Studies show that traditional “landmark” injections can miss the target up to 30–50% of the time, especially in small structures like the plantar fascia or neuromas between the toes. With ultrasound, your doctor can see the needle in real time and confirm that the medication or biologic is being placed exactly where it’s needed — often within millimeters of the problem area.

Yes. Many patients who didn’t get relief from a blind cortisone injection find success with ultrasound guidance. In some cases, the first injection simply wasn’t placed at the correct spot. Ultrasound ensures accuracy, giving treatments like cortisone, PRP, or biologics the best chance to work.

You’ll be lying comfortably while the doctor applies a small amount of ultrasound gel to the skin. The ultrasound probe glides over the area to locate the exact structure causing pain. A local anesthetic is given first, so most patients feel only slight pressure or a brief sting when the injection is delivered. The real-time image makes the process faster and more precise than a blind injection.

It’s especially useful for small or hard-to-target areas, such as Morton’s neuromas, plantar fascia insertions at the heel, or tendon sheaths like the Achilles. It’s also invaluable for patients with complex anatomy, scar tissue, or arthritis where pinpoint placement makes the difference between partial and full relief.

Most patients walk immediately after the procedure. For cortisone injections, normal activity can often resume the same day. For regenerative injections like PRP or biologics, your doctor may recommend a short period of reduced activity to allow the therapy to work optimally.

Patients who have not had success with blind injections, those with complex anatomy or scar tissue, and anyone receiving regenerative therapies are excellent candidates. Athletes and active individuals also benefit because accuracy is key to faster recovery and return to activity.