{"id":4600,"date":"2025-02-03T11:27:00","date_gmt":"2025-02-03T10:27:00","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/plantar-fasciitis\/"},"modified":"2026-06-11T19:19:24","modified_gmt":"2026-06-11T17:19:24","slug":"plantar-fasciitis","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/en\/treatments\/plantar-fasciitis\/","title":{"rendered":"Plantar fasciitis"},"content":{"rendered":"<p><!-- ============================================================ --><br \/>\n<!-- REVAMP FASCITIS PLANTAR - POST 522                           --><br \/>\n<!-- ============================================================ --><\/p>\n\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@graph\": [\n  {\n   \"@type\": \"BreadcrumbList\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/plantar-fasciitis\/#breadcrumb\",\n   \"itemListElement\": [\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 1,\n     \"name\": \"Home\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 2,\n     \"name\": \"Treatments\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/treatments\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 3,\n     \"name\": \"Plantar fasciitis\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/treatments\/plantar-fasciitis\/\"\n    }\n   ]\n  },\n  {\n   \"@type\": \"MedicalClinic\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/#clinic\",\n   \"name\": \"Cl\u00ednica San Rom\u00e1n\",\n   \"url\": \"https:\/\/clinicasanroman.com\/\",\n   \"telephone\": \"+34965921156\",\n   \"address\": {\n    \"@type\": \"PostalAddress\",\n    \"streetAddress\": \"Av. del Dr. Ram\u00f3n y Cajal 1\",\n    \"addressLocality\": \"Alicante\",\n    \"postalCode\": \"03001\",\n    \"addressCountry\": \"ES\"\n   },\n   \"aggregateRating\": {\n    \"@type\": \"AggregateRating\",\n    \"ratingValue\": \"4.8\",\n    \"reviewCount\": \"191\"\n   }\n  },\n  {\n   \"@type\": \"MedicalCondition\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/plantar-fasciitis\/#condition\",\n   \"name\": \"Plantar fasciitis\",\n   \"inLanguage\": \"en\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Heel\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/plantar-fasciitis\/#faq\",\n   \"inLanguage\": \"en\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"How long does it take for plantar fasciitis to heal?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"With proper conservative treatment, improvement begins within 4\u20136 weeks, and full recovery occurs within 3 to 6 months. In 10% of cases, fasciitis becomes chronic and requires specific treatments (shockwave therapy, PRP, or MIS surgery). The worst thing is not treating it: the longer the pain persists, the harder it is to resolve.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Why does it hurt more when I get up?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"During the night, the fascia shortens while at rest. When weight is placed on the foot in the morning, the sudden pull on the degenerated tissue causes a characteristic sharp pain. That is why the first few steps are the most painful. Wearing a night splint can provide relief in moderate cases.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do I need surgery for a heel spur?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Almost never. A heel spur is a reactive calcification; it is not the cause of the pain. Removing it surgically does not cure plantar fasciitis. The surgeries that can help are percutaneous partial fasciotomy and\/or gastrocnemius lengthening, which address the underlying cause.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can you run with plantar fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"During the acute phase, it\u2019s advisable to significantly reduce your mileage or stop running for a few weeks. Running while in pain usually makes plantar fasciitis worse and prolongs recovery. Once the pain is under control and you have the right insoles, you can gradually resume running. If running is important to you, seek medical advice early on.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do shock waves hurt?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"They are uncomfortable but tolerable. The energy level is adjusted for each patient and treatment area. Most patients describe a \\\"prickling\\\" sensation during the session (which lasts 5 to 10 minutes), with mild residual discomfort lasting 24 to 48 hours. There are no systemic side effects.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Which is better: shockwave therapy or PRP?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"It depends on the patient's profile and the severity of the condition. Shockwave therapy has the strongest body of evidence and is the first step after basic treatments have failed. PRP is a useful regenerative alternative for refractory chronic cases. Sometimes the two are combined. The decision is made during a consultation following an ultrasound.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can I use corticosteroids?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Corticosteroid injections relieve pain in the short term but weaken the fascia and increase the risk of tearing if repeated. They also do not address the underlying cause. They are not the first-line treatment at our clinic, and when we do use them, it is only in very specific, carefully selected cases.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"What is the recovery process like after a percutaneous fasciotomy?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"After a partial percutaneous fasciotomy, you can walk the same day wearing a postoperative shoe. Weight-bearing is gradual; this usually allows for sedentary work within 1\u20132 weeks and a return to sports between 4 and 8 weeks. The scar (3\u20134 mm) is virtually imperceptible.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do only runners get plantar fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. Running is a risk factor, but most of the patients seen in my practice are sedentary, overweight individuals; professionals who spend many hours on their feet; or perimenopausal women experiencing hormonal changes in their collagen tissue.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do you have to buy expensive brand-name insoles?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"False. What matters is that the insole is customized to your biomechanics, not the brand. A generic insole, even if it\u2019s expensive, isn\u2019t effective. Custom insoles made by a podiatrist are superior to any standard insole.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is walking barefoot good for plantar fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Not during the acute phase. Unsupported fascia becomes tighter and the condition worsens. During the prevention phase (when there is no pain) and on soft surfaces (sand, grass), walking barefoot can strengthen the intrinsic muscles of the foot, but if you\u2019re experiencing active pain, it\u2019s best to avoid walking barefoot on hard surfaces.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can I treat myself with a tennis ball?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Self-massage using a ball or roller can relieve mild symptoms, but it is not a substitute for professional diagnosis or treatment. If the pain persists for more than 6 weeks, treatment requires evaluation by a specialist.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\ud83d\udcda Scientific bibliography and references\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Conservative treatment (shockwave therapy, PRP, orthotics):- Zuo A, Gao C, Jia Q, et al. Platelet-Rich Plasma Versus Corticosteroids in the Treatment of Plantar Fasciitis: A Systematic Review and Meta-analysis. Am J Phys Med Rehabil. 2025;104(7):613-621. [PubMed]- Lippi L, Folli A, Moalli S, et al. Efficacy and tolerability of extracorporeal shock wave therapy in patients with plantar fasciopathy: a systematic review with meta-analysis and meta-regression. Eur J Phys Rehabil Med. 2024;60(5):832-846. [PubMed]- Cort\u00e9s-P\u00e9rez I, Moreno-Montilla L, Ib\u00e1\u00f1ez-Vera AJ, et al. Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis. Clin Rehabil. 2024;38(8):1023-1043. [PubMed]- Tung WS, Daher M, Covarrubias O, et al. Extracorporeal shock wave therapy shows comparative results with other modalities for the management of plantar fasciitis. Foot Ankle Surg. 2025;31(4):283-290. [PubMed]- Melese H, Alamer A, Getie K, et al. Extracorporeal shock wave therapy on pain and foot functions in subjects with chronic plantar fasciitis: systematic review of RCTs. Disabil Rehabil. 2022;44(18):5007-5014. [PubMed]Minimally invasive surgery (percutaneous, endoscopic, Strayer\/Baumann fasciotomy):- Encinas R, Hall S, Gauthier C, et al. Minimally invasive ultrasound-guided percutaneous plantar fasciotomy for chronic plantar fasciitis: A retrospective analysis. Foot Ankle Surg. 2025;31(8):737-741. [PubMed]- Ward L, Mercer NP, Azam MT, et al. Outcomes of Endoscopic Treatment for Plantar Fasciitis: A Systematic Review. Foot Ankle Spec. 2025;18(2):193-201. [PubMed]- Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. Endoscopic fasciotomy for plantar fasciitis provides superior results when compared to a controlled non-operative treatment protocol: a RCT. Knee Surg Sports Traumatol Arthrosc. 2020;28(10):3301-3308. [PubMed]- Gamba C, \u00c1lvarez Gomez C, Mart\u00ednez Zaragoza J, et al. Proximal Medial Gastrocnemius Release: Surgical Technique. JBJS Essent Surg Tech. 2022;12(1):e20.00039. [PubMed]Epidemiology and risk factors:- Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis. Sports Health. 2021;13(3):296-303. [PubMed]- Liu P, Chen Q, Yang K, Cai F. Prevalence, characteristics, and associated risk factors of plantar heel pain in Americans: The cross-sectional NHANES study. J Orthop Surg Res. 2024;19(1):805. [DOI]\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n\n<p><!-- HERO --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#E6F0EC;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:14px;letter-spacing:2px\"><strong>TREATMENT FOR PLANTAR FASCIITIS IN ALICANTE<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Plantar fasciitis: definitive treatment in Alicante<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic\">Heel pain when you get out of bed. Insoles that just don&#8217;t seem to work. Here&#8217;s the solution.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you take your first steps each morning with a <strong>sharp pain in your heel<\/strong>, you probably have <strong>plantar fasciitis<\/strong>. At <strong>Cl\u00ednica San Rom\u00e1n<\/strong>, we have been treating this condition for over 45 years using a comprehensive protocol: <strong>custom insoles, shockwave therapy (ESWT), PRP injections,<\/strong> and, in cases that do not respond to conservative treatment, <strong>minimally invasive percutaneous fasciotomy<\/strong>. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:14px;padding-right:24px;padding-bottom:14px;padding-left:24px\">\ud83d\udcde Request your free assessment<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:13px\"><strong>\u2b50 4.8\/5<\/strong> (190 reviews) \u00b7  <strong>\ud83c\udfc5 Cert. MIS23BE03 <\/strong>  \u00b7 <strong>\ud83c\uddea\ud83c\uddfa 5 languages<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg.jpg\" alt=\"Heel Pain Due to Plantar Fasciitis \u2014 Cl\u00ednica San Rom\u00e1n Alicante\" class=\"wp-image-8775\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/fascitis-plantar-dolor-talon-hero.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONFIANZA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-e5aaa7f3 wp-block-group-is-layout-constrained\" style=\"padding-top:50px;padding-bottom:50px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Backed by 45 years of experience<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">45+ years old<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Family clinic founded in 1979<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:32px;font-weight:800;line-height:1\">\ud83c\udfc5 MIS23BE03<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">First in Europe to receive American Board certification<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\u2b50 4.8<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">190 verified reviews on Google<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:42px;font-weight:800;line-height:1\">\ud83c\uddea\ud83c\uddfa 5<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Languages: ES \u00b7 EN \u00b7 NL \u00b7 FR \u00b7 DE<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-style:italic\">Led by <strong>Dr. Jos\u00e9 Manuel San Rom\u00e1n P\u00e9rez<\/strong> (founder) and <strong>Dr. Israel San Rom\u00e1n Sirvent<\/strong>, a Fellow of the American Academy of Ambulatory Foot &amp; Ankle Surgery since 1986.<\/p>\n<\/div>\n\n\n<p><!-- QU\u00c9 ES --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1240\" height=\"680\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2025\/02\/espolon-calcaneo.webp\" alt=\"Anatomy of the Heel \u2014 Plantar Fascia and Heel Spur\" class=\"wp-image-1787\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2025\/02\/espolon-calcaneo.webp 1240w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2025\/02\/espolon-calcaneo-300x165.webp 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2025\/02\/espolon-calcaneo-1024x562.webp 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2025\/02\/espolon-calcaneo-768x421.webp 768w\" sizes=\"auto, (max-width: 1240px) 100vw, 1240px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">What is plantar fasciitis?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>plantar fascia<\/strong> is a thick band of fibrous tissue that runs along the sole of the foot from the heel to the base of the toes, forming the medial longitudinal arch. <strong>Plantar fasciitis<\/strong> is the inflammation and degeneration of this fascia at its attachment to the <strong>heel<\/strong> bone, and it is <strong>the most common cause of heel pain in adults<\/strong>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The mechanism involves <strong>repetitive microtrauma<\/strong>: with every step, the fascia is subjected to a tensile load. When this load persists over time (due to being overweight, wearing improper footwear, high-impact sports, or tight calf muscles), the fascia loses its normal structure, suffers microtears, and becomes degenerated tissue (<em>fasciopathy<\/em>), rather than merely inflamed. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is it the same thing as a heel spur?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>No.<\/strong>  A heel spur is a bony growth that forms on the heel bone in response to sustained tension on the plantar fascia. It is the <em>result<\/em>, not the cause, of the pain. <strong>Many people have heel spurs without pain<\/strong>, and others have plantar fasciitis without a heel spur. Treatment is not directed at the spur but rather at the fascia and the mechanical cause that damages it.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How common is it?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The prevalence of chronic heel pain is around <strong>11% of the adult population<\/strong>. It is more common in women aged 40 to 65, in overweight individuals, runners, and professionals who spend many hours on their feet. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- S\u00cdNTOMAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">Symptoms: How can you tell if you have plantar fasciitis?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The hallmark symptom, so characteristic that it is almost sufficient on its own for diagnosis:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A sharp pain on the inside of the heel when taking the first steps in the morning<\/strong> or after sitting for a while. It eases with walking, but returns after standing for a long time. <\/li>\n\n\n\n<li>Pain when pressing on the inner part of the heel.<\/li>\n\n\n\n<li><strong>It worsens with dorsiflexion of the big toe<\/strong> (positive Windlass sign).<\/li>\n\n\n\n<li>Discomfort along the entire length of the arch in advanced cases.<\/li>\n\n\n\n<li>A tendency to <strong>walk by placing weight only on the front of the foot<\/strong> to avoid pain (which leads to secondary strain).<\/li>\n\n\n\n<li>In chronic cases: <strong>shortening and stiffness of the Achilles tendon<\/strong> and the gastrocnemius muscles.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-left-color:#D94F4F;border-left-width:4px;background-color:#fff3f3;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udd34 When to seek medical attention without delay<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The pain <strong>has lasted for more than 6 weeks<\/strong> and does not improve with rest and proper footwear.<\/li>\n\n\n\n<li>You&#8217;ve tried insoles, stretching, anti-inflammatories&#8230; <strong>and nothing works<\/strong>.<\/li>\n\n\n\n<li>Suspected <strong>partial tear of the fascia<\/strong> (sudden pain after jumping or running).<\/li>\n\n\n\n<li>It affects your <strong>quality of life, work, or sports<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic plantar fasciitis is much harder to treat. Early diagnosis and <strong>personalized treatment<\/strong> make all the difference. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62\">Request your assessment \u2014 don&#8217;t wait any longer<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg.jpg\" alt=\"Symptoms of plantar fasciitis \u2014 sharp pain in the foot when getting out of bed or after standing\" class=\"wp-image-8774\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg-300x225.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg-1024x768.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg-768x576.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/sintomas-fascitis-dolor-planta-pie.jpg-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CAUSAS --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg\" alt=\"High-heeled shoes as a common cause of foot deformities\" class=\"wp-image-8765\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-300x225.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1024x768.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-768x576.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/calzado-tacones-causa-juanetes.jpg-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading\">What causes plantar fasciitis?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is rarely a single cause. It is usually a combination of factors that increase the tension on the fascia: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Shortening of the posterior chain<\/strong> (gastrocnemius\/Achilles tendon): this is the most important factor, yet it is often underestimated.<\/li>\n\n\n\n<li><strong>Overweight or obese<\/strong> (BMI &gt; \u201327).<\/li>\n\n\n\n<li><strong>Flatfoot<\/strong> (pronated <strong>feet<\/strong> ) or <strong>cavus foot<\/strong> \u2014both alter the physiological tension of the fascia.<\/li>\n\n\n\n<li><strong>Inappropriate footwear<\/strong>: flat shoes without cushioning, minimalist sandals, high heels.<\/li>\n\n\n\n<li><strong>Professionals who spend many hours on their feet<\/strong> (healthcare workers, waitstaff, salespeople, teachers).<\/li>\n\n\n\n<li><strong>High-impact sports<\/strong> without a proper progression plan (running, basketball, CrossFit).<\/li>\n\n\n\n<li><strong>Sudden changes<\/strong>: starting a training program, increasing mileage, running on harder surfaces.<\/li>\n\n\n\n<li>Age: Fascia gradually loses its elasticity starting around the age of 40\u201350.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>That is why effective treatment requires identifying and addressing the underlying causes, not just relieving the pain.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- TRATAMIENTO CONSERVADOR --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\">Conservative treatment: the first-line approach<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>90% of plantar fasciitis cases resolve with a well-planned conservative treatment plan<\/strong>, provided it addresses all relevant aspects. At Cl\u00ednica San Rom\u00e1n, we follow a comprehensive protocol: <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udde9 Custom insoles<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Designed based on your biomechanical analysis: arch support, heel relief, and foot stability. <strong>A standard over-the-counter insole is not the same as a custom-made one<\/strong>\u2014the effectiveness is worlds apart.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udfc3 Stretching and strengthening exercises<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Essential: Stretching the <strong>calf muscles, Achilles tendon, and plantar fascia<\/strong>. These should be done daily, in several sets, ideally before getting out of bed and before going to bed. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udf0a Shockwave therapy (ESWT)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Extracorporeal shock wave therapy<\/strong> is one of the treatments with the highest level of scientific evidence (Level I) for chronic plantar fasciitis. It stimulates tissue regeneration, reduces pain, and improves foot function. Typically, 3\u20135 sessions are performed weekly. <strong>It is the option with the best benefit-to-risk ratio<\/strong> when basic measures have not been sufficient.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc89 PRP (platelet-rich plasma) injection<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In chronic or treatment-resistant cases, <strong>PRP<\/strong> (autologous growth factor) injections offer a regenerative option with <strong>a better safety profile than corticosteroids in the medium to long term<\/strong> (corticosteroids can weaken the fascia and increase the risk of rupture).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddb6 Foot care and arch support<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Standard podiatric treatment to relieve pressure on the fascia and correct improper foot alignment that puts excessive strain on it.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg.jpg\" alt=\"Extracorporeal Shock Wave Therapy (ESWT) for plantar fasciitis \u2014 Cl\u00ednica San Rom\u00e1n\" class=\"wp-image-8773\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/tratamiento-ondas-choque-eswt-fascitis.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n<p><!-- CIRUG\u00cdA MIS --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"cirugia-mis\" style=\"background-color:#E6F0EC;padding-top:80px;padding-bottom:80px\">\n<h2 class=\"wp-block-heading has-text-align-center\">When conservative treatment is not enough: MIS surgery<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:20px;font-style:italic\">Percutaneous plantar fasciotomy and gastrocnemius lengthening: a definitive solution for chronic plantar fasciitis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Approximately <strong>10% of patients do not respond to<\/strong> properly administered <strong>conservative treatment<\/strong> over a 6-month period. In such cases, minimally invasive surgery offers a definitive solution with <strong>Level I evidence<\/strong> supported by randomized clinical trials (Johannsen et al., 2020). <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Partial percutaneous plantar fasciotomy<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Under <strong>local anesthesia and ultrasound guidance<\/strong>, a small 3\u20134 mm incision is made at the medial insertion of the fascia, and the damaged area is partially released. The release is selective\u2014never complete\u2014to preserve the plantar arch and prevent collapse. Recovery is rapid: immediate weight-bearing in a postoperative shoe, with a gradual return to normal activity within 2\u20134 weeks.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Percutaneous gastrocnemius lengthening (Baumann\/Strayer technique)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When fasciitis is caused by <strong>significant shortening of the posterior chain<\/strong> (limited dorsiflexion even with the knee extended), percutaneous lengthening of the gastrocnemius muscle addresses the underlying cause, leading to a more stable resolution of the condition. This is also an outpatient procedure performed under local anesthesia. <\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large has-custom-border vida-activa-img\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg\" alt=\"Recovery \u2014 Walking Pain-Free Again After MIS Foot Surgery\" class=\"wp-image-8762\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/recuperacion-caminar-sin-dolor-juanete.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><figcaption class=\"wp-element-caption\"><em>Wake up without heel pain. Walk and run again. It\u2019s possible with the right treatment.  <\/em><\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button spectra-popup-trigger-712\" href=\"#contacto\" onclick=\"return false;\" style=\"background-color:#0a3d62;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">Is your plantar fasciitis not getting better? Request your free assessment<\/a><\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- CONSULTA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-685c61f0 wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1333\" height=\"2000\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg\" alt=\"First podiatry consultation at Cl\u00ednica San Rom\u00e1n in Alicante\" class=\"wp-image-8763\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg.jpg 1333w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-200x300.jpg 200w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-682x1024.jpg 682w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-768x1152.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/consulta-podologo-diagnostico-juanete.jpg-1024x1536.jpg 1024w\" sizes=\"auto, (max-width: 1333px) 100vw, 1333px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading\">Your first appointment with us<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Free initial consultation with no obligation.<\/strong>  In 30\u201345 minutes, we\u2019ll make:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Detailed medical history<\/strong>: how long you&#8217;ve been experiencing pain, what treatments you&#8217;ve tried, and your activity level.<\/li>\n\n\n\n<li><strong>Physical examination<\/strong>: palpation, Windlass test, Silfverski\u00f6ld test (dorsiflexion with and without knee extension).<\/li>\n\n\n\n<li>Biomechanical gait analysis of static and dynamic foot strike.<\/li>\n\n\n\n<li><strong>Ultrasound of the heel<\/strong> to assess the thickness and structure of the fascia, as well as any possible tears.<\/li>\n\n\n\n<li><strong>Personalized treatment plan<\/strong>: what to do first, what to expect, and when to reassess.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">We provide service in <strong>Spanish, English, German, French, and Dutch<\/strong>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- FAQ --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-95654ce3 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\">Frequently Asked Questions About Plantar Fasciitis<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccb Diagnosis and prognosis<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-dx-522 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-dx1-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">How long does it take for plantar fasciitis to heal?<\/span><\/div><div class=\"uagb-faq-content\"><p>With proper conservative treatment, improvement begins within 4\u20136 weeks, and full recovery occurs within 3 to 6 months. In 10% of cases, fasciitis becomes chronic and requires specific treatments (shockwave therapy, PRP, or MIS surgery). <strong>The worst thing is not treating it<\/strong>: the longer the pain persists, the harder it is to resolve. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-dx2-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Why does it hurt more when I get up?<\/span><\/div><div class=\"uagb-faq-content\"><p>During the night, the fascia shortens while at rest. When weight is placed on the foot in the morning, the sudden pull on the degenerated tissue causes a characteristic sharp pain. That is why the first few steps are the most painful. Wearing a night splint can provide relief in moderate cases.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-dx3-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do I need surgery for a heel spur?<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Almost never.<\/strong>  A heel spur is a reactive calcification; it is not the cause of the pain. Removing it surgically does not cure plantar fasciitis. The surgeries that can help are percutaneous partial fasciotomy and\/or gastrocnemius lengthening, which address the underlying cause.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-dx4-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Can you run with plantar fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p>During the acute phase, it\u2019s advisable to significantly reduce your mileage or stop running for a few weeks. Running while in pain usually makes plantar fasciitis worse and prolongs recovery. Once the pain is under control and you have the right insoles, you can gradually resume running. If running is important to you, seek medical advice early on.   <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\ud83e\ude7a Treatments<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-tto-522 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-t1-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do shock waves hurt?<\/span><\/div><div class=\"uagb-faq-content\"><p>They are uncomfortable but tolerable. The energy level is adjusted for each patient and treatment area. Most patients describe a &#8220;prickling&#8221; sensation during the session (which lasts 5 to 10 minutes), with mild residual discomfort lasting 24 to 48 hours. There are no systemic side effects.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-t2-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Which is better: shockwave therapy or PRP?<\/span><\/div><div class=\"uagb-faq-content\"><p>It depends on the patient&#8217;s profile and the severity of the condition. <strong>Shockwave therapy<\/strong> has the strongest body of evidence and is the first step after basic treatments have failed. <strong>PRP<\/strong> is a useful regenerative alternative for refractory chronic cases. Sometimes the two are combined. The decision is made during a consultation following an ultrasound.    <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-t3-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Can I use corticosteroids?<\/span><\/div><div class=\"uagb-faq-content\"><p>Corticosteroid injections relieve pain in the short term but <strong>weaken the fascia<\/strong> and increase the risk of tearing if repeated. They also do not address the underlying cause. They are not the first-line treatment at our clinic, and when we do use them, it is only in very specific, carefully selected cases.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-t4-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">What is the recovery process like after a percutaneous fasciotomy?<\/span><\/div><div class=\"uagb-faq-content\"><p>After a partial percutaneous fasciotomy, you can walk the same day wearing a postoperative shoe. Weight-bearing is gradual; this usually allows for sedentary work within 1\u20132 weeks and a return to sports between 4 and 8 weeks. The scar (3\u20134 mm) is virtually imperceptible.  <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\u274c Myths<\/h3>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-mitos-522 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m1-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do only runners get plantar fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. Running is a risk factor, but most of the patients seen in my practice are sedentary, overweight individuals; professionals who spend many hours on their feet; or perimenopausal women experiencing hormonal changes in their collagen tissue. <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m2-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Do you have to buy expensive brand-name insoles?<\/span><\/div><div class=\"uagb-faq-content\"><p>False. What matters is that the insole is <strong>customized to your biomechanics<\/strong>, not the brand. A generic insole, even if it\u2019s expensive, isn\u2019t effective. Custom insoles made by a podiatrist are superior to any standard insole.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m3-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Is walking barefoot good for plantar fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Not<\/strong> during the acute phase. Unsupported fascia becomes tighter and the condition worsens. During the prevention phase (when there is no pain) and on soft surfaces (sand, grass), walking barefoot can strengthen the intrinsic muscles of the foot, but if you\u2019re experiencing active pain, it\u2019s best to avoid walking barefoot on hard surfaces.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-m4-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Can I treat myself with a tennis ball?<\/span><\/div><div class=\"uagb-faq-content\"><p>Self-massage using a ball or roller can relieve mild symptoms, but it is not a substitute for professional diagnosis or treatment. If the pain persists for more than 6 weeks, treatment requires evaluation by a specialist. <\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- BIBLIOGRAF\u00cdA --><\/p>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-1e9ef514 wp-block-group-is-layout-constrained\" style=\"padding-top:40px;padding-bottom:40px\"><div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-faq-biblio-522 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-true uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-biblio-522 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">\ud83d\udcda Scientific bibliography and references<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Conservative treatment (shockwave therapy, PRP, orthotics):<\/strong><br \/>&#8211; Zuo A, Gao C, Jia Q, et al. <em>Platelet-Rich Plasma Versus Corticosteroids in the Treatment of Plantar Fasciitis: A Systematic Review and Meta-analysis.<\/em> Am J Phys Med Rehabil. 2025;104(7):613-621. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39778212\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Lippi L, Folli A, Moalli S, et al. <em>Efficacy and tolerability of extracorporeal shock wave therapy in patients with plantar fasciopathy: a systematic review with meta-analysis and meta-regression.<\/em> Eur J Phys Rehabil Med. 2024;60(5):832-846. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39257331\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Cort\u00e9s-P\u00e9rez I, Moreno-Montilla L, Ib\u00e1\u00f1ez-Vera AJ, et al. <em>Efficacy of extracorporeal shockwave therapy, compared to corticosteroid injections, on pain, plantar fascia thickness and foot function in patients with plantar fasciitis.<\/em> Clin Rehabil. 2024;38(8):1023-1043. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38738305\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Tung WS, Daher M, Covarrubias O, et al. <em>Extracorporeal shock wave therapy shows comparative results with other modalities for the management of plantar fasciitis.<\/em> Foot Ankle Surg. 2025;31(4):283-290. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39572278\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Melese H, Alamer A, Getie K, et al. <em>Extracorporeal shock wave therapy on pain and foot functions in subjects with chronic plantar fasciitis: systematic review of RCTs.<\/em> Disabil Rehabil. 2022;44(18):5007-5014.       <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34038642\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Minimally invasive surgery (percutaneous, endoscopic, Strayer\/Baumann fasciotomy):<\/strong><br \/>&#8211; Encinas R, Hall S, Gauthier C, et al. <em>Minimally invasive ultrasound-guided percutaneous plantar fasciotomy for chronic plantar fasciitis: A retrospective analysis.<\/em> Foot Ankle Surg. 2025;31(8):737-741. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40399170\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Ward L, Mercer NP, Azam MT, et al. <em>Outcomes of Endoscopic Treatment for Plantar Fasciitis: A Systematic Review.<\/em> Foot Ankle Spec. 2025;18(2):193-201. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36342049\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. <em>Endoscopic fasciotomy for plantar fasciitis provides superior results when compared to a controlled non-operative treatment protocol: a RCT.<\/em> Knee Surg Sports Traumatol Arthrosc. 2020;28(10):3301-3308. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32006073\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Gamba C, \u00c1lvarez Gomez C, Mart\u00ednez Zaragoza J, et al. <em>Proximal Medial Gastrocnemius Release: Surgical Technique.<\/em> JBJS Essent Surg Tech. 2022;12(1):e20.00039.      <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35692721\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br><br><strong>Epidemiology and risk factors:<\/strong><br \/>&#8211; Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. <em>Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis.<\/em> Sports Health. 2021;13(3):296-303. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33530860\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>&#8211; Liu P, Chen Q, Yang K, Cai F. <em>Prevalence, characteristics, and associated risk factors of plantar heel pain in Americans: The cross-sectional NHANES study.<\/em> J Orthop Surg Res. 2024;19(1):805.    <a href=\"https:\/\/doi.org\/10.1186\/s13018-024-05300-y\" target=\"_blank\" rel=\"noopener\">[DOI]<\/a><\/p><\/div><\/div><\/div><\/div>\n\n\n<p><!-- CTA FINAL --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-text-color has-background is-layout-constrained wp-container-core-group-is-layout-cbb694e2 wp-block-group-is-layout-constrained\" id=\"contacto\" style=\"color:#FFFFFF;background-color:#0a3d62;padding-top:80px;padding-bottom:80px\">\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:45%\">\n<figure class=\"wp-block-image size-large has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg.jpg\" alt=\"Request your free consultation at Cl\u00ednica San Rom\u00e1n Alicante\" class=\"wp-image-8761\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:55%\">\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#FFFFFF\">Get up pain-free. Start your treatment today. <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Plantar fasciitis can be effectively treated.  <strong>The initial consultation is free and requires no obligation.<\/strong>  Accurate diagnosis, a personalized plan, and the best available treatments to help you walk pain-free again.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong><a href=\"tel:+34965921156\" style=\"color:#FFFFFF\">+34 965 921 156<\/a><\/strong><br>\u2709\ufe0f <strong><a href=\"mailto:info@clinicasanroman.com\" style=\"color:#FFFFFF\">info@clinicasanroman.com<\/a><\/strong><br>\ud83d\udccd Av. del Dr. Ram\u00f3n y Cajal 1, 03001 Alicante<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button spectra-popup-trigger-712\" href=\"https:\/\/clinicasanroman.com\/en\/contact\/\" onclick=\"return false;\" style=\"color:#0a3d62;background-color:#FFFFFF;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">\ud83d\udcc5 Request your free assessment<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>TREATMENT FOR PLANTAR FASCIITIS IN ALICANTE Plantar fasciitis: definitive treatment in Alicante Heel pain when you get out of bed. 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