Jeswani, T, J Morlese, and EG McNally. :Getting to the heel of the problem: plantar fascia lesions. .Clin Radiol 64::931. :2009. .
Casazza, BA, JL Young, and KK Rossner. : “Musculoskeletal Disorders of the Lower Limb. ,” inPhysical Medicine and Rehabilitation. , edited byBraddom, RL. , p223. ,WB Saunders Co. ,Philadelphia. ,2000. .
Drake, RL, AW Vogl, and AWM Mitchell. : “The Lower Limb. ,” inGray’s Anatomy for Students, ,2nd Ed. , p615. ,Churchill Livingstone. Elsevier, Philadelphia. ,2010. .
Thordarson, DB, PJ Kumar, TP Hedman, et al. :Effect of partial versus complete plantar fasciotomy on the windlass mechanism. .Foot Ankle Int 18::16. :1997. .
Singh, D, J Angel, G Bentley, et al. :Plantar fasciitis: a clinical review. .BMJ 315::172. :1997. .
Al Fischer Associates Inc :2002 Podiatric Practice Survey: statistical results. .JAPMA 93::67. :2002. .
Yates, B . : “The Painful Foot. ,” inMerrimans Assessment of the Lower Limb, ,3rd Ed. , edited byYates, B. , p469. ,Churchill Livingstone. Elsevier, London. ,2009. .
Riddle, DL, M Pulisic, P Pidcoe, et al. :Risk factors for plantar fasciitis: a match controlled study. .J Bone Joint Surg Am 85::872. :2003. .
Buckbinder, R . :Plantar fasciitis. .N Engl J Med 350::2159. :2004. .
Taunton, JE, MB Ryan, and DB Clement. :A retrospective case control analysis of 2002 running injuries. .Br J Sports Med 36::95. :2002. .
Rano, JA, LM Fallet, and RT Savoy-Moore. :Correlation of heel pain with body mass index and other characteristics of heel pain. .J Foot Ankle Surg 40::351. :2001. .
Scher, DL, PJ Belmont, R Bear, et al. :The incidence of plantar fasciitis in the United States Military. .Am J Bone Joint Surg 91::2867. :2009. .
Hossain, M and N Makwana. :“Not plantar fasciitis”: the differential diagnosis and management of heel pain syndrome. .Orthop Trauma 25::198. :2011. .
Lemont, H, KM Ammirati, and N Usen. :Plantar fasciitis: a degenerative process (fasciosis) without inflammation. .JAPMA 93::234. :2003. .
Rees, JD, AM Wilson, and RL Wolman. :Current concepts in the management of tendon disorders. .Rheumatology 45::508. :2006. .
Cook, JL and CR Purdam. :Is tendon pathology a continuum? a pathology model to explain the clinical presentation of load induced tendinopathy. .Br J Sports Med 43::409. :2009. .
McMillan, AM, KB Landorf, MF Gilheany, et al. :Ultrasound guided corticosteroid injection for plantar fasciitis: randomised controlled trial. .BMJ 344::1. :2012. .
McMillan, AM, KB Landorf, MF Gilheany, et al. :Ultrasound guided injection of dexamethasone versus placebo for treatment of plantar fasciitis: protocol for a randomised controlled trial. .J Foot Ankle Res 3::15. :2010. .
Hayes, DW, EK Gilbertson, VJ Mandracchia, et al. :Tendon pathology in the foot: the use of corticosteroid injection therapy. .Clin Podiatr Med Surg 17::723. :2000. .
Salinas, JD . :Corticosteroid injections of joints and soft tissues. .Medscape Reference .Available at: http://emedicine.medscape.com/article/325370-overview. .Accessed July 2, 2011.
Pfeffer, G, P Bachetti, and J Deland. :Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. .Foot Ankle Int 20::214. :1999. .
Neale, MJ . :Medical Pharmacology at a Glance, ,5th Ed. ,Blackwell. ,Oxford. ,2005. .
United Kingdom Health and Safety Executive :Musculoskeletal disorders: working days lost, 2011 .Available at: http://www.hse.gov.uk/statistics/overall/hssh0910.pdf. .Accessed July 2, 2011.
Rome, K . :Heel pain: diagnosis and management. .Podiatry Now 8::S1. :2005. .
Sellman, JR . :Plantar fascia rupture associated with corticosteroid injection. .Foot Ankle Int 15::376. :1994. .
Wolgin, M, C Cook, and C Graham. :Conservative treatment for plantar heel pain: long term follow up. .Foot Ankle Int 15::97. :1994. .
Churchouse, A . :Healing process. .Occup Health 60::22. :2008. .
Riddle, DL and SM Schappert. :Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. .Foot Ankle Int 25::303. :2004. .
Gill, LH . :Plantar fasciitis: diagnosis and conservative management. .J Am Orthop Surg 5::109. :1997. .
Kwong, PK, D Kay, RT Voner, et al. :Plantar fasciitis: mechanics and pathomechanics of treatment. .Clin Sports Med 7::119. :1998. .
Crawford, F, D Atkins, and P Young. :Steroid injection for heel pain: evidence of short term effectiveness: a randomised control trial. .Rheumatology 38::974. :1999. .
Crawford, F and CE Thomson. :Interventions for treating plantar heel pain. .Cochrane Database Syst Rev 3::CD000416. :2003. .
Lynch, DM, WP Goforth, JE Martin, et al. :Conservative treatment of plantar fasciitis: a prospective study. .JAPMA 88::375. :1998. .
Genc, H, M Saragoglu, B Nacir, et al. :Long-term ultrasonographic follow-up of plantar fasciitis patients treated with steroid injection. .Joint Bone Spine 72::61. :2005. .
Mulherin, D and M Price. :Efficacy of tibial nerve block, local steroid injection or both in the treatment of plantar heel pain syndrome. .The Foot 19::98. :2009. .
Yucel, I, KE Ozturan, and Y Demiraran. :Comparison of high-dose extracorporeal shockwave therapy and intralesional corticosteroid injection in the treatment of plantar fasciitis. .JAPMA 100::105. :2010. .
Uden, H, E Boesch, and S Kumar. :Plantar fasciitis: to jab or to support? a systematic review of the current best practice. .J Multidiscip Healthc 4::155. :2011. .
Porter, MD and B Shadbolt. :Intralesional corticosteroid injection versus extracorporeal shock wave therapy for plantar fasciopathy. .Clin J Sports Med 15::119. :2005. .
Lee, TG and TS Ahmad. :Intralesional autologous blood injection compared to corticosteroid injection for treatment of chronic plantar fasciitis: a prospective, randomised, controlled trial. .Foot Ankle Int 28::984. :2007. .
Sofka, CM, AJ Collins, and RS Adler. :Use of ultrasonographic guidance in interventional musculoskeletal procedures: a review from a single institution. .J Ultrasound Med 20::21. :2001. .
Irving, DB, JL Cook, and HB Menz. :Factors associated with chronic plantar heel pain: a systematic review. .J Sci Med Sport 9::11. :2006. .
McMillan, AM, KB Landorf, and JT Barrett. :Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. .J Foot Ankle Res 2::32. :2009. .
Tsai, WC, CC Hsu, CPC Chen, et al. :Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. .J Clin Ultrasound 34::12. :2005. .
Kane, D, T Greaney, B Bresnihan, et al. :Ultrasound guided injection of recalcitrant plantar fasciitis. .Ann Rheum Dis 57::383. :1998. .
Ball, EMA, HMA McKeeman, and C Patterson. :Steroid injection for inferior heel pain: a randomised controlled trial. .Ann Rheum Dis 72::996. ,2013. .
Keating, C, S Burke, A Walsh, et al. :Injection of local anaesthetic and steroids for the treatment of plantar fasciitis under general anaesthetic. .J Bone Joint Surg Br 92::48. :2010. .
Saber, N, H Diab, W Nassar, et al. :Ultrasound guided local steroid injection versus shockwave therapy in the treatment of plantar fasciitis. .Alexandria J Med 48::35. :2012. .
Kayhan, A, NS Gokay, A Alpaslan, et al. :Sonographically guided corticosteroid injection for treatment of plantar fasciosis. .J Ultrasound Med 30::509. :2011. .
Atkins, KL, KF Chin, AM Noorani, et al. :Image intensifier: guided injection of corticosteroid and local anaesthetic agent for the treatment of recalcitrant plantar fasciitis. .Foot Ankle Spec 3::172. :2010. .
Kiter, E, E Celikbas, S Akkaya, et al. :Comparison of injection modalities in the treatment of plantar heel pain. .JAPMA 96::293. :2006. .
Kalaci, A, H Cakic, O Hapa, et al. :Treatment of plantar fasciitis using four different local injection modalities: a randomized prospective clinical trial. .JAPMA 99::108. :2009. .
Sconfienza, LM, G Ferrero, D Orlandi, et al. :One year outcome of ultrasound guided percutaneous treatment of plantar fasciitis: a randomised controlled trial. .Cardiovasc Interv Radiol 34::538. :2011. .
Coombes, BK, L Bisset, and B Vicenzino. :Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. .Lancet 376::1751. :2010. .
Gaujoux-Viala, C, M Dougados, and L Gossec. :Efficacy and safety of steroid injections for shoulder and elbow tendonitis: a meta-analysis of randomised controlled trials. .Ann Rheum Dis 68.:1843. ,2009. .
Thomas, JL, JC Christensen, SR Kravitz, et al. :The diagnosis and treatment of heel pain: a clinical practice guideline revision 2010. .J Foot Ankle Surg 49::1. :2010. .
Plantar fasciopathy (PF) is characterized by degeneration of the fascia at the calcaneal enthesis. It is a common cause of foot pain, accounting for 90% of clinical presentations of heel pathology. In 2009–2010, 9.3 million working days were lost in England due to musculoskeletal disorders, with 2.4 million of those attributable to lower-limb disorders, averaging 16.3 lost working days per case. Numerous studies have attempted to establish the short- and long-term clinical efficacy of corticosteroid injections in the management of PF. Earlier studies have not informed clinical practice. As the research base has developed, evidence has emerged supporting clinical efficacy. With diverse opinions surrounding the etiology and efficacy debate, there does not seem to be a consensus of opinion on a common treatment pathway. For example, in England, the National Institute for Clinical Health and Excellence does not publish strategic guidance for clinical practice. Herein, we review and evaluate core literature that examines the clinical efficacy of corticosteroid injection as a treatment for PF. Outcome measures were wide ranging but largely yielded results supportive of the short- and long-term benefits of this modality. The analysis also looked to establish, where possible, “proof of concept.” This article provides evidence supporting the clinical efficacy of corticosteroid injections, in particular those guided by imaging technology. The evidence challenges existing orthodoxy, which marginalizes this treatment as a secondary option. This challenge is supported by recently revised guidelines published by the American College of Foot and Ankle Surgeons advocating corticosteroid injection as a primary treatment option. (J Am Podiatr Med Assoc 103(5): 418–429, 2013)