Heel Pain Injection
Procedure Technique: Informed consent was obtained from the patient. Special mention was made of the possibility
of infection and necrosis of the heel pad.
The patient was placed in the supine position. The painful area in the medial aspect of
the heel was identified by palpation. After proper preparation with antiseptic
solution of the skin, a syringe containing 2 mL of 1% lidocaine was
attached to 1.5" 27 gauge needle.
The needle was carefully advanced through the carefully identified point
at a right angle to the skin, directly towards the central and medial aspect
of the calcaneus. The needle was
advanced very slowly until the needle impinged on the bone, and then was
withdrawn slowly. The contents of the
syringe were then gently injected. Subsequently,
the needle was left in place and a syringe containing 2 mL of 0.25% Marcaine
and 1 mL of Depo-Medrol was attached to the needle and injected after
aspiration at this site. Subsequently
the needle was removed. Pressure was
applied at the site of insertion and once it was made sure there was no
bleeding taking place, a small bandage was applied. The patient tolerated the procedure well.
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