Posts Tagged ‘plantar fasciitis’

When do you need a cortisone shot? Benefits, risks and uses.

Find out which painful conditions respond to a cortisone shot, what the risks are and what to expect from Emory Healthcare.If you’re living with arthritis or some other painful condition, you may be considering a cortisone shot — and for good reason. Cortisone injection has a long record of safety when used appropriately and can often bring quick and dramatic relief.

You may also have concerns. We’ve all read about the risks of “performance-enhancing” steroids. But cortisone isn’t that kind of steroid. It’s an anti-inflammatory drug that’s a lot like cortisol, a hormone your body produces.

Doctors can inject cortisone directly into a joint or other area. Some conditions that often respond well include:

  • Arthritis
  • Shoulder bursitis
  • Trigger finger
  • Carpal tunnel syndrome
  • Plantar fasciitis and other foot conditions

Relief can begin in a day or two and last for weeks or longer. The cortisone shot can be slightly painful, but most people find relief of their symptoms far outweighs any initial discomfort.

What are the risks of a cortisone shot?

One possible complication is “cortisone flare,” in which cortisone forms tiny crystals and irritates surrounding tissue. It usually subsides in a day or two.

Rarer complications can include infection, nerve damage, thinning of nearby bone or cartilage, or a temporary increase in blood sugar. You usually shouldn’t get cortisone shots more than three or four times a year, at least six weeks apart.

“Cortisone injections, used wisely, can be a vital part of treatment for many conditions,” said Dr. Lee Kneer, sports medicine specialist and assistant professor at Emory. “Many patients are surprised at how much they can help.”

Plantar Fasciitis Symptoms and Risk Factors

ankle-painAre you one of the over 2 million Americans who is suffering from plantar fasciitis this year? If you have stabbing pain in your heel right after getting out of bed or after long periods of standing or sitting you could be suffering from plantar fasciitis.

Plantar fasciitis is one of the most common causes of heel pain and it is caused by inflammation in the thick band of tissue – plantar fascia – that stretches across the bottom of your feet, connecting your heel to your toes.

Plantar fasciitis affects some groups of people more than others. If you fit into any of the categories below, you may be at increased risk for plantar fasciitis:

• Middle – aged individuals: Plantar Fasciitis is most commonly experienced by people between 40-60 years of age
• Occupations that require standing: People who are on their feet a lot are more likely to develop plantar fasciitis. This could include teachers, factory workers, soldiers, nurses and anyone else who stands a good portion of the day.
• Overweight individuals: Individuals who carry extra weight are at an increased risk for plantar fasciitis because the additional pounds add stress to your plantar fascia
• Active individuals: Any exercise that puts lots of stress on your heel and the attached band of tissue can lead to early-onset Plantar Fasciitis. Ballet dancers, runners and dance aerobicizers commonly develop plantar fasciitis.
• Individuals with impaired foot mechanisms: High arches, flat feet, or an irregular walking pattern can lead to incorrect weight distribution while standing. This puts additional strain on the plantar fascia in your feet and can lead to extreme heel pain.

It is important not to ignore heel pain, especially if it is so extreme that it gets in the way of your daily activities. Brushing aside plantar fasciitis may cause you to adjust the way you walk to decrease pain, which can lead to foot, knee, hip or back problems over time.

If you think you may have plantar fasciitis a good first treatment is rest! Cut back on the activities that hurt your heel. You can also try stretching your calves, toes and quads in order to reduce the pressure on the heel. If these simple remedies do not work, it is important to talk to your doctor so he or she can suggest the best treatment plan for you.

Related Links:

Plantar Fasciitis

Plantar Fasciitis PDF

How to Prevent Plantar Fasciitis – A common Running Injury

Emory Doctors Relieve Chronic Heel Pain with New Shock Wave Therapy System – A First in Atlanta

Rami Calis, DPMAbout Rami Calis, DPM:

Rami Calis, DPM, is assistant professor in the Department of Orthopedics. He is board certified and a Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine, with an interest in sports medicine of the lower extremity and foot and ankle biomechanics. Dr. Calis sees patients at Emory Orthopaedics & Spine Center at Executive Park and also in Sugarloaf, at our satellite office. Dr. Calis’ professional goal is to improve patient care and quality of life for patients with foot and ankle problems. Dr. Calis began practicing at Emory in 2003.

Atlanta Opera Violinist Back on Her Feet Thanks to Emory Orthopedists!

Fia Mancini Durrett, Atlanta Opera Orchestra Violinist and Emory patient, recently played her violin for Emory Sports Medicine physician Sam Labib, MD and his clinic staff. Fia made a deal with Dr. Labib that if he could help rid her of foot and back pain, she would play her violin for him in clinic.

Dr. Labib held up his end of the deal, so on her last visit to the Emory Orthopaedics & Spine Center, Fia brought her violin along.

How to Prevent Plantar Fasciitis – a Common Running Injury

Plantar Fasciitis

It is almost spring time and many runners will be ramping up their running mileage in preparation for spring and summer running races! Take a couple of minutes to read this blog post to learn about ways to prevent a painful and irritating condition called plantar fasciitis.

Plantar fasciitis is a common running related injury and is often caused by excessive running, wearing the wrong type of shoe while running, wearing shoes that are too old and worn out while running, or building up running mileage too quickly. Plantar fasciitis involves pain and inflammation of a thick band of tissue, called the plantar fascia, that runs across the bottom of your foot and connects your heel bone to your toes.