An intermetatarsal bursitis is a common cause of foot pain that is reported in females more than males. The high incidence of bursitis is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain caused by bursitis can also aggravate the risk of developing other disorders, such as neuromas
Cortisone (or cortisol) is a naturally occurring the hormone released by the body as a reaction to stress. Cortisone elevates blood pressure and prepares the body for a fight or flight response. A cortisone injection for the treatment of bursitis can also provide short-term pain relief and reduce swelling from inflammation of soft tissue structures, such as bursa. Bursitis is the inflammation of one or more bursae (small sacs) of fluid in the body. There are many bursae in the human body. Bursae act to prevent friction between structures such as joints, tendons and bone. Healthy bursae create a smooth, almost frictionless functional gliding surface making normal movement painless. When bursitis occurs, however, movement relying on the inflamed bursa becomes difficult and painful. Moreover, movement of tendons and muscles over the inflamed bursa aggravates its inflammation, perpetuating the problem.
There are certain types of bursitis that affect the foot and ankle. Achilles bursitis is inflammation of the of bursa situated above the insertion of the tendon to the heel bone. It results from overuse and wearing of tight shoes. Retrocalcaneal bursitis is an inflammation of the bursa located between the calcaneus and the anterior surface of the Achilles tendon. It commonly occurs in association with gout, trauma and autoimmune diseases such as rheumatoid arthritis. The pain is usually on the back of the heel and swelling can appear across the entire surface of the tendon. An intermetatarsal bursitis (situated in the forefoot) is a common cause of foot pain that is reported in females more than males. This high incidence is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain can also aggravate the risk of developing other disorders such as neuromas.
The injection for an intermetatasal bursitis is relatively straightforward, with little pain and can be performed without the need for ultrasound guidance. Contact Dr Kim’s rooms to make an appointment and your injection can be performed during your initial consultation if so desired.
- By – Dr Ji Soo Kim