The Evidence Behind Corticosteroid Injections for Foot and Ankle Pain In this post, we review corticosteroid injections to the foot and ankle.
The Evidence Behind Corticosteroid Injections for Foot and Ankle Pain In this post, we review corticosteroid injections to the foot and ankle. Demonstration of corticosteroid injection of the ankle (courtesy of AAFP.org) Ankle osteoarthritis Between 6% and 13% of individuals suffer from ankle osteoarthritis which can be a chronic source of ankle pain. Nearly 70% of ankle osteoarthritis is post-traumatic.
Patients will typically present with anterior ankle pain with weight bearing or while pushing off with their foot. The patient may have limited or painful range of motion. First line treatment usually includes NSAIDs, activity modification, rocker sole shoes and possibly bracing.
There is limited research evaluating corticosteroid injections and ankle osteoarthritis. Most studies have been geared more towards hyaluronic acid or platelet rich plasma. A 2008 study involving 18 patients (6 lost to follow up) with bilateral ankle osteoarthritis had significant improvement after a single injection of 40 mg of methylprednisolone.
Maximum benefit was at 4 weeks and patients reported relief ranging from 6 months to 1 year. A study involving children and adolescents with chronic ankle arthritis were injected with triamcinolone-hexacetonide and all 21 ankle joints injected showed improvement at 1 week and 7 weeks with suppression of inflammation and pain without negative effects on cartilage. Demonstration of corticosteroid injection for plantar fasciitis.
It also accounts for around 25% of all foot disorders in athletes. It is also a common diagnosis among running athletes with an incidence from 8% to 12 %. Patients usually complain of pain under the heel and medial sole of the foot that is worst with the first steps in the morning or after prolonged sitting or rest.
If you are experiencing symptoms that may be related to evidence behind corticosteroid injections of the foot and ankle, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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