Neurotoxin injections to the plantar fascia can reduce pain by relaxing surrounding muscles near the heel bone.
When administered into the plantar fascia, Botox induces paralysis in surrounding muscles near the heel bone, deactivating substance P, a pain-associated neurotransmitter. This reduces pain and inflammation in plantar fasciitis, alleviating symptoms like swelling and redness.
A study in 2017 showed that Neurotoxin injections effectively alleviate pain, improve foot function, and reduce the need for surgical intervention. Combined with stretching exercises, Neurotoxin presents a viable alternative to conventional steroid treatments.
Neurotoxin injections is not typically recommended as an initial treatment for plantar fasciitis. It is generally considered for individuals with persistent heel pain who have not responded to conservative treatments. Botox is often utilized as an advanced therapeutic option for patients who have not experienced relief from steroid injections, physical therapy, icing, heating, stretching, and orthotics after an initial treatment period of three to four months.
The onset of noticeable results typically occurs within 24-48 hours post-injection, with the effects lasting up to four months. Patients may experience mild side effects such as swelling, redness, or tenderness at the injection site.
Some people experience swelling, tenderness or redness around the injection site.
Costs varies on pricing of units of toxin, but here are the common amount of units used. Although the injections serve as a medical treatment, insurance does not cover this treatment.
Botox units commonly used are 50 units with only one treatment typically needed.