ABSTRACT
Background: Plantar fasciitis is a common cause of heel pain. Corticosteroid injection
(CSI) is used when conservative measures fail, but safety, technique, and outcome
vary.
Case Presentation: A 53-year-old female cleaner presented with six months of severe
bilateral heel pain (left > right), worst on first steps and weight-bearing (VAS 7–9/10).
Examination showed focal tenderness over plantar fascia, positive Windlass test,
normal neurological exam and ankle range, and preserved muscle power. No imaging
was available. Differential diagnoses considered included calcaneal stress fracture,
fat-pad atrophy, plantar fascia rupture and others. After failed conservative treatment
and informed consent, a blind corticosteroid + lidocaine injection (Depomedrone 40
mg with 1% lidocaine; 0.5 ml administered to the most tender point of the left heel)
was delivered in primary care. The patient was observed for 30 minutes and followed
up at three weeks, reporting complete pain relief.
Conclusions: In this case, primary-care CSI delivered with appropriate consent,
technique and after conservative therapy produced rapid symptomatic relief,
facilitating return to work. Limitations include absence of imaging and the short follow
up period. Ongoing CPD and adherence to safety protocols are essential.