Mr Graeme Carter one of the Podiatrists at Care For Feet is able to perform Corticosteroid injections to reduce pain and swelling whilst improving function and mobility for joint or soft tissue inflammation. The injection is a mixture of a steroid and local anaesthetic to help provide comfort post treatment. Unlike taking oral steroids or having a corticosteroid injected directly into the bloodstream, only a small amount of the steroid is absorbed by the body. Corticosteroid injections in the foot and ankle may be considered as part of a detailed treatment plan alongside exercise and orthoses.
Conditions which respond well to steroid injections are;
- Plantar Fasciitis/Plantar Heel Pain
- Mortons Neuroma or Intermetatarsal Bursitis
- Osteoarthritis of the 1st or 2nd Metatarsal Joint
- Midfoot Osteoarthritis
- Ankle Joint Osteoarthritis
- Retro Calcaneal Bursitis
- Sinus Tarsi Syndrome
What should I do before the Injection?
After your initial consultation with Mr Graeme Carter you will be given detailed advice sheets of what to expect. Below is a brief outline.
- On the day of your injection, have your normal breakfast or lunch
- Wash your feet and wear clean socks or tights
- We recommend you do not drive after your injection until the effects of the anaesthetic have worn off which may take several hours. Driving immediately after your procedure may invalidate your insurance policy
- Bring any medication that you normally use throughout the day e.g. inhalers
- Wear comfortable footwear
- For safety reasons, we kindly ask that you DO NOT bring children or dependent persons to your appointment
During the Injection
- The appointment is booked for 30 minutes. Two injections may be required
- Depending on the type of injection, you will have the choice of staying seated or lying down
- A sterile dressing is placed at the injection site. It is recommended that you keep it clean and dry for 12-24 hours
- Following your injection you will be asked to remain in the clinic or waiting area for 20 minutes
After your Injection
You may get immediate relief following the injection. This is the action of the local anaesthetic; this will usually wear off within 2-4 hours. The improvement from the steroid will start about 24-48 hours following the injection. In some cases the benefits can take 4-6 weeks.
The effect of the injection varies between patients. If the injection is easing your pain it may last from a few weeks, several months or may not return. There are some cases where injections have had no effect.
When you get home
You must rest your foot as much as possible for the remainder of the day.
- Avoid any activities that cause symptoms or provoke pain
- You are strongly recommended not to participate in any sporting or training activities for a minimum of 7 days
- Avoid repetitive movements or activities that may contribute to your symptoms, this is to allow the tissue to heal
- Limit excessive weight bearing for 2-3 days following the injection
If you have an office based job, you can return to work the following day. For other jobs at home or work where you stand and walk a lot, Mr Graeme Carter will advise. Typically, it is recommended that you undertake light duties for the week following your injection.
You may experience discomfort once the anaesthetic wears off. If you need medication to control the discomfort we advise that you take a normal painkiller e.g. paracetamol. Do not take aspirin or ibuprofen as pain relief. However, if you take a low dose of aspirin or ibuprofen as part of your prescribed daily medication continue taking as indicated by your GP.
If you would like to book a consultation to discuss further telephone Buxton & Chapel Clinic 01298 937921 or Bakewell 01629 259672.