The plantar fascia is a broard flat piece of connective tissue which stretches from the toes, around the ball off the foot, then runs the entire length of the arch before attaching to the bottom of the heel. It can be pictured as the string in a bow, it should help to keep the arch bent.
Unfortunately, several things can increase the tension in this string, leading to damage which causes pain and swelling, a condition called plantar fasciitis. The location of Plantar Fasciitis pain varies widely and can effect the bottom or sides of the heel, middle or sides of the arch, or even the ball of the foot.
A podiatrist will typically treat Plantar Fasciitis using a combination of; footwear changes, activity modification, stretching, ice packs, anti-inflammatory medication, cortisone injections and orthotics. Your podiatrist can help you select the best treatment options for your feet.
An injection into the heel can be very painful if not done correctly.
Murray Paton will always offer a posterior tibial block before injecting. This is a local anaesthetic, administered behind the ankle, which makes the entire sole of your foot go numb. Best of all a posterior tibial block is painless in most cases. For the needle phobic a sedative or inhaled anaesthetic may also be offered.