Cortisone Injections for Foot Pain: When They Help and When They Don’t
Foot pain can make even simple things like getting out of bed in the morning or walking to your car feel like a chore. One of the most common questions people ask when the pain isn't going away is:
“Should I get a cortisone injection?”
What Are Cortisone Injections?
Cortisone injections are an anti-inflammatory treatment used to calm irritated tissue and reduce pain. They are often recommended when pain is persisting despite rest, footwear changes, or basic home care.
When Cortisone Can Help
Cortisone is most effective when the source of pain is inflammation, particularly in soft tissues. Common conditions that respond well include:
Capsulitis and bursitis in the ball of the foot
Joint inflammation from arthritis
Persistent pain that hasn’t improved with rest or footwear changes
In these cases, cortisone works like a targeted, high-strength anti-inflammatory placed exactly where it’s needed.
When Cortisone Is Less Helpful
Cortisone is not always the right tool, especially when the underlying problem isn’t inflammation. It is usually less effective when:
The pain is coming from a tendon injury or tear (e.g., Achilles tendinopathy)
Foot mechanics are still causing ongoing strain
Relief is temporary because the root cause hasn’t been addressed
The issue involves nerve compression that needs other treatment
In these situations, a different approach may offer better long-term results, such as orthotics, footwear correction, or shockwave therapy.
What to Expect During the Procedure
Most people are surprised by how quick the process is. A small amount of numbing is often used first, so the injection itself typically feels like pressure rather than pain. Some mild post-injection soreness can occur for 24–48 hours.
How Long Does Relief Last?
Relief can last anywhere from weeks to months, depending on:
The specific diagnosis
How long the pain has been present
Whether mechanical stress on the foot is corrected afterward
Cortisone works best as part of a broader treatment plan, not a standalone fix.
Is Cortisone Right for You?
Cortisone can be extremely helpful when used for the right condition at the right time. The first step is confirming the source of your pain through a proper assessment so treatment is not a guessing game.
If you’re experiencing ongoing foot pain and wondering whether cortisone is the right option for you, we’re happy to help you explore it as part of a personalized treatment plan.