How do you get the needle? The PA I saw didn't even mention that. Just exercises, in soles, and new shoes.
I got referred out to a podiatrist who made me go through PT first. On follow-up, I said the PT, stretching, etc. didn't help at all. She then explained the next steps and asked if I'd want the steroid. I said yes. It's not 100% but far better than before. It's been about four months since I got the shot and it still feels pretty good even after getting back to running. I can go and get it again if/when the pain ramps back up. The next most invasive step is to do platelet therapy.
On a triple and quadruple sign of getting old, I got a couple sets of awesome custom fit orthotic inserts out of the deal and I recently sprained my hip.