musculoskeletal and connective tissue disorders
Overview of Foot and Ankle Disorders
Considerations for Using Corticosteroid Injections
Corticosteroid injections should be used judiciously to avoid adverse effects. Injectable corticosteroids should be reserved for inflammatory conditions such as Gout and Insoluble corticosteroids can be given deeply rather than superficially with greater safety (eg, in the heel pad, tarsal canal, or metatarsal interspaces). The foot should be immobilized for a few days after tendon sheaths are injected. Unusual resistance to injection suggests injection into a tendon. The use of ultrasound guidance can improve the accuracy of the injection and, depending on the location, may also improve efficacy ( Reference ). Repeated injection into a tendon should be avoided because the tendon may weaken (partially tear), predisposing to subsequent rupture. 1.Daniels EW, Cole D, Jacobs B, Phillips SF: Existing evidence on ultrasound-guided injections in sports medicine.Orthop J Sports Med6(2):2325967118756576, 2018. Published 2018 Feb 22. doi:10.1177/2325967118756576 