Archive for June, 2012

Cortisone shots don’t work very well for plantar fasciitis

(I’m going to get a little technical with this post, but if you read past the boring part to get to the conclusion, I promise it’ll be worth your while.)

A recent study conducted in Melbourne, Australia and reported in BMJ (which used to stand for British Medical Journal, but now is just “BMJ”) shows that cortisone injections, while possibly good for a bit of plantar fasciitis pain relief in the short-term, just aren’t effective after about a month or so.

The study tracked 82 people who had plantar fascia inflammation, but not overall systemic inflammation.  These people were divided into two groups, with one group receiving a shot of dexamethasone sodium phosphate (a cortico-steroid, just like cortisone) and the other group getting a placebo shot.  The group that got the real shot reported a 10.9% percent decrease in pain at one month, but no statistically significant pain reduction at the two- or three-month markers.

The study concludes that cortisone injections are good for pain relief in the short-term, but not for the long term.  In other words, you can fool your body for a little while with these things, but not forever.

Okay, so here’s the good stuff.  First, the above has been reported pretty widely, but what I found most interesting wasn’t included in the study abstract.  If you get into the study itself, you’ll find that (1) about 75% of American physicians recommend using cortisone shots to treat plantar fasciitis, and (2) nowhere in the scientific literature has it really been established that these shots actually work.  (In fact, cortisone shots have been shown to be genuinely dangerous, but that’s another subject that you can read about in this post.)

Kind of strange, huh?  I mean, you would think that if all these doctors were recommending a particular kind of treatment, that treatment would at least have some pretty good science behind it…right?

Turns out that this isn’t the case.  I’m not going to go into all the reasons that your doctor might have for recommending something that doesn’t really work, but let’s face it: doctors are human and they can make mistakes just like anyone else.  A lot of times, they confuse plantar fasciitis with plantar fasciosis, which is a significant mistake when you’re trying to treat something.  Also, they’re really really busy, which doesn’t allow them to keep up with the latest research and studies.  (But if you’re reading this, and a doctor tells you to get one of these shots, now you can whip out the results of the best study done so far and see what s/he says.)

Sure, you might get a little pain relief for a short while…but let’s face it, even the people who reported an improvement only got about a ten percent reduction in pain with the shots.  And that was only for about a month.  After that the pain came back and they were just as badly off as they were without the shots.

Wouldn’t it make more sense to go with a treatment technique that actually has quite a bit of scientific evidence behind it?  And one that would actually get rid of the plantar fascia pain once and for all, rather than just temporarily “relieving symptoms”?  Fortunately there is such a treatment, and it’s available to anyone who has a little time to tend to their feet.  It doesn’t require any special equipment, and anyone can do it at home (or anywhere else, if you don’t mind showing your bare feet to strangers).  Furthermore, it comes with a money-back guarantee for 60 days, which is something that no doctor I know offers!

Of course, I’m talking about the ebook+video package that I sell on this site.  It’s called Target Plantar Fasciitis and Posterior Tibial Tendonitis, and I think that it’s the best thing going if you really want to take control of your foot pain.  But I don’t recommend it for everyone.  If you’re interested in buying it, please take the short (and totally free) one-minute test here before you do. It will show you what kind of PF pain you have, and whether or not the TPFPTT package will help you or not.

Author: Alex Nordach