Treatment of plantar fasciitis using four different local injection modalities: a randomized prospective clinical trial

J Am Podiatr Med Assoc. Mar-Apr 2009;99(2):108-13. doi: 10.7547/0980108.


Background: To determine the effectiveness of four different local injection modalities in the treatment of plantar fasciitis.

Methods: In a prospective randomized multicenter study of plantar fasciitis, 100 patients were divided into four equal groups and were treated using four different methods of local injection: group A was treated with 2 mL of autologous blood alone; group B, an anesthetic (2 mL of lidocaine) combined with peppering; group C, a corticosteroid (2 mL of triamcinolone) alone; and group D, a corticosteroid (2 mL of triamcinolone) combined with peppering. The outcome was defined by using a 10-cm visual analog scale and modified criteria of the Roles and Maudsley score 3 weeks and 6 months after the injection and compared with the pretreatment condition.

Results: The successful results in all of the groups after injections were higher than those in the pretreatment condition (P = .000). In groups C and D, in which local corticosteroid injections were used, excellent results were obtained, with superior effect in the group in which peppering was used (P < .05).

Conclusions: In the treatment of plantar fasciitis, combined corticosteroid injections and peppering is effective and produces better clinical results.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Anesthetics, Local / administration & dosage*
  • Fasciitis, Plantar / complications
  • Fasciitis, Plantar / diagnostic imaging
  • Fasciitis, Plantar / drug therapy*
  • Female
  • Glucocorticoids / administration & dosage*
  • Humans
  • Injections, Subcutaneous / methods*
  • Lidocaine / administration & dosage*
  • Male
  • Middle Aged
  • Radiography
  • Treatment Outcome
  • Triamcinolone / administration & dosage*


  • Anesthetics, Local
  • Glucocorticoids
  • Triamcinolone
  • Lidocaine