Infracalcaneal Peppering Injection Technique for Chronic Plantar Fasciitis

• Status: Not yet recruiting
• Trial end date: 2026-07-01
• Target enrollment: 0
• Participant gender: All

Summary

Although no single treatment has shown superiority, short-term pain relief may be offered via a targeted local corticosteroid injection (CSI), used often in combination with local anesthetic (LA), which may reduce plantar fasciitis symptoms for up to 1 month. Moreover, administering a CSI is relatively quick and easy for any Provider to perform, though it is not without potential deleterious side effects and risks, including fibroblast degradation, fat pad atrophy, skin depigmentation, and even plantar fascia rupture.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Wake Forest University Health Sciences
• Treatments: Anesthetics; Anesthetics, Local

Criteria

Inclusion Criteria:

• Men and women 18 years of age and older

• Patient reported history of plantar heel pain and confirmed clinical tenderness of pain with direct palpation of the medial calcaneal tubercle on baseline exam

• Diagnosis of chronic plantar fasciitis, defined for study purposes as symptoms greater than or equal to 6 weeks in duration

Exclusion Criteria:

• Individuals less than 18 years of age

• Pregnancy

• History of local heel injection (i.e. corticosteroid injection (CSI) or other injectate)

• History of diabetes mellitus

• History of inflammatory arthritis

• Prior heel trauma or surgery

• Allergy to local corticosteroid or local anesthesia