Can shockwave be used for persistent plantar fasciitis?

Shockwave therapy may be considered when symptoms have persisted despite an appropriate programme of loading, stretching and footwear modification. It should be combined with rehabilitation rather than used in isolation.

Can I have a steroid injection for plantar fasciitis?

A corticosteroid injection may be discussed in selected cases, but it is not a routine first-line treatment because potential complications include plantar-fascia rupture and fat-pad problems.

Do I need a scan for heel pain?

Not for a typical presentation. Imaging may be useful when symptoms are atypical, another diagnosis is suspected or the pain is not improving as expected.

Foot and Ankle Pain Conditions, Assessment and Treatment

Joint Injection Clinic provides private assessment and treatment for foot and ankle pain at clinics in Dartford, Kings Hill, Canterbury and Romford. No GP referral is required, and appointments are usually available within 24–48 hours.

Foot and ankle symptoms may originate from joints, tendons, fascia, nerves or other soft tissues. Because pain, stiffness, swelling, weakness and altered sensation can have different causes, treatment begins with a clinical assessment rather than a predetermined procedure.

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Medical infographic showing common foot and ankle conditions assessed and treated by Joint Injection Clinic.

Common Foot and Ankle Pain Conditions

Explore the conditions below to learn about their symptoms, possible causes and available treatment options.

Plantar Fasciitis

Morton’s Neuroma

Midfoot Osteoarthritis

Big Toe Osteoarthritis

Ankle Osteoarthritis

Tibialis Posterior Tendinopathy

Achilles Tendinopathy

Subtalar Joint Osteoarthritis

Foot and Ankle Pain Treatment Near You

Foot and ankle pain is not always caused by the structure closest to where the symptoms are felt. Treatment at JIC therefore begins with an individual assessment to identify the most likely source of pain.

Depending on the diagnosis, treatment may include activity and load modification, footwear advice, MSK physiotherapy and a progressive rehabilitation programme. Orthoses, insoles or podiatry assessment may also be recommended when additional support or pressure redistribution is needed.

Diagnostic MSK ultrasound may be helpful when assessing the Achilles or tibialis posterior tendon, plantar fascia, Morton’s neuroma or another soft-tissue structure.

Shockwave therapy may be considered for selected cases of persistent plantar fasciitis when symptoms have not improved with appropriate rehabilitation, footwear modification and load management.

If clinically appropriate, an ultrasound-guided corticosteroid injection may be considered for selected cases of Morton’s neuroma or a symptomatic ankle, subtalar, midfoot or big-toe joint.

Dartford Clinic – Serving North Kent & South East London

Kings Hill Clinic — Serving West Malling & Mid Kent

Canterbury Clinic – Serving East Kent & the Kent Coast

Romford Clinic – Serving East London & Essex

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Frequently Asked Questions

These joints are anatomically separate and may hurt during different movements. Ankle-joint pain is often aggravated by bending the ankle, subtalar pain may be worse on uneven ground, and midfoot arthritis can cause pain across the top or inner foot. Examination and imaging may be needed to identify the symptomatic joint.

Shockwave therapy may be considered when plantar-fascia pain remains limiting despite appropriate footwear advice, load modification and rehabilitation. It is generally used as part of a wider treatment plan rather than as the only treatment.

Foot and Ankle Pain Conditions, Assessment and Treatment