Cortisone Injections in Podiatry: Targeted Relief for Foot and Ankle Pain
What Is a Cortisone Injection?
A cortisone injection is a targeted treatment that delivers a powerful anti-inflammatory medication directly to an area of pain or swelling. In podiatry, cortisone is commonly used to treat various foot and ankle conditions where inflammation is a key factor.
Cortisone (a corticosteroid) is not a painkiller — it works by reducing inflammation, which often results in significant pain relief and improved mobility.
When Are Cortisone Injections Used in Podiatry?
Cortisone injections may be recommended when other conservative treatments such as rest, orthotics, or physical therapy haven’t provided sufficient relief.
Common conditions treated include:
Arthritis in the foot or ankle
Tendonitis (Achilles, posterior tibial, etc.)
Capsulitis or joint inflammation
What to Expect During the Procedure
The procedure is quick and usually performed in-clinic:
The area is cleaned and sometimes numbed with a local anaesthetic.
The cortisone is injected directly into the affected area, often using ultrasound guidance for accuracy.
You may feel a pinch or mild pressure, but the procedure is generally well-tolerated.
After the Injection
Mild soreness at the injection site can occur for 24–48 hours.
Some people feel immediate relief, while others experience improvement over several days.
Activity may be restricted for a short period depending on the condition being treated.
Are There Risks or Side Effects?
While cortisone injections are generally safe, possible side effects include:
Temporary flare of pain after the injection (cortisone flare)
Skin thinning or discolouration at the injection site
Tendon weakening (with repeated injections)
Infection (very rare)
Your podiatrist will discuss these risks and determine if this treatment is appropriate for you.
How Often Can I Have a Cortisone Injection?
Most patients respond well to one injection, but up to three may be given in a year depending on the condition and response. Repeated injections into the same site are approached with caution to avoid tissue damage.
Is a Cortisone Injection Right for You?
If you’re struggling with chronic foot or ankle pain that isn’t improving with rest, therapy, or orthotics, a cortisone injection may offer fast and effective relief. It’s not a cure for all conditions, but when used appropriately, it can play a key role in reducing pain and supporting recovery.
Book a Consultation
Every foot is different. If you’re experiencing persistent pain or swelling, let our experienced Northcote podiatrists assess your condition and help guide your treatment options — including whether cortisone is right for you.
