Role of Ultrasound Guided Local Corticosteroid ‎injection for Management of Plantar Fasciitis

Plantar fasciitis is inflammation of the plantar fascia which is a thick, pearly-white layer of connective tissue attached to calcaneal tuberosity.It is the most common cause of heel pain in adults. Itis a clinical diagnosis based upon a history of pain in the inferior heel that is worse when initiating walking plus the finding of local point tenderness.The utilization of ultrasound not only allows confirmation of diagnosis but also its ability to guide the injection under real time visualization offers a higher safety profile. The main sonographic signs includeplantar fascial thickening, hypo echogenicity at the insertion upon the calcaneus, blurring of the boundary between fascia and surrounding tissues.Management is usually conservative with rest, modification of activity, pain control by analgesics and steroid injection. After failure of these measures, surgical treatment may be offered. Ultrasound guided steroid injection technique proved to alleviate related pain and improve functional status.AimThe aim of this work is to assess the role of ultrasound guided local corticosteroid injection in management of plantar fasciitis.