{"id":4636,"date":"2022-06-13T11:26:43","date_gmt":"2022-06-13T09:26:43","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/calcaneal-spur\/"},"modified":"2026-06-12T10:39:59","modified_gmt":"2026-06-12T08:39:59","slug":"calcaneal-spur","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/en\/treatments\/calcaneal-spur\/","title":{"rendered":"Calcaneal Spur"},"content":{"rendered":"<p><!-- ============================================================ --><br \/>\n<!-- REVAMP ESPOL\u00d3N CALC\u00c1NEO - POST 515                           --><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\/calcaneal-spur\/#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\": \"Calcaneal Spur\",\n     \"item\": \"https:\/\/clinicasanroman.com\/en\/treatments\/calcaneal-spur\/\"\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\/calcaneal-spur\/#condition\",\n   \"name\": \"Calcaneal Spur\",\n   \"inLanguage\": \"en\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Heel\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/en\/treatments\/calcaneal-spur\/#faq\",\n   \"inLanguage\": \"en\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Does a heel spur always hurt?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"No. Many people have a heel spur visible on an X-ray without experiencing any pain. Studies show that heel spurs are present in 85% of painful feet but also in 72% of pain-free feet. The pain is usually caused by plantar fasciitis (inflammation of the fascia) that accompanies the bone spur, not the bone spur itself. Therefore, treatment focuses on the fascia, not just the bone.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Are heel spurs and plantar fasciitis the same thing?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"No, but they are closely related. Plantar fasciitis is the inflammation of the band of tissue (fascia) that runs from the heel to the toes. A heel spur is a bony growth that develops as a result of chronic tension on the heel bone caused by the fascia. Simply put: fasciitis is the inflammation; the spur is the bone that grows in response to that inflammation. Both are treated simultaneously.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can the bone spur go away on its own?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"The heel spur itself (the bony protrusion) does not go away without surgery. However, the important thing is that the pain can be completely eliminated without removing the spur. When the plantar fasciitis resolves (with orthotics, stretching, shockwave therapy), the pain subsides even though the spur remains visible on the X-ray. Surgical removal of the spur is only necessary when pain persists despite conservative treatment.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"What is the connection between heel spurs and being overweight?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Being overweight is one of the most significant risk factors. Every additional kilogram of body weight increases the load on the heel during walking, which puts more strain on the plantar fascia and promotes the formation of a heel spur. Current clinical guidelines include weight loss as one of the fundamental measures in conservative treatment. A BMI greater than 30 is considered a significant risk factor.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is surgery necessary for a heel spur?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"In most cases, no. Approximately 90% of patients improve with conservative treatment (custom insoles, stretching, shockwave therapy). Surgery is reserved for cases that do not respond after 6\u201312 months of comprehensive conservative treatment. At Cl\u00ednica San Rom\u00e1n, we follow a stepwise protocol to exhaust all non-surgical options before considering surgery.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Do shock waves work for heel spurs?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Yes, extracorporeal shock wave therapy (ESWT) has strong scientific evidence supporting its use in the treatment of chronic plantar fasciitis associated with heel spurs. Between 3 and 5 sessions (one per week) are administered, and studies show an efficacy rate of 65\u201380% in patients who have not responded to initial conservative treatment. Low-intensity therapy appears to be more effective and better tolerated than high-intensity therapy.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Does percutaneous heel spur surgery hurt?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"The procedure is performed under local anesthesia of the heel, so you will not feel any pain during the procedure. The postoperative period involves moderate discomfort for the first 5\u20137 days, which can be managed with oral pain medication (acetaminophen or ibuprofen). The vast majority of patients report that the postoperative pain is significantly less than the chronic pain they had been enduring for months.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"How long does it take for a heel spur to heal after surgery?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Patients can begin walking in postoperative shoes immediately. They usually resume wearing regular shoes after 3 weeks. Sports activities are gradually resumed starting at 6\u20138 weeks. It is essential to supplement recovery with custom insoles and maintain stretching exercises over the long term to prevent recurrence.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can the bone spur come back after surgery?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Recurrence of heel spurs after percutaneous surgery is very rare. However, if the factors that caused the heel spur are not addressed (poor biomechanics, being overweight, improper footwear), the plantar fascia may become inflamed again. That is why at Cl\u00ednica San Rom\u00e1n we always include custom insoles and a stretching plan as an essential complement to surgical treatment.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Can I exercise with a heel spur?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"It depends on the severity of the pain. During the acute phase, it is advisable to limit high-impact sports (running, tennis, basketball) and temporarily replace them with low-impact activities (swimming, cycling, elliptical training). With proper conservative treatment (orthotics + stretching), most athletes can resume their usual activities. After percutaneous surgery, a return to sports typically occurs within 6\u20138 weeks.\"\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>ADVANCED PODIATRY \u00b7 HEEL SPUR \u00b7 ALICANTE<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Calcaneal spur: effective pain-free treatment<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic\">Custom insoles. Shockwave therapy. Percutaneous surgery if necessary. Walk the same day.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you feel a <strong>sharp pain in your heel<\/strong> every morning when you take your first steps\u2014if you\u2019ve been experiencing that sensation of stepping on a nail for months and your walking has been getting worse\u2014you likely have a <strong>heel spur<\/strong> or chronic plantar fasciitis. At <strong>Cl\u00ednica San Rom\u00e1n<\/strong>, we follow a <strong>step-by-step protocol<\/strong>: first, conservative treatment (insoles + shockwave therapy), and only if that fails, <strong>percutaneous surgery under local anesthesia<\/strong>. 90% of our patients improve without needing surgery.  <\/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\/espolon-calcaneo-hero-clinica-san-roman.jpg\" alt=\"Treatment of Heel Spurs \u2014 Cl\u00ednica San Rom\u00e1n Alicante\" class=\"wp-image-8791\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-hero-clinica-san-roman.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-hero-clinica-san-roman-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-hero-clinica-san-roman-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-hero-clinica-san-roman-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-hero-clinica-san-roman-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 wp-block-paragraph\" style=\"font-size:42px\">45+ years old<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">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 wp-block-paragraph\" style=\"font-size:42px\"><strong>4.8<\/strong> \u2605<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">190 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 wp-block-paragraph\" style=\"font-size:42px\"><strong>MIS<\/strong> \ud83c\udfc5<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">First in Europe to offer an MIS subspecialty (Cert. MIS23BE03)<\/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 wp-block-paragraph\" style=\"font-size:42px\">\ud83c\uddea\ud83c\uddfa 5<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Languages: ES \u00b7 EN \u00b7 DE \u00b7 FR \u00b7 NL<\/p>\n<\/div>\n<\/div>\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:55%\">\n<h2 class=\"wp-block-heading\">What is a heel spur?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>heel spur<\/strong> is an <strong>abnormal bony growth<\/strong> (osteophyte) that forms on the underside of the heel bone (<strong>calcaneus<\/strong>), in the area where the <strong>plantar fascia<\/strong> attaches. It is like a small bony spur that grows horizontally toward the toes and can measure between 1 and 20 millimeters. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The most important thing to know is that <strong>a heel spur itself does not always cause pain<\/strong>. In fact, X-rays show that many people have heel spurs without experiencing any symptoms. In most cases, the pain is caused by <strong>associated plantar fasciitis<\/strong>: a chronic inflammation of the plantar fascia that accompanies the heel spur.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is estimated that <strong>heel spurs affect 10% of the population<\/strong> at some point in their lives, with the condition being most common among <strong>people aged 40 to 60<\/strong>. Approximately 89% of patients with chronic plantar fasciitis have a heel spur detectable on X-ray. It is one of the most common causes of <strong>plantar talalgia<\/strong> (heel pain) that we treat in our practice.  <\/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\/espolon-calcaneo-anatomia-clinica-san-roman.jpg\" alt=\"Anatomy of a heel spur \u2014 bony growth on the heel\" class=\"wp-image-8790\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\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:40%\">\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\/espolon-calcaneo-sintomas-clinica-san-roman.jpg\" alt=\"Symptoms of heel spurs \u2014 heel pain when walking\" class=\"wp-image-8789\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-sintomas-clinica-san-roman.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-sintomas-clinica-san-roman-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-sintomas-clinica-san-roman-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-sintomas-clinica-san-roman-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-sintomas-clinica-san-roman-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:60%\">\n<h2 class=\"wp-block-heading\">Symptoms: How do I know if I have a heel spur?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most characteristic symptom is what is known as <strong>\u201cmorning heel pain\u201d:<\/strong> a sharp, intense pain in the heel when getting out of bed in the morning or after sitting for a long time. The pain usually improves after walking for a few minutes (when the fascia \u201cwarms up\u201d), but it returns at the end of the day or after prolonged activity. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A sharp pain in the center or inner edge of the heel<\/strong> \u2014as if you\u2019d stepped on a nail or a rock when taking your first steps<\/li>\n\n\n\n<li><strong>Pain that worsens after rest<\/strong> \u2014when getting up, after sitting, or when getting out of the car (a typical pattern of plantar fasciitis)<\/li>\n\n\n\n<li><strong>Pressure sensitivity<\/strong> \u2014 pain when pressure is applied to the inner part of the heel (medial calcaneal tuberosity)<\/li>\n\n\n\n<li><strong>Morning stiffness<\/strong> \u2014 a feeling of tightness in the sole of the foot upon waking that gradually eases with movement<\/li>\n\n\n\n<li><strong>Compensatory limping<\/strong> \u2014 when trying to avoid putting weight on the heel, the gait is altered and secondary pain may develop in the knee, hip, or back<\/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<p class=\"wp-block-paragraph\"><strong>\u26a0\ufe0f Important:<\/strong> Not all heel pain is caused by a heel spur. Other conditions such as <strong>calcaneal stress fracture<\/strong>, <strong>fat pad atrophy<\/strong>, <strong>Baxter\u2019s nerve compression<\/strong>, or <strong>tarsal tunnel syndrome<\/strong> can cause similar symptoms. An accurate diagnosis through clinical examination and imaging is essential.  <\/p>\n<\/div>\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<h2 class=\"wp-block-heading\">Why does a heel spur form?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A heel spur forms as <strong>the bone&#8217;s response to chronic mechanical stress<\/strong>. When the plantar fascia repeatedly pulls on its attachment to the heel bone (due to overuse, poor biomechanics, or both), the body deposits calcium in the stressed area and forms a bony protrusion. It is a slow process that can take months or years.  <\/p>\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<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83c\udfcb\ufe0f Biomechanical factors<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Flatfoot or excessive pronation<\/strong> \u2014 increases the strain on the plantar fascia with every step<\/li>\n\n\n\n<li><strong>Cavus foot<\/strong> \u2014 an excessively high arch that concentrates pressure on the heel and forefoot<\/li>\n\n\n\n<li><strong>Shortening of the Achilles tendon<\/strong> \u2014 limits ankle dorsiflexion and puts strain on the plantar fascia<\/li>\n\n\n\n<li><strong>Leg length discrepancy<\/strong> \u2014 one leg being longer than the other causes asymmetric stress<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\u2699\ufe0f Lifestyle factors<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Overweight or obesity<\/strong> \u2014 excess weight increases the strain on the heel with every step (a BMI of &gt; 30 is a major risk factor)<\/li>\n\n\n\n<li><strong>Prolonged standing<\/strong> \u2014 occupations that require standing for more than 8 hours a day (hospitality, healthcare, retail)<\/li>\n\n\n\n<li><strong>Inappropriate footwear<\/strong> \u2014flat soles, no cushioning, or heavily worn shoes<\/li>\n\n\n\n<li><strong>High-impact sports<\/strong> \u2014 road running, jumping, and quick changes of direction on hard surfaces<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- DIAGN\u00d3STICO --><\/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<h2 class=\"wp-block-heading\">Diagnosis: We&#8217;ll determine the exact cause of your pain<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An <strong>accurate differential diagnosis<\/strong> is essential, because not all heel pain is caused by a heel spur. At Cl\u00ednica San Rom\u00e1n, we perform: <\/p>\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<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udd0d Clinical examination<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Palpation of the medial calcaneal tuberosity, Windlass test (dorsiflexion of the big toe), assessment of ankle range of motion, and biomechanical gait analysis. Selective pressure on the medial insertion of the fascia reproduces the typical pain. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udcf7 Lateral X-ray<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It allows for visualization of the heel spur, measurement of its size, and classification of its type (Type A\u2014above the fascia; Type B\u2014within the fascia). It also rules out stress fractures of the calcaneus or other bone conditions. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udd0a Soft tissue ultrasound<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">We measure the <strong>thickness of the plantar fascia<\/strong> (normal: 4 mm). It detects thickening, partial tears, retrocalcaneal bursitis, and inflammatory fluid. It is a quick, painless, and radiation-free test.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- TRATAMIENTO --><\/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:55%\">\n<h2 class=\"wp-block-heading\">Treatment of heel spurs: a stepwise protocol<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Our approach follows the <strong>clinical practice guidelines of the APTA<\/strong> (American Physical Therapy Association, 2023 update): a stepwise protocol that begins with conservative treatment and reserves surgery for refractory cases.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" style=\"font-size:22px\">Step 1 \u2014 Conservative treatment (0\u20133 months)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Custom orthotic insoles<\/strong> with heel cups, retrocalcaneal bars, and arch supports\u2014manufactured at our clinic following a biomechanical assessment<\/li>\n\n\n\n<li><strong>Specific stretches<\/strong> for the plantar fascia and the soleus-gastrocnemius complex (guided home exercise program)<\/li>\n\n\n\n<li><strong>Appropriate footwear<\/strong> with heel cushioning and a semi-rigid sole<\/li>\n\n\n\n<li><strong>Manual therapy<\/strong> and ankle joint mobilization if there is a lack of dorsiflexion<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" style=\"font-size:22px\">Step 2 \u2014 Advanced therapies (3\u20136 months)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Extracorporeal shock wave therapy (ESWT)<\/strong> \u2014 stimulates tissue regeneration in the plantar fascia. Treatment protocol consisting of 3\u20135 sessions. Proven efficacy comparable to surgery in appropriate cases  <\/li>\n\n\n\n<li><strong>Ultrasound-guided<\/strong> corticosteroid <strong>injection<\/strong> (in selected cases, up to 2\u20133 injections) to control acute inflammation<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" style=\"font-size:22px\">Step 3 \u2014 Percutaneous surgery (if the previous step fails)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Percutaneous partial plantar fasciotomy<\/strong> \u2014 release of the plantar fascia at its insertion using minimally invasive surgical (MIS) instruments through a millimeter-long incision<\/li>\n\n\n\n<li><strong>Osteophyte removal<\/strong> \u2014 resection of the osteophyte using a surgical drill under fluoroscopic guidance<\/li>\n\n\n\n<li><strong>Calcaneal decompression<\/strong> \u2014 microperforations that stimulate bone revascularization<\/li>\n\n\n\n<li><strong>Local anesthesia<\/strong> \u2014 no risks associated with general anesthesia. The patient is able to walk the same day wearing postoperative footwear <\/li>\n<\/ul>\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\/espolon-calcaneo-anatomia-clinica-san-roman.jpg\" alt=\"Treatment of heel spurs \u2014 custom insoles and percutaneous surgery\" class=\"wp-image-8790\" style=\"border-radius:12px\" srcset=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman.jpg 2000w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-300x200.jpg 300w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-1024x682.jpg 1024w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-768x512.jpg 768w, https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/espolon-calcaneo-anatomia-clinica-san-roman-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- TABLA COMPARATIVA --><\/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<h2 class=\"wp-block-heading has-text-align-center\">Treatment Options: A Comparison<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The choice of treatment depends on the severity, duration of symptoms, and response to previous measures.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-fixed-layout\"><thead><tr><th>Feature<\/th><th>Exercises + Stretches<\/th><th>Shock Waves (ESWT)<\/th><th>Echoguided infiltration<\/th><th>Minimally invasive percutaneous surgery<\/th><\/tr><\/thead><tbody><tr><td><strong>Indication<\/strong><\/td><td>First row (all)<\/td><td>Conservative treatment failure \u2265 3 months<\/td><td>Severe acute pain<\/td><td>Complete failure \u2265 6\u201312 months<\/td><\/tr><tr><td><strong>Invasiveness<\/strong><\/td><td>None<\/td><td>Non-invasive<\/td><td>Minimally invasive<\/td><td>Percutaneous (millimeter-sized)<\/td><\/tr><tr><td><strong>Anesthesia<\/strong><\/td><td>Not applicable<\/td><td>Not applicable<\/td><td>Local (period)<\/td><td>Local (heel)<\/td><\/tr><tr><td><strong>Sessions \/ Time<\/strong><\/td><td>Continuous use<\/td><td>3\u20135 sessions (once a week)<\/td><td>1\u20133 injections<\/td><td>1 session (30 min)<\/td><\/tr><tr><td><strong>Load after treatment<\/strong><\/td><td>Immediate<\/td><td>Immediate<\/td><td>Immediate<\/td><td>Immediate (postqx footwear)<\/td><\/tr><tr><td><strong>Back to Business<\/strong><\/td><td>Immediate<\/td><td>Immediate<\/td><td>24\u201348 hours<\/td><td>4-6 weeks<\/td><\/tr><tr><td><strong>Estimated effectiveness<\/strong><\/td><td>70-80%<\/td><td>65-80%<\/td><td>Temporary (3\u20136 months)<\/td><td>85-95%<\/td><\/tr><tr><td><strong>Side effects<\/strong><\/td><td>None<\/td><td>Temporary pain<\/td><td>Risk of fascia rupture<\/td><td>Minimums<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-text-align-center has-text-color wp-block-paragraph\" style=\"color:#666;font-size:14px\">* The efficacy rates are based on published evidence (APTA 2023, Jiang et al. 2024). Individual results may vary.<\/p>\n<\/div>\n\n\n<p><!-- VENTAJAS --><\/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<h2 class=\"wp-block-heading has-text-align-center\">Benefits of Percutaneous Heel Spur Surgery<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">When surgery is necessary, our minimally invasive surgery offers clear advantages over traditional open surgery:<\/p>\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 wp-block-paragraph\" style=\"font-size:36px\">\ud83d\udeb6<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">You walk the same day<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Immediate ambulation in postoperative shoes upon discharge from the clinic<\/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 wp-block-paragraph\" style=\"font-size:36px\">\ud83d\udc89<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">Local anesthesia<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">No risks associated with general anesthesia, no hospitalization, and no need to fast beforehand<\/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 wp-block-paragraph\" style=\"font-size:36px\">\ud83d\udd2c<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">Millimeter incision<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Minimal tissue trauma, lower risk of infection, and an imperceptible scar<\/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 wp-block-paragraph\" style=\"font-size:36px\">\u23f1\ufe0f<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">Rapid recovery<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Regular shoes after 3 weeks. Sports activities after 6\u20138 weeks <\/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 wp-block-paragraph\" style=\"font-size:36px\">\ud83c\udf8a<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">Highly effective<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">85\u201395% success rate. Significant improvement on the AOFAS and VAS pain scales <\/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 wp-block-paragraph\" style=\"font-size:36px\">\ud83d\udd04<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\" style=\"font-size:18px\">Triple action<\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Fasciotomy + removal of the bone spur + decompression in a single procedure<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><!-- PREVENCI\u00d3N --><\/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<h2 class=\"wp-block-heading\">Prevention: How to Prevent Heel Spurs from Developing or Recurring<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you have already had a heel spur or have risk factors, these measures can help prevent its onset or recurrence:<\/p>\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<h3 class=\"wp-block-heading\" style=\"font-size:18px\">\ud83d\udc5f Suitable footwear<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Wear shoes with <strong>good heel cushioning<\/strong>, a semi-rigid sole, and a sturdy heel counter. Avoid flat shoes (ballet flats, flip-flops) and high heels. Replace your running shoes every 600\u2013800 km or every 6 months.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" style=\"font-size:18px\">\ud83e\uddd8 Daily Stretches<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stretch your plantar fascia and Achilles tendon<\/strong> every morning before getting out of bed and after each workout. Do 3 sets of 30 seconds per stretch. Research shows that stretching can reduce the recurrence of pain by up to 52%.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" style=\"font-size:18px\">\u2696\ufe0f Weight management<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Maintain a <strong>healthy body weight<\/strong>. Every extra pound increases the pressure on your heel when you walk. Weight loss, when recommended, is one of the most effective ways to prevent plantar fasciitis and heel spurs.  <\/p>\n<\/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:60%\">\n<h2 class=\"wp-block-heading\">Have you been dealing with heel pain for months? We can help. <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Heel spurs are a condition with <strong>an excellent prognosis<\/strong> when diagnosed and treated properly. However, many patients wait months\u2014or even years\u2014before seeking help, and during that time, the pain affects their gait, quality of life, and mood. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At <strong>Cl\u00ednica San Rom\u00e1n<\/strong>, <strong>Dr. Israel San Rom\u00e1n<\/strong> and <strong>Dr. Jos\u00e9 Manuel San Rom\u00e1n<\/strong> offer you a <strong>free evaluation<\/strong> with radiological diagnosis to determine the exact cause of your pain and recommend the best treatment. Our step-by-step protocol helps <strong>90% of patients improve without the need for surgery<\/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:16px;padding-right:28px;padding-bottom:16px;padding-left:28px\">\ud83d\udcde Request your free assessment<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:14px\">\ud83d\udccd Downtown Alicante \u00b7 \ud83d\udcde +34 965 921 156 \u00b7 \ud83d\udce7 info@clinicasanroman.com<\/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:40%\">\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=\"Podiatrist appointment \u2014 free evaluation at Cl\u00ednica San Rom\u00e1n\" 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<\/div>\n<\/div>\n\n\n<p><!-- FAQ --><\/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\n<h2 class=\"wp-block-heading has-text-align-center\">Frequently Asked Questions About Heel Spurs<\/h2>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">We solve the most common doubts of our patients. If your question isn&#8217;t listed here, please contact us and we&#8217;ll get back to you with no obligation.<\/p>\n\n<!-- CATEGORIA 1: SOBRE LA PATOLOG\u00cdA -->\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-espolon-faq-1 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\">\n<h3 class=\"wp-block-heading\" style=\"color:#0a3d62;font-size:22px\">\ud83d\udd2c About the pathology.<\/h3>\n<div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c0-515 \" 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\">Does a heel spur always hurt?<\/span><\/div><div class=\"uagb-faq-content\"><p>No. Many people have a heel spur visible on an X-ray without experiencing any pain. Studies show that heel spurs are present in 85% of painful feet but also in 72% of pain-free feet. The pain is usually caused by plantar fasciitis (inflammation of the fascia) that accompanies the bone spur, not the bone spur itself. Therefore, treatment focuses on the fascia, not just the bone.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c1-515 \" 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\">Are heel spurs and plantar fasciitis the same thing?<\/span><\/div><div class=\"uagb-faq-content\"><p>No, but they are closely related. Plantar fasciitis is the inflammation of the band of tissue (fascia) that runs from the heel to the toes. A heel spur is a bony growth that develops as a result of chronic tension on the heel bone caused by the fascia. Simply put: fasciitis is the inflammation; the spur is the bone that grows in response to that inflammation. Both are treated simultaneously.    <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c2-515 \" 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 the bone spur go away on its own?<\/span><\/div><div class=\"uagb-faq-content\"><p>The heel spur itself (the bony protrusion) does not go away without surgery. However, the important thing is that the pain can be completely eliminated without removing the spur. When the plantar fasciitis resolves (with orthotics, stretching, shockwave therapy), the pain subsides even though the spur remains visible on the X-ray. Surgical removal of the spur is only necessary when pain persists despite conservative treatment.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c3-515 \" 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 connection between heel spurs and being overweight?<\/span><\/div><div class=\"uagb-faq-content\"><p>Being overweight is one of the most significant risk factors. Every additional kilogram of body weight increases the load on the heel during walking, which puts more strain on the plantar fascia and promotes the formation of a heel spur. Current clinical guidelines include weight loss as one of the fundamental measures in conservative treatment. A BMI greater than 30 is considered a significant risk factor.   <\/p><\/div><\/div><\/div>\n<!-- CATEGORIA 2: TRATAMIENTO -->\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-espolon-faq-2 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\">\n<h3 class=\"wp-block-heading\" style=\"color:#0a3d62;font-size:22px\">\ud83c\udfe5 Treatment<\/h3>\n<div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c4-515 \" 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 surgery necessary for a heel spur?<\/span><\/div><div class=\"uagb-faq-content\"><p>In most cases, no. Approximately 90% of patients improve with conservative treatment (custom insoles, stretching, shockwave therapy). Surgery is reserved for cases that do not respond after 6\u201312 months of comprehensive conservative treatment. At Cl\u00ednica San Rom\u00e1n, we follow a stepwise protocol to exhaust all non-surgical options before considering surgery.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c5-515 \" 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 work for heel spurs?<\/span><\/div><div class=\"uagb-faq-content\"><p>Yes, extracorporeal shock wave therapy (ESWT) has strong scientific evidence supporting its use in the treatment of chronic plantar fasciitis associated with heel spurs. Between 3 and 5 sessions (one per week) are administered, and studies show an efficacy rate of 65\u201380% in patients who have not responded to initial conservative treatment. Low-intensity therapy appears to be more effective and better tolerated than high-intensity therapy.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c6-515 \" 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\">Does percutaneous heel spur surgery hurt?<\/span><\/div><div class=\"uagb-faq-content\"><p>The procedure is performed under local anesthesia of the heel, so you will not feel any pain during the procedure. The postoperative period involves moderate discomfort for the first 5\u20137 days, which can be managed with oral pain medication (acetaminophen or ibuprofen). The vast majority of patients report that the postoperative pain is significantly less than the chronic pain they had been enduring for months.  <\/p><\/div><\/div><\/div>\n<!-- CATEGORIA 3: RECUPERACI\u00d3N -->\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-espolon-faq-3 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\">\n<h3 class=\"wp-block-heading\" style=\"color:#0a3d62;font-size:22px\">\ud83c\udfc3 Recovery and prevention<\/h3>\n<div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c7-515 \" 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 a heel spur to heal after surgery?<\/span><\/div><div class=\"uagb-faq-content\"><p>Patients can begin walking in postoperative shoes immediately. They usually resume wearing regular shoes after 3 weeks. Sports activities are gradually resumed starting at 6\u20138 weeks. It is essential to supplement recovery with custom insoles and maintain stretching exercises over the long term to prevent recurrence.   <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c8-515 \" 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 the bone spur come back after surgery?<\/span><\/div><div class=\"uagb-faq-content\"><p>Recurrence of heel spurs after percutaneous surgery is very rare. However, if the factors that caused the heel spur are not addressed (poor biomechanics, being overweight, improper footwear), the plantar fascia may become inflamed again. That is why at Cl\u00ednica San Rom\u00e1n we always include custom insoles and a stretching plan as an essential complement to surgical treatment.  <\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faq-c9-515 \" 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 exercise with a heel spur?<\/span><\/div><div class=\"uagb-faq-content\"><p>It depends on the severity of the pain. During the acute phase, it is advisable to limit high-impact sports (running, tennis, basketball) and temporarily replace them with low-impact activities (swimming, cycling, elliptical training). With proper conservative treatment (orthotics + stretching), most athletes can resume their usual activities. After percutaneous surgery, a return to sports typically occurs within 6\u20138 weeks.   <\/p><\/div><\/div><\/div>\n<\/div>\n\n\n<p><!-- BIBLIOGRAF\u00cdA --><\/p>\n\n\n<div class=\"wp-block-group alignfull has-background is-layout-constrained wp-container-core-group-is-layout-251b9e15 wp-block-group-is-layout-constrained\" style=\"background-color:#FAF9F6;padding-top:40px;padding-bottom:40px\">\n<div class=\"wp-block-group has-light-grey-background-color has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"border-radius:12px;padding-top:20px;padding-right:24px;padding-bottom:20px;padding-left:24px\">\n<h3 class=\"wp-block-heading\" style=\"font-size:20px\">\ud83d\udcda Scientific references (PubMed)<\/h3>\n\n\n\n<ol style=\"font-size:14px\" class=\"wp-block-list\">\n<li>Martin RL, Davenport TE, Reischl SF, et al.  <strong>Heel Pain \u2014 Plantar Fasciitis: 2023 Update.<\/strong> <em>J Orthop Sports Phys Ther.<\/em>  2023;53(12):CPG1-CPG39. doi:10.2519\/jospt.2023.0303. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38037331\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 38037331<\/a> <\/li>\n\n\n\n<li>Jiang Y, Li H, Zhang Q, et al. <strong>Clinical Study of a Four-Step Program for the Treatment of Plantar Fasciitis with Bone Spurs.<\/strong> <em>Orthop Surg.<\/em> 2024;16(6):1456-1463. doi:10.1111\/os.14061. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38693719\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 38693719<\/a> <\/li>\n\n\n\n<li>Menz HB, Zammit GV, Landorf KB, Munteanu SE. <strong>Plantar calcaneal spurs in older adults: longitudinal traction or vertical compression?<\/strong> <em>J Foot Ankle Res.<\/em> 2008;1(1):7. doi:10.1186\/1757-1146-1-7. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18822152\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 18822152<\/a> <\/li>\n\n\n\n<li>Johal KS, Milner SA. <strong>Plantar fasciitis and the calcaneal spur: Fact or fiction?<\/strong> <em>Foot Ankle Surg.<\/em> 2012;18(1):39-41. doi:10.1016\/j.fas.2011.03.003. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22326003\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 22326003<\/a> <\/li>\n\n\n\n<li>\u00d6zdemir H, S\u00f6y\u00fcnc\u00fc Y, \u00d6zg\u00f6rgen M, Dabak K. <strong>Effects of changes in heel fat pad thickness and elasticity on heel pain.<\/strong> <em>J Am Podiatr Med Assoc.<\/em> 2004;94(1):47-52. doi:10.7547\/0940047. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14729991\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 14729991<\/a><\/li>\n\n\n\n<li>Rompe JD, Furia J, Weil L, Maffulli N. <strong>Shock wave therapy for chronic plantar fasciopathy.<\/strong> <em>Br Med Bull.<\/em> 2007;81-82:183-208. doi:10.1093\/bmb\/ldm005. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17456546\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 17456546<\/a> <\/li>\n\n\n\n<li>Aqil A, Siddiqui MR, Solan M, Redfern DJ, Gulati V, Cobb JP. <strong>Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs.<\/strong> <em>Clin Orthop Relat Res.<\/em> 2013;471(11):3645-3652. doi:10.1007\/s11999-013-3132-2. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23813184\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 23813184<\/a> <\/li>\n\n\n\n<li>Kudo P, Dainty K, Clarfield M, Coughlin L, Lavoie P, Lebrun C. <strong>Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracorporeal shockwave therapy (ESWT) device.<\/strong> <em>Foot Ankle Int.<\/em> 2006;27(10):790-796. doi:10.1177\/107110070602701006. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17054878\/\" target=\"_blank\" rel=\"noopener noreferrer\">PubMed 17054878<\/a><\/li>\n<\/ol>\n<\/div>\n<\/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-4844c596 wp-block-group-is-layout-constrained\" 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:60%\">\n<h2 class=\"wp-block-heading\" style=\"color:#ffffff\">Don&#8217;t let heel pain take over your daily life<\/h2>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#e0e0e0\">If you\u2019ve been limping for months, if you\u2019ve given up on walking, running, or enjoying a stroll\u2014 <strong>you don\u2019t have to keep living like this<\/strong>. Heel spurs can be effectively treated, and in most cases, surgery isn\u2019t even necessary. <\/p>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#e0e0e0\"><strong>San Rom\u00e1n Clinic: Over 45 years of caring for your feet. Free consultation. <\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-b192c3d7 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=\"#contacto\" onclick=\"return false;\" style=\"color:#0a3d62;background-color:#ffffff;padding-top:16px;padding-right:28px;padding-bottom:16px;padding-left:28px;font-weight:700\">\ud83d\udcde Call us: +34 965 921 156<\/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=\"1333\" src=\"https:\/\/clinicasanroman.com\/wp-content\/uploads\/2026\/04\/evaluacion-gratuita-juanetes-san-roman.jpg.jpg\" alt=\"San 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Heel spur treatment in Alicante to relieve heel pain and restore your well-being. 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img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox-icon-above-title{text-align: center;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-786e2374 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-786e2374 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-786e2374.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-d1fb0105 .uagb-ifb-icon svg{fill: #333;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-d1fb0105 .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-d1fb0105 .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 19px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-d1fb0105 .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-d1fb0105 .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-d1fb0105 .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-infobox__content-wrap{text-align: left;}.uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: left;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox-icon-above-title{text-align: right;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}@media only screen and (max-width: 976px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}@media only screen and (max-width: 767px) {.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-left-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105 .uagb-ifb-content .uagb-ifb-right-title-image > svg{width: 30px;line-height: 30px;font-size: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-d1fb0105 .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;}.uagb-block-d1fb0105 .uagb-iconbox-icon-wrap{width: 30px;height: 30px;line-height: 30px;}.uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-d1fb0105.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg{margin-right: 5px;margin-left: 0px;}}.uagb-block-130741ef .uagb-ifb-icon{width: 30px;line-height: 30px;}.uagb-block-130741ef .uagb-ifb-icon > span{font-size: 30px;width: 30px;line-height: 30px;color: #333;}.uagb-block-130741ef .uagb-ifb-icon svg{fill: #333;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap svg{width: 30px;height: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-icon-wrap svg{line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-iconbox-icon-wrap{margin: auto;display: inline-flex;align-items: center;justify-content: center;box-sizing: content-box;width: 30px;height: 30px;line-height: 30px;padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-left-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-ifb-content .uagb-ifb-right-title-image svg{width: 30px;line-height: 30px;font-size: 30px;color: #333;fill: #333;}.uagb-block-130741ef .uagb-infobox__content-wrap .uagb-ifb-imgicon-wrap{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;}.uagb-block-130741ef .uagb-infobox .uagb-ifb-image-content img{border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content > img{padding-left: 0px;padding-right: 0px;padding-top: 0px;padding-bottom: 0px;border-radius: 0px;}.uagb-block-130741ef .uagb-ifb-title-wrap .uagb-ifb-title-prefix{margin-bottom: 10px;margin-top: 5px;}.uagb-block-130741ef .uagb-ifb-title{font-family: \"Playfair Display\";font-weight: 900;font-size: 19px;color: var(--ast-global-color-4);margin-bottom: 10px;}.uagb-block-130741ef .uagb-ifb-desc{color: var(--ast-global-color-4);margin-bottom: 20px;}.uagb-block-130741ef .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;margin-bottom: 0px;}.uagb-block-130741ef .uagb-infobox__content-wrap .uagb-ifb-separator{width: 30%;border-top-width: 2px;border-top-color: #333;border-top-style: solid;}.uagb-block-130741ef .uagb-ifb-align-icon-after{margin-left: 5px;}.uagb-block-130741ef .uagb-ifb-align-icon-before{margin-right: 5px;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content svg{box-sizing: content-box;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content img{box-sizing: content-box;}.uagb-block-130741ef .uagb-infobox__content-wrap{text-align: left;}.uagb-block-130741ef.uagb-infobox-icon-above-title{text-align: left;}.uagb-block-130741ef.uagb-infobox__content-wrap .uagb-infobox-cta-link > svg {margin-left: 5px;}[dir=rtl] .uagb-block-130741ef .uagb-iconbox-icon-wrap{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-icon-wrap > svg{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-right-title-image > img{padding-right: 0px;padding-left: 0px;}[dir=rtl] .uagb-block-130741ef.uagb-infobox__content-wrap .uagb-ifb-content .uagb-ifb-left-title-image > 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