Injections for heel pain consist of various anesthetic agents and steroids. There are a variety of short and long acting steroids that are typically used. There are some basic problems with heel injections, firstly in most cases the results are temporary and the pain reoccurs unless other treatments are being offered in conjunction with the steroid injection. You may know someone that said they had the injections and they worked great, but if the injections alone alleviated the problem then less painful and less invasive measures may have also worked. Steroid injections can be painful and can cause various systemic problems from allergic reactions (which are rare), rise in blood glucose levels, weakening of the muscles, ligaments and tendons in the area of the injection, and finally in some cases temporary worsening of symptoms. The cost of a steroid injectable has skyrocketed in past years causing some doctors to use weaker or lower strength steroids that are not as potent because of the cost. There are less invasive and longer lasting treatments available, nevertheless, heel injections are sometimes necessary, but should be performed as an adjunct to other therapies.
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