run and play tennis with no pain whatsoever.
    Get the insoles too! Superfeet are best.

    This! Stretch, stretch, stretch!! I've done the shots and boot, both temporary. Stretching and rolling my foot over a ball has helped more than anything. If you read up on PF, it's obvious why stretching is likely the only thing that will work.
  • alathIN
    alathIN Posts: 142 Member
    I had PF for about a year and tried a number of things; the steroid injection was one of the least helpful. It's like magic for about two weeks; you'll think the PF has been cured. Then it comes back just as bad as ever. Also, getting steroid injections is associated with a greater risk of plantar fascia rupture.

    I've had almost two years without symptoms, and here are the things that I felt were most helpful:
    1) strasbourg sock at night (prevents the ankle and PF from contracting as it heals; without this, the reason it hurts in the morning is that you just tore open all the healing your body did over night. With this, your PF heals in the extended position and your healing doesn't get re-traumatized every morning)
    2) don't completely quit running, just cut back on volume and intensity. Run slow but frequently, with the goal that each run is meant to be a pre-stretch warmup
    3) stretching, especially the calves and hamstrings
    4) Foot Rubz massage ball http://www.roadrunnersports.com/rrs/products/SUR103/sure-foot-foot-rubz/?cc=NA&sc=CX14P110&cm_mmc=psearch-_-google-_-na-_-rrs101-SUR103&utm_source=Google&utm_medium=Psearch&utm_term=RRS101-SUR103
    5) patience
  • MyChocolateDiet
    MyChocolateDiet Posts: 22,281 Member
    1) No i haven't done the shot.
    2) my friend stretched obsessively every chance she got using a step and "fixed" her plantar fascitis in months.
    3) i just got a flyer for a new minimallly invasive treatment that forgoes shots, pills and surgery it's called TOPAZ
    4) plantar fascitis hurts like a mofo.

    That's all I know about this.
  • bellesouth18
    bellesouth18 Posts: 1,071 Member
    I had one for a heel spur long ago. I don't remember it hurting all that much; he deadened it beforehand. My orthopedist did the injection at the hospital so he could use the xray machine as a guide. He wanted to make sure that he got it in the right spot. He did say that I could expect relief in 3 days. Well, it took 2 weeks. Edit: My heel had been hurting for over a year before I had the injection. And it hasn't bothered me since.

    No, cortisone shots won't heal your heel. :bigsmile: However, it will reduce inflammation and alleviate pain.
  • gertudejekyl
    gertudejekyl Posts: 386 Member
    I had it for more than 6 years....got sick with flu...in bed 7 days and taking ibuprofen---- ALL Gone !!! Before that I learned to tape my foot every morning before walking. 2 strips of cotton athletic tape along the bottom of foot lengthwise. To prevent arch from stretched out too much. Works great....70 % better with this.:flowerforyou:
  • jewelsk75
    jewelsk75 Posts: 2
    I've had the injection in my heel. They used the numbing spray and it was still very painful!! I was walking around an amusement park the next day thought with no issues. Mine lasted about a year.
  • liznotyet
    liznotyet Posts: 402 Member
    In addition to stretching and self-massage, you may also want to consider acupuncture. It really helped me resolve symptoms of fibromyalgia 10 years ago, asthma 5 years ago. For me it helped me learn how to relax through the pain, visualize blood flow through painful or malfunctioning areas and bring healing warmth overall.

    It usually takes a few visits to notice changes and get used to the feeling of the needles. The needles are very very small and may pinch a bit going in but do not really hurt. For feet, the acupuncturist may put some needles in your feet and ankles but might also put some on other parts of the body that correspond to the pain pathways with the feet. Once the needles are inserted, the patient is left in a chair or on the table for 20-30 minutes to sort out their body's response.

    Sounds weird if you have never done it, but to me it beats dependence on pills that mask symptoms and diminish healing. To find a certified acupuncturist, go to http://www.nccaom.org/find-a-nccaom-certified-practitioner. For additional reading, my favorite book about acupuncture is "Between Heaven and Earth" by Beinfield and Korngold.
  • Dean649
    Dean649 Posts: 39 Member
    I believe I had something the same or simular. I used to box and was at the gym every day, many hours. Lots of jump rope and constantly up on my toes at the heavy bags. This put a huge amount of strain on the right heal particularly, as it was the rear foot when boxing so the heal was always up. All the force of the tendon that connects to the heal bone caused an injury.
    I think they suspected a heel spur. Not sure if the tendon was tearing or if the bone was failing.

    It was very very painful, like stepping on a nail with each step at the back of the heel.

    I went to a specialized foot doctor. they Gave me the cortisone shots in the heel and some special shoe coushins. I stayed off the foot as much as possible, babied it for a couple months, No good, the shots did not help and it would not get better on its own.

    The Boxer trainer at my guy, (I will not name the gym or the trainer but I can tell you he has put out several world and national champions in Kickboxing) . We had a fighter that hurt her wrist and he sent her to his accupuncturist, she told me it healed fast. I do not believe in the alternative medicine stuff but was in a lot of pain and it was only like $25 or $50 for a trip to the acupuncture guy, Dr. Lou I think it was. So what the hell.

    I show up at his office, tell him my issue, he places a couple needles in the heel, (no pain or sting by the way) He places a burning ember on the end of the needles which gives off a heat to the heal, no burning. He then attaches electrodes to the needles, and turns the machine on, it gives off tiny electricle shocks, Tic, tic, tic , tic , tic , tic........ Does not hurt, just feels like a light tap. He lets me lay there for about 5 min or so and then it is all done.

    I go home, 2 days later my heal is about 50% MORE SORE!, I think, SOB, great, now I made it worse. 2 days after this, my heal feels 60% better than it did before I went to see him. Holy cow, Its better but not fixed, I wait a few days and make another appointment.. after a week, the pain was gone completely, and it has never come back.

    I do not know exactly how it works, I suppose when you have an injury, that body part gives off signals and chemicals to communicate with your system and brain, telling it that it is injured and needs fixing, this is why you feel pain, why you swell up when you roll an ankle. But some times the injured area only hurts and will not give off proper signals to the body to heal it. I think the stimulation by the electrodes triggered a response from the body to you know "Hey, over here, we need a repair". basically boosting or jump starting the process.

    Now I can not guarantee it will work for you, but it sure as heck worked for me and many of the fighters I trained with swore by it when they got injuries and needed to get back into training.

    I suffered a serious back injury and tried the acupuncture on that, but It did not fix that issue unfortunately.

    I say give it a shot, make sure they use the electrodes on the needles and find a good acupuncturist that is highly recommended in your area, I am sure there are plenty of new or wanna be people in the field but go find you an old guy with a Chinese name.lol. . (hey, not stereo typing, but Ill take on old Chinese guy that has been doing it for decades over anyone else)

    I know it worked for me and am very grateful to Dr. Lu, the man who fixed me up. I know he is not in your area but here is his yelp review page just to give you an idea. http://www.yelp.com/biz/lu-frank-s-licensed-acupuncturist-bakersfield
  • librarydebster
    librarydebster Posts: 177 Member
    Thank you to everyone who mentioned acupuncture and needling for a heel spur. I am going to try this. I started with a heel spur about 2 years ago when i wore just flat shoes on a week's holiday. agony after that. i walk sideways downstairs every morning and then my foot limbers up during the day. i used to have pain during the day and sometimes before bedtime but have lost 45 pounds this year and i exercise regularly which seems to be helping, along with my prescribed orthotics. plus,

    i only wear my runners with orthotics or wedge type heeled shoes, taking the pressure off the heel. i think my ankle is more sore now than the heel, from compensating so i will try acupuncture there.

    The nurse practitioner at my doctor's office advised me not to do jogging since it would hurt my heel and hips but i have jogged just a bit, 15 mins total at a time and that is all i want to do and don't want to give it up. My heel seems to tolerate it and if it feels sore i back off the jogging. it just makes me feel strong to do it and i have never had hip problems. Stubborn I guess. I do other exercise like cycling and stair climbing with no problems.

    thanks for the info!
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