 [ Symptoms ] my doctor wants to do an injection should a cortisone injection be done without ultra sound guidance [ Disease ] com treating the inflammation caused by the calceneal spur can be done with injecting steroid into the site of spur…and yes it can be done without us guidance… generally steroids will soothe pain and treat the inflammation but not going to treat the cause this is way you need to in addition to dietary changes…consider for shock wave therapy …