Infiltration of Triamcinolone Acetonide is the most efficiant and effective way to treat planter fascia than any other means. Here is the details to perform it.

Plantar fascia, origin

PATIENT’S POSTURE: The patient lies prone with his knee bent 90°. An assistant brings the foot in dorsiflexion to tauten the plantar fascia ; in this way, its piercing by the tip of the needle is more easily felt.

PRODUCT: 2 ml triamcinolone acetonide (10 mg/ml)
SYRINGE: 2 ml lsyringe
NEEDLE: 0.6x60 mm (23 G 2 2/5)

TECHNIQUE:
The painful spot in the origin of the plantar fascia is found. With the free hand one grasps the patient’s heel, keeping the index finger on the painful spot. The plantar skin overlying the tender spot usually being very thick , a point is chosen 4 cm distal to the lesion and medial to the plantar fascia. The needle is inserted and pointed slightly downwards until one pierces the fascia and eventually the tip of the needle hits bone. The painful periosteal origin is now infiltrated by drops under control of the palpating index finger.

Superficial plantar fascia

PATIENT’S POSTURE: The patient lies prone with his knee bent 90°.
PRODUCT: 10 ml procaine 0.5 %
SYRINGE: 10 ml syringe
NEEDLE: 0.7x50 mm (22 G 2)

TECHNIQUE:
The free hand grasps the heel and the thumb is put in the middle of the lesion. The needle pierces the skin at the outer side of the foot level with and about 0.5 cm under the thumb. The needle is thrust in horizontally as far as the centre of the lesion. The entire painful lesion is infiltrated and a large tense swelling forms under the palpating thumb.