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Dr. J. Carr Vineyard addresses the concerns associated with treating plantar fasciitis through steroid injections, particularly focusing on the potential impact on the foot's fat pad. He explains that while the risk of complications from a single steroid injection is very low, with problems being less than one in a million, repeated injections in a short timeframe significantly increase the risk. These risks include the fat pad shrinking and losing its cushioning ability, which is crucial for foot comfort and function. To mitigate these risks, Dr. Vineyard recommends spacing steroid injections at intervals of no less than three months. The overarching goal is to minimize the total number of injections to reduce the likelihood of adverse effects on the fat pad, thus preserving foot health while managing plantar fasciitis symptoms.
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