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I use ultrasound guidance so I'm placing the medication precisely adjacent to the damaged fascia, not into the fat pad beneath the heel

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2) include cerebral inhibitory pathways (from the brain) and spinal mechanisms such as nonreciprocal Ib inhibition (from golgi tendon organ receptors in tendons), presynaptic inhibition of the Ia terminal (at the axoaxonic synapse between 2 axons), reciprocal Ia inhibition (inhibition of antagonistic muscles) and recurrent Renshaw inhibition (inhibitory feedback of the alpha motor neuron cell body by the inhibitory interneuron).3 In the medical treatment of spasticity, we use oral medication to try to modify one or more of the centrally mediated inhibitory influences on the final common pathway, or we try to modify the pathway itself by blocking the nerve (phenol injections) or neuromuscular junction (botulinum toxin injections)