To treat heel spurs in modern medicine, effective methods are used - medication, orthopedic and physical treatment. But even these methods are not always able to cope with heel spurs. When all means have been tried, and the pain in the heel does not go away, you have to resort to controversial methods of therapy, which include drug blockade of the heel spur with hormonal drugs.
What kind of treatment is this? When is a blockade performed for a heel spur and how long does the therapeutic effect last? Is it dangerous to give an injection in the heel and what are the side effects and consequences of this method of treating heel spurs?
In the treatment of heel spurs, hormonal drugs are used according to strict doctor’s instructions in the absence of effect from other treatment methods. Heel spur blockade with corticosteroids is used only in cases of severe pain. In this case, the drug is injected into the soft tissue of the sole in the area of the osteophyte. The precise delivery of the drug to the area of inflammation affects the result of the blockade. Therefore, an injection in the heel for a heel spur should be done by an experienced surgeon or orthopedist, and preferably under ultrasound control.
The advantages of the blockade are its rapid pain-relieving effect. This is explained by the fact that the drug is injected directly into the site of inflammation in the required concentration. However, the blockade does not eliminate the disease and the cause of the heel spur. It only relieves inflammation and associated pain and is not a first-line treatment choice.
This method is not used for children under 3 years of age. Hormones are used with caution in women after menopause. Contraindications for hormonal blockade are as follows:
For women taking birth control or hormone replacement therapy, the use of a blockade should be discussed with their doctor. In reality, there are many more contraindications for blockade than on this list.
Hormonal agents are used to treat heel spurs with a heel injection. Corticosteroids have strong anti-inflammatory, anti-allergic and anti-shock properties.
The following drugs are usually used for blockade:
These drugs belong to the pharmacological group of corticosteroids. They are artificially created analogues of adrenal hormones.
“Hydrocortisone” is a short-acting hormone, so to create an effective cumulative dose, several injections are required over a short period of time. Only in this case will “Hydrocortisone” have an anti-inflammatory effect.
Kenalog is also part of the group of short-acting corticosteroids. The active ingredient of the drug is triamcinolone, which, when applied topically, has anti-inflammatory, antiexudative and antiallergic effects. "Kenalog" quickly eliminates pain and increases the period of remission. One injection is not enough for a course of treatment; 2-3 blockades are required.
Diprospan is most often used to block heel spurs. This drug from the group of corticosteroids differs from Kenalog and Hydrocortisone in its long-lasting action. Its advantage in a quick and long-lasting therapeutic effect is explained by the double effect of its constituent components. "Diprospan" consists of betamethasone sodium phosphate, which has a short action. It is quickly absorbed and has an anti-inflammatory effect, after which it is completely excreted by the kidneys. Another component of Diprospan, betamethasone dipropionate, has a long-lasting effect. After blocking the heel spur with Diprospan, this component is slowly absorbed and remains in the tissues for at least 10 hours. During this time, it has a continuous anti-inflammatory and anti-edematous effect at the injection site. “Diprospan” relieves pain and eliminates inflammation of the fascia after the first injection. But with severe swelling and pain, 2-3 procedures are required.
The therapeutic effect of the blockade directly depends on the accuracy of administration of the drug to the site of inflammation. The correct location and depth of administration, the dose of the substance - all these important factors affect the result of the therapeutic effect. If administered incorrectly, the medicine is distributed along the aponeurosis and causes complications. Therefore, the injection is given by a qualified surgeon or orthopedist. Before performing the blockade, the doctor warns the patient about possible complications.
An anesthetic is often not used when blocking a heel spur, and if used, then first draw 0.5 ml of Diprospan, Kenalog or Hydrocortisone into a syringe, then add a solution of 1% Lidocaine and mix by shaking. The injection site is treated with an antiseptic.
The needle is inserted under ultrasound guidance into the most painful point - above the place where the plantar fascia attaches to the heel bone.
The thickness of the skin and increased tissue density slow down the time of manipulation. Foot pain is relieved immediately after the injection. The doctor determines the frequency, dose and number of procedures after the first blockade. Some patients receive 2 or 3 injections. In the same area of application, the injection is repeated at intervals of 2–3 months. The medicine can be administered to different legs after 10–14 days.
The consequences of heel spur blockade with steroids are related to the dose of the drug. The more often the use and the larger the dose of the medicine, the more serious the negative consequences.
plantar fascia rupture
After blocking a heel spur with Kenalog, the following complications are possible:
The most dangerous complication of heel spur block with Kenalog is rupture of the plantar fascia.
Kenalog also has side effects:
Even when applied topically, Kenalog has a negative effect on all body systems due to inhibition of the pituitary gland. It reduces ovarian function, which causes menstrual irregularities and the development of osteoporosis. Kenalog increases the level of adrenal hormone, which is the cause of obesity, increased blood pressure and blood glucose.
Diprospan has the most destructive properties. Betamethasone dipropionate has a long-lasting effect and remains in the body for up to 10 days. If the blockade is repeated during this period of time, a cumulative dose is created that destroys the nervous and endocrine system. Even an injection of Diprospan once every 3 months disrupts the secretory function of the glands and negatively affects the metabolism of proteins, fats and carbohydrates.
Under the influence of Diprospan, the body's control system, the hypothalamus-pituitary-adrenal glands, is disrupted. The fact is that corticosteroids inhibit the main gland of our body - the pituitary gland, which controls neurohumoral processes. As a result of its weakening, all systems suffer:
Hormonal drugs have side effects and long-term negative consequences. After blockade with Diprospan, complications often develop:
The most dangerous complication after heel spur blockade with corticosteroids is a rupture of the plantar fascia, after which the patient will not be able to walk on the foot. The duration of action of corticosteroids does not have an advantage over other methods of conservative treatment. The effect of the injection is temporary, but the risk is high. This method is applicable 1-2 times only to relieve pain. To prevent complications, before the blockade, an x-ray of the foot is taken to determine the size of the spur. And the manipulation itself is performed under ultrasound control.
Note! - such consequences can develop several months after the blockade. The negative impact and temporary effect of the injection do not justify its use for relieving foot pain. After all, the consequence of hormones is systemic destruction of the body in the form of Itsenko-Cushing syndrome and osteoporosis, the risk of rupture of the plantar fascia. For these reasons, a heel spur block is not a first-line treatment and is only used as a last resort for severe pain.
The duration of the therapeutic effect of corticosteroid blockade does not exceed the therapeutic effect after other methods of treatment. Already a month after the injection, there is no difference in pain between those who used hormones and those who were treated in other ways. But a corticosteroid injection is dangerous due to a serious complication - rupture of the plantar fascia. Such a serious risk does not justify the use of hormonal drugs. In addition, the injection only relieves inflammation of the fascia, but does not eliminate the cause of its appearance.
A hormonal injection does not solve the problem of the disease, it only relieves inflammation of the fascia and pain. After all, risk factors remain - flat feet, excess weight, working on your feet or an underlying disease. Therefore, to prevent relapse and consolidate the effect, the doctor recommends that the patient constantly follow a gentle regimen. To do this you need:
Following these measures will prevent the need to treat heel spurs with a heel injection. It is important to understand that blocking hormones does not eliminate the disease itself, but only relieves inflammation and relieves pain.
To summarize, let us recall. Corticosteroid blockade is used to relieve pain from heel spurs, but it is dangerous due to many side effects and the risk of rupture of the plantar fascia. Corticosteroid injections are given only for severe pain in the foot. The most dangerous negative consequences are caused by Diprospan, a hormone of systemic importance. Corticosteroid blockade is not a first-line treatment, meaning it should not be the starting point for treating heel spurs. After the injection, it is recommended to constantly use insoles, do therapeutic exercises, and eliminate the cause of the heel spur, otherwise there is a risk of relapse.
On this page you can read reviews about the treatment of heel spurs with injections. These are comments from people who have learned from their own experience about the effectiveness and benefits of the technique.
Drug blockade is a last resort in the treatment of heel spurs, which is used for persistent and persistent pain. An injection is prescribed if other attempts to relieve pain have been unsuccessful. The drug used is diprospan, kenalog or hydrocortisone. The choice depends on the characteristics of the disease and contraindications of the person himself. The main advantage of this technique is the almost instant result. The medicine begins to work immediately after administration. As a result, the pain recedes, swelling and inflammation disappear. But this is only a temporary effect, of which not a trace remains when the effect of the medicine wears off. And it lasts from one to several weeks. Therefore, blockade is an auxiliary method that complements treatment with shockwave therapy, ultrasound, massage and other conservative methods.
If you have gone through this unpleasant procedure, then leave your review about the treatment of heel spurs with an injection. Your opinion will certainly help our other visitors decide on the advisability of such a step.
When the Kenalog injection was given, the pain was hellish, I couldn’t even stand up right away, apparently in a state of shock I somehow hobbled home, the second day has already passed, and I can’t stand on my heel.
I am 55 years old. I have had heel spurs on both feet for several years. During a severe exacerbation, I was given three injections (Kenalog) and 20 sessions of physical therapy. Relief from the injections comes immediately - after 5 minutes the pain is no longer felt. When the heel is pierced
— the pain is tolerable (I was injected not from the spur itself, but in the middle of the heel). I lasted 2 years without pain. Now the spur on one leg has become inflamed again and I’m thinking about going for injections again.
I am 34. I have been suffering from terrible pain in my heels for almost a year now. I went to see a doctor, and she (the therapist) immediately referred me to a surgeon. He sent for an x-ray, and they found a heel spur. I was terrified. They offered to treat with injections, but I was afraid. I decided to go folk first
methods to try. Nothing helped, and the pain only intensified. In the morning I cried, couldn’t get up, it hurt so much! As a result, I took the suggested injections. The procedure itself is monstrous, I cried, it hurts so much when the needle is inserted into the spur! And then it was very difficult to get up after the injection. But when I completed the course, I forgot about everything. Now I run like new!
The cardinal method of treating heel spurs (plantar fasciitis) is injections that are given directly into the heel (the so-called blockade). No matter how scary it may sound, such injections are very effective, because... give an immediate analgesic and anti-inflammatory effect. Injections for heel spurs can only be prescribed and given by a doctor, because the injection is made at a specific point on the heel. And the skin there is rough and dense, so the blockade requires certain knowledge and experience.
Not everyone knows what a heel spur block is. This term means that after the injection, pain is relieved and the development of inflammation is stopped. That is, all processes are blocked, and a person can forget about his disease for about a year. Moreover, the medicine begins to act almost instantly. Relief occurs a few seconds after administration of the drug.
A heel injection for a heel spur is done as a last resort when conservative treatments do not help and the patient can no longer tolerate the pain. The appropriateness of the procedure is determined by the person himself, together with the doctor’s recommendations.
Before prescribing the procedure, the patient must undergo a series of studies to determine the nature of the heel spur, its shape and stage of development. Sometimes plantar fasciitis shows almost no symptoms, but when pressing on the heel, a person experiences strange discomfort. Such spurs are even more dangerous, because they can become inflamed and become painful at any time.
X-ray diagnosis is mandatory before a heel spur blockade is performed. Using an image in three projections (direct, lateral and oblique), you can clearly see an elongated, pointed growth. This is what causes discomfort. This is where the soft tissues rest when walking or pressing on the heel. X-rays are also needed to rule out other causes of pain in the foot. Often, doctors will not detect any visible changes in the heel bone when symptoms are present. This suggests that the patient does not have plantar fasciitis, but something else (cyst, fissure, cancer).
The blockade technique for heel spurs is that the medicine is injected into the most painful point of the heel. This is what scares most patients. After all, plantar fasciitis is a rather painful disease, and in some cases, even a slight touch to the heel causes piercing pain. Therefore, it is important that the patient is mentally prepared for the blockade. Yes, the injection is given with anesthesia, but a small puncture is also required to administer the anesthetic. Therefore, we have to be patient a little.
Heel spur injections are usually performed under ultrasound guidance. This allows you to insert the needle exactly into the site of inflammation and ensure complete blockade of inflammation. The patient is only required to remain completely still. In advanced cases, a series of injections are required, but relief is noticeable after the first drug blockade.
Those who decide to undergo a blockade are usually interested in the name of the injection for heel spurs. But the drugs may be different, since the medicine is selected individually. Let's look at the most common drugs used today.
Refers to glucocorticosteroids. The active ingredient is betamethasone. For the blockade, a suspension or injection solution is used, which contains other auxiliary substances. The anesthetic effect of Diprospan is a significant reduction or complete relief of pain.
Diprospan injections for heel spurs are given at intervals of 10 days. Some patients only need a couple of injections, while others have to do a whole course. In general, Diprospan is an effective drug, but its use requires preliminary analysis for allergic compatibility.
In other words, there are a number of contraindications for it:
Heel spur blockade with Diprospan requires observation by a physician at ten-day intervals between injections, as well as partial monitoring after the entire course of procedures.
Adrenal cortex hormone. The therapeutic effect of one injection lasts only a couple of days, so a complete blockade requires a series of injections at short intervals. This will allow the active substance to accumulate at the site of inflammation and forget about plantar fasciitis for several months.
This is also a glucocorticosteroid synthetic hormone, widely used to eliminate inflammation in the soft tissues of the heel. Kenalog has pronounced antiallergic and immunosuppressive effects.
Negative consequences of heel spur blockade can occur in different cases. Most often this is a violation of the technology of the procedure. A professional factor can play a cruel joke, i.e. the doctor may insert the needle into the wrong place. Often the culprit is the patient himself, who jerks his leg out of excitement. Also, the cause of complications can be an allergy to the drug, so the patient should not hide his long-term medical history from the doctor.
Complications after heel spur blockade can manifest themselves in various problems:
To prevent an injection from a heel spur from bringing even more pain and problems, you should carefully choose a clinic and strictly follow the doctor’s instructions.
If complications occur (and they can appear both immediately after the blockade and in the following days), you should immediately contact the doctor who performed the procedure. Due to the fact that the puncture site is in the heel area, a person cannot always pay attention to the developing suppuration. Therefore, after the procedure, you need not only to visually monitor the heel, but also carefully observe hygiene. Also, the doctor usually prescribes orthopedic insoles for patients, which will allow them to recover faster. Special shoe inserts prevent the development of plantar fasciitis and increase the time until the next procedure.
“It doesn’t hurt, thank God,” is the principle that guides most patients who have undergone a blockade for a heel spur. But an injection is not a temporary filling. And while it is in effect, you cannot relax and forget about the problem. The blockade is done to numb the leg and allow the patient to freely engage in conservative treatment.
If you follow these simple recommendations, you can delay the treatment of heel spurs with a heel injection for several more months, or even save yourself from such a need altogether.
Some people simply don't know where to get an injection for a heel spur. But such a procedure should be provided in every hospital where there is an orthopedic surgeon. General practitioners and therapists are unlikely to undertake drug blockade, because this is a responsible and complex manipulation that requires knowledge of the nuances of anatomy. As a last resort, you can always come to a paid center.
By the way, about payment. The price of a heel injection in a private clinic will be from 1 to 2 thousand rubles. And this is just one procedure. The whole complex can cost a hefty sum. Don’t forget to include in your payment the services of a radiologist and a consultation with the doctor himself. Some clinics also sometimes charge money for medicine, so you need to be prepared for this.
Now you know what kind of injection is given for a heel spur, how it happens, and what goals are pursued. Those people who have tried various treatment methods that have not brought results should think about carrying out a blockade. You need to start by visiting an orthopedic surgeon, who will advise you on further steps.
If symptoms are severe - swelling of the foot and severe pain - a specialist may prescribe injections (blockade) in the area of the heel spur. The most common method is treatment with steroid hormonal drugs. The effectiveness of such injections is explained by the instant anti-inflammatory effect that can be achieved thanks to the action of steroids.
The most widely used drugs today for the treatment of heel spurs are diprospan, hydrocortisone, kenalog, nimesulide, etc.
A drug that belongs to the group of glucocorticosteroids and contains the active ingredient betamethasone. For treatment, an injection solution or suspension is used, which contains other excipients. The therapeutic effect that occurs after the administration of diprospan lasts at least 10 days, which is characterized by a significant reduction in pain or its complete relief. The duration and effectiveness of treatment directly depend on the successful administration of the drug. For some patients, it is enough to give one injection, but sometimes it becomes necessary to extend the course to 2 or 3 procedures.
Hormone of the adrenal cortex. To achieve a noticeable analgesic and anti-inflammatory effect, several injections are prescribed, which should be done at short intervals to accumulate the active substance at the site of inflammation.
A synthetic analogue of glucocorticoid steroids. A blockade for heel spurs using Kenalog allows you to get a positive result in the shortest possible time, relieving the patient of pain for a long time or leading to stable remission. However, we note that this drug can cause serious complications leading to muscle necrosis and atrophy of skin areas.
Drug blockade should be carried out by a qualified surgeon who can correctly inject into the most painful point on the heel. The meaning of the procedure is the local introduction of an anesthetic, anti-inflammatory or anti-allergic agent into the soft tissue located above the bone growth. Increased tissue density and thicker layers of skin on the foot prevent needle insertion, so this procedure takes longer than an injection into the buttock.
The fact is that inflammation of the tissue around the bone growth causes severe pain, so one of the tasks of the attending physician is to accurately administer the medication into the inflamed area. In case of an error made during administration, the substance does not reach the pathological focus and is distributed along the sole of the foot, without giving the desired result. In addition, there is a risk of complications such as sepsis, suppuration or inflammation of the tendon.
During the procedure, the drug enters directly into the focus of the inflammatory process and immediately takes effect. Most patients feel noticeable relief after the first session, but the effectiveness of the treatment largely depends on the choice of drug, dosage and correct administration.
Drug blockade is used only as prescribed by the attending physician - if a long course of treatment has not given a positive result and the pain intensifies. Other cases of the disease do not require such a radical method of relieving inflammation.
Treatment of heel spurs by injecting steroids is dangerous due to possible complications. Before recommending a blockade to a patient, the doctor should warn about the negative effects of injections and the risk of compromising the integrity of the plantar fascia. Other undesirable consequences may include:
In order to prevent the transition of the disease to the acute phase or to consolidate the effect that occurs after a successful blockade, you should adhere to the basic rules:
A contraindication to injections may be individual intolerance to the drugs or their components. The blockade method should be used rarely and with caution for the following diseases:
I remember that the doctor gave the first injection himself, using his own medications, but for... There are many folk remedies for treating heel spurs.
A heel spur is a pathological growth of bone; a method, for example, the injection of diprospan, even one injection gives a very good effect).
Treatment of heel spurs with injections. Treatment of heel spurs with injections Any person knows that heel spurs should be treated.
Is Vitafon effective in treating heel spurs? Effective. A surgeon in a clinic makes an injection into the soft tissue of the heel. Usually in.
Heel spurs need to be treated comprehensively. There are many treatment methods and a competent specialist will always advise his patient the most humane of them, which will give a positive effect. They usually start by rubbing in ointments and gels that have an anti-inflammatory effect. They combine their use with physiotherapeutic methods (UHF, massage, magnetic therapy, ultrasound therapy). Be sure to use orthopedic insoles (heel pads) to unload the foot. If the doctor has tried all conservative treatment methods, and the patient still suffers from heel pain, then another method is to treat heel spurs with injections, or drug blockade of the heel spur. This treatment method is not so common. It gives the patient painful sensations and needs to be addressed. After all, when performing a heel spur blockade, a surgeon (orthopedic surgeon) injects into the most painful point on the heel. It hurts to touch it, not to mention inserting a sharp needle into this point. And, it should be noted that inserting a needle into the heel is not so easy; it will take longer than a regular injection into the thigh or buttock. Advantages of drug blockade The advantages of drug blockade are that the anti-inflammatory drug is injected directly into the area of inflammation and therefore its effectiveness is very high. Basically, the following drugs are used for administration: These drugs have a pronounced anti-inflammatory effect and help quickly eliminate the inflammatory process in the tissues surrounding the heel spur. As a result, the pain syndrome is quickly relieved. It is difficult to say how long the effect of such treatment will last. It is different for each patient. For some, one injection is enough, but most often two or three injections are required. Injections for heel spurs should only be given by an experienced specialist. Does it seem difficult to inject medicine into the heel? In fact, when carrying out this procedure, everything is important: the amount of the drug administered, the depth of its administration, and the accuracy of its administration, therefore it is better to carry out this procedure under ultrasound control. The effectiveness of treatment directly depends on the quality of the drug blockade. A successfully performed procedure will delight the patient with the effect provided and will allow him to forget about heel pain for a long time. Unfortunately, mistakes can also happen, and then an incorrectly performed procedure will lead to the development of complications. The most difficult complication is rupture of the plantar fascia. In addition, the effect of corticosteroid injections is rapid but temporary, and after a few weeks there is no difference in pain between patients who received a heel injection and those who used other treatments. Therefore, the treatment of heel spurs with drug blocks cannot be recommended as first-line therapy, and the patient should be warned about the risk of plantar fascia rupture.
In addition to infusions of herbs and medicines, they are used at home to treat heel spurs. An injection is not a solution, it helps only for a while. I gave an injection twice.
Heel injections have already been done more than once. nothing helps, walking is very painful Evgenia Guru (3253), voted 4 years ago Added 4 years ago none of the following helped, we’ve already tried it. try heating magnesia at night and keeping your feet in it for 15 minutes, do not wipe your feet after the procedure, wait until they dry and put on EvgeniyGuru socks (3253) at night.
Pros and cons of treating heel spurs with ointments, creams and patches. Another cure for heel spurs is an injection. This procedure.
The simplest and most effective treatment for gouty heel spurs. The first thing the surgeon will offer you is an injection in the heel.
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Heel spur blockade with injections is carried out in case of severe swelling of the foot and severe pain. The manipulation involves targeted injection into the soft tissue over the area of osteophyte (bone outgrowth) of a pharmaceutical agent with an analgesic, anti-allergic and anti-inflammatory effect. Steroid hormones are usually used for these purposes.
The mechanism of drug administration into the heel spur
Targeted injections for heel spurs require a highly qualified surgeon. Their effectiveness is maximum when the pharmaceutical drug precisely hits the area of inflammation.
If the injection is incorrect, the drug is distributed in the area of the sole and does not have a pronounced effect on the pathological focus. On the contrary, dangerous complications may appear (inflammation of the tendon, suppuration, tissue necrosis). As a result, surgeons use blockades only in cases of acute pain when other treatments are ineffective.
If the pain syndrome has been eliminated, it is then necessary to maintain a positive state with physical therapy and wearing orthopedic insoles.
Diprospan, Kenalog and hydrocortisone are most often used to inject the heel spur into the area. The most effective of them is diprospan due to its long-term preservation in the area of inflammation. The use of Kenalog leads to serious complications such as muscle necrosis and skin atrophy.
Hydrocortisone is a hormone of the adrenal cortex. Its strong anti-inflammatory and analgesic effects are achieved only after several injections over a short period of time to create an effective accumulation dose.
Kenalog is a synthetic analogue of glucocorticoid steroids.
Diprospan contains an active substance called “betazone”. This drug is used for injections and suspensions. It contains excipients: sodium chloride, polysorbate, Trilon B. It has anti-inflammatory, antiallergic and immunosuppressive effects. The drug is able to accumulate at the injection site for a long time, providing a therapeutic effect.
Stops patients from experiencing painful procedures. For some people, enduring the injection of diprospan or hydrocortisone into the heel is more painful than the pain syndrome of plantar fasciitis. The pain is similar to that which a person has to endure when removing a tooth without an anesthetic.
When performing a blockade, the surgeon injects into the most painful point of the heel. Due to the thick skin and dense tissue, insertion of the needle is slower than an injection into the buttock.
To reduce pain, an injection of diprospan is combined with the administration of an anesthetic. The classic dose of the drug for injection into the heel is 0.5 ml. It is preferable to add an anesthetic (usually lidocaine) in a similar dose. Before administration, shake the syringe thoroughly.
Usually, one procedure is not enough to eliminate severe pain from a heel spur. However, after the blockade the person feels significant pain relief.
You should know that a couple of weeks after the blockade, the pharmaceutical drug is completely absorbed from the site of accumulation. Repeated injection does not increase its concentration in the soft tissues of the heel, as would be the case if diprospan was administered on the 3-4th day after the first procedure.
What are the advantages of blockade with diprospan:
The use of glucocorticoid drugs is addictive. When administered frequently, the current dose does not have a pronounced effect. These hormones are produced in the adrenal cortex. When administered artificially, the body reduces the production of its own hydrocortisone.
The danger of a heel block is the high risk of injury to the plantar fascia. If this happens, the person will not be able to fully walk. Other possible complications from heel injections include:
To avoid complications, a specialist performs a blockade only after x-raying the heel bone. It allows you to determine the location of the spur, its size and calculate the dosage of the medicine. Qualified surgeons carry out the blockade under ultrasound control to accurately target the heel area.
The only contraindication to steroid injections in the heel is the presence of individual intolerance to the drugs. The blockade should be used with caution when:
Summarize. Treatment of heel spurs using heel blocks with steroid drugs (diprospan, Kenalog, hydrocortisone) is an effective method. However, its positive aspects can be offset by incorrect choice of injection site or damage to the plantar fascia.
Treatment of heel spurs with blockades is not the first line of treatment for pathology. It is used only for severe pain and swelling of the foot, when other types of treatment do not bring good results.
Even after a successful blockade, you should follow your doctor's recommendations. If the cause of the disease is not eliminated, and the patient does not support the arch with orthopedic insoles, there is a high probability of recurrence of plantar fasciitis.