Injection Therapy at Feet First Podiatry Clinic
Injection therapy can be an effective option for reducing pain and inflammation in specific foot, ankle and lower-limb conditions. It is considered only after a thorough assessment and when other treatments such as exercises, footwear modification or shockwave therapy have not provided sufficient relief.
At Feet First Podiatry Clinic, injections are delivered either using clinical landmark guidance or ultrasound guidance, depending on the condition, anatomy and what will provide the safest and most effective outcome.
When Injection Therapy is Used
Injection therapy may be considered for:
- Plantar fasciitis and heel pain
- Bursitis around the heel, ankle or forefoot
- Mortonâs neuroma
- Joint inflammation
- Soft tissue inflammation
- Persistent pain limiting function
Suitability is always assessed carefully and injections are never used as a first-line treatment.
Guided vs Non-Guided Injections
The decision to use ultrasound guidance is made on a case-by-case basis.
Clinical (Landmark-Guided) Injections
These are performed using anatomical landmarks and clinical expertise and are appropriate when:
- The target structure is clearly defined
- Ultrasound guidance would not improve accuracy
- The condition is straightforward
This approach is effective and commonly used in many situations.
Ultrasound-Guided Injections (When Indicated)
Ultrasound guidance may be used when:
- Precise placement is critical
- Structures are small or close to nerves or blood vessels
- Anatomy is complex
- Previous injections have been unsuccessful
- There is diagnostic uncertainty
Ultrasound allows real-time visualisation to improve accuracy and safety when required.
Types of Injections We Use
Depending on diagnosis and suitability, injections may include:
- Corticosteroid injections to reduce inflammation
- Local anaesthetic to improve comfort
The type of injection is selected based on clinical guidelines and individual circumstances.
What to Expect
- Assessment to confirm diagnosis and suitability
- Discussion of risks, benefits and alternatives
- Decision on whether ultrasound guidance is required
- Injection performed using the appropriate technique
- Aftercare advice and activity guidance
- Follow-up planning if needed
The procedure is usually quick and well tolerated.
Aftercare and Recovery
After an injection you may be advised to:
- Modify activity for a short period
- Avoid high-impact exercise temporarily
- Continue or begin rehabilitation exercises
- Gradually return to normal activity
Most people can walk normally after treatment.
How Injection Therapy Fits Into Your Care
Injection therapy is used as part of a broader treatment plan and may be combined with:
- MSK assessment
- Ultrasound scanning for diagnosis
- Shockwave therapy
- Manual therapy
- Rehabilitation and exercise programmes
- Orthoses or insoles
The aim is to reduce pain enough to allow effective rehabilitation and long-term improvement.
When Injections May Not Be Suitable
Injection therapy may not be appropriate if there is:
- Active infection
- Certain medical conditions
- Poorly controlled diabetes
- Recent repeated injections in the same area
These factors are assessed before treatment.
FAQs
Frequently Asked Questions
Do all injections use ultrasound guidance?
No. Ultrasound is used only when it adds clinical value. Sometimes ultra sound is used to find the location and then the injection occurs without it.
Are injections painful?
Most people experience minimal discomfort. Local anaesthetic is sometimes used.
How long do injections last?
Relief varies depending on the condition and individual response. Your clinician will discuss this with you in the appointment
Are injections a cure?
No. They reduce pain and inflammation to support recovery alongside rehabilitation.
Can I return to work after an injection?
Usually yes, with some activity modification if advised.