ABSTRACT
Steroid injections for foot and ankle problems can be helpful in relieving patients' symptoms and improving the quality of life. The commonest intra-articular injections used in foot and ankle include ankle joint, first metatarsophalangeal joint, tarsometatarsal joints and sinus tarsi. Soft tissue foot and ankle injections are most commonly used for Morton's neuroma, intermetatarsal bursitis, plantar fasciitis, ankle impingement and retrocalcaneal bursitis. Image guidance must be used for injections for tendinopathies and most foot and ankle joints. The injections which can be performed without image guidance by an experienced clinician who has a good knowledge of foot and ankle anatomy are the ankle joint, first metatarsophalangeal joint, Morton's neuroma, plantar fasciitis, ankle impingement and sinus tarsi syndrome. The extensor hallucis longus tendon runs on the dorsomedial aspect of the foot and is an important landmark when considering injections to the great toe. For most foot and ankle injections, a blue needle is sufficient.
