{"id":4598,"date":"2025-02-03T11:27:00","date_gmt":"2025-02-03T10:27:00","guid":{"rendered":"https:\/\/clinicasanroman.com\/tratamientos\/fasciitis-plantaris\/"},"modified":"2026-06-11T17:28:16","modified_gmt":"2026-06-11T15:28:16","slug":"fasciitis-plantaris","status":"publish","type":"tratamientos","link":"https:\/\/clinicasanroman.com\/nl\/behandelingen\/fasciitis-plantaris\/","title":{"rendered":"Fasciitis plantaris"},"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\/nl\/behandelingen\/fasciitis-plantaris\/#breadcrumb\",\n   \"itemListElement\": [\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 1,\n     \"name\": \"Home\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 2,\n     \"name\": \"Behandelingen\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/\"\n    },\n    {\n     \"@type\": \"ListItem\",\n     \"position\": 3,\n     \"name\": \"Fasciitis plantaris\",\n     \"item\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/fasciitis-plantaris\/\"\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\/nl\/behandelingen\/fasciitis-plantaris\/#condition\",\n   \"name\": \"Fasciitis plantaris\",\n   \"inLanguage\": \"nl\",\n   \"associatedAnatomy\": {\n    \"@type\": \"AnatomicalStructure\",\n    \"name\": \"Hiel\"\n   }\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/clinicasanroman.com\/nl\/behandelingen\/fasciitis-plantaris\/#faq\",\n   \"inLanguage\": \"nl\",\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Hoe lang duurt het voordat fasciitis plantaris genezen is?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Bij een goed uitgevoerde conservatieve behandeling treedt er na 4 tot 6 weken verbetering op en is de aandoening binnen 3 tot 6 maanden volledig genezen. In 10% van de gevallen wordt de fasciitis chronisch en zijn specifieke behandelingen nodig (schokgolven, PRP of MIS-chirurgie). Het ergste is om de aandoening niet te behandelen: hoe langer de pijn aanhoudt, hoe moeilijker deze te verhelpen is.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Waarom doet het meer pijn als ik opsta?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"'s Nachts trekt de fascia zich in rust samen. Wanneer u \u2019s ochtends uw gewicht op de voet zet, veroorzaakt de plotselinge trekkracht op het aangetaste weefsel een kenmerkende stekende pijn. Dat is de reden waarom de eerste stappen het pijnlijkst zijn. Het dragen van een nachtbrace kan de pijn in milde gevallen verlichten.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moet ik een operatie ondergaan voor mijn hielspoor?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Bijna nooit. De hielspoor is een reactieve verkalking en niet de oorzaak van de pijn. Het operatief verwijderen ervan lost de fasciitis niet op. De operaties die wel kunnen helpen, zijn een percutane gedeeltelijke fasciotomie en\/of een verlenging van de gastrocnemius, die de werkelijke oorzaak aanpakken.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Mag men hardlopen met fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"In de acute fase is het raadzaam om het trainingsvolume sterk te verminderen of een paar weken te stoppen. Hardlopen met pijn verergert de fasciitis vaak en vertraagt het herstel. Als de pijn onder controle is en u over geschikte inlegzolen beschikt, kunt u het hardlopen geleidelijk weer oppakken. Als sport voor u belangrijk is, raadpleeg dan tijdig een arts.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Doen schokgolven pijn?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Ze zijn vervelend, maar draaglijk. De energie wordt aangepast aan elke pati\u00ebnt en elk behandelingsgebied. De meeste pati\u00ebnten beschrijven een \u201eprikkelend\u201d gevoel tijdens de sessie (die 5 tot 10 minuten duurt), met lichte restklachten gedurende 24 tot 48 uur. Er zijn geen systemische bijwerkingen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Wat is beter: schokgolven of PRP?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Dit hangt af van het profiel van de pati\u00ebnt en de ernst van de aandoening. Er is meer wetenschappelijk bewijs voor schokgolftherapie, en deze behandeling vormt de eerste stap wanneer basismaatregelen niet aanslaan. PRP is een nuttig regeneratief alternatief bij hardnekkige chronische gevallen. Soms worden beide behandelingen gecombineerd. De beslissing wordt tijdens het consult genomen na een echografie.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Mag ik corticostero\u00efden gebruiken?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Injecties met corticostero\u00efden verlichten de pijn op korte termijn, maar verzwakken de fascia en verhogen het risico op scheuren bij herhaald gebruik. Bovendien pakken ze de oorzaak niet aan. Het is niet de eerste keuze in onze kliniek, en wanneer ze worden toegepast, gebeurt dat slechts zeer sporadisch en in geselecteerde gevallen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Hoe verloopt het herstel na een percutane fasciotomie?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Na een gedeeltelijke percutane fasciotomie kunt u nog dezelfde dag lopen met een postoperatieve schoen. De belasting wordt geleidelijk opgevoerd; meestal kunt u binnen 1 \u00e0 2 weken weer zittend werk verrichten en na 4 tot 8 weken weer sporten. Het litteken (3-4 mm) is vrijwel onzichtbaar.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Hebben alleen hardlopers last van fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Het beroep is een risicofactor, maar de meeste pati\u00ebnten die zich melden, zijn mensen met een zittend leven en overgewicht, beroepsbeoefenaars die vele uren staand doorbrengen of vrouwen in de perimenopauze vanwege hormonale veranderingen in het collageenweefsel.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Moet men dure merk-inlegzolen kopen?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Onjuist. Het belangrijkste is dat de inlegzool is aangepast aan uw biomechanica, niet het merk. Een generieke inlegzool is, hoe duur ook, niet effectief. Een op maat gemaakte inlegzool van een podoloog is superieur aan elke standaardinlegzool.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Is blootsvoets lopen goed voor fasciitis?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"In de acute fase niet. De fascia zonder ondersteuning raakt dan nog meer gespannen en de klachten verergeren. In de preventieve fase (zonder pijn) en op zachte ondergronden (zand, gras) kan het de intrinsieke spieren van de voet versterken, maar bij actieve pijn kunt u beter niet op blote voeten over harde vloeren lopen.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Kan ik mezelf behandelen met een tennisbal?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Zelfmassage met een bal of rol kan lichte klachten verlichten, maar is geen vervanging voor een professionele diagnose of behandeling. Als de pijn langer dan 6 weken aanhoudt, is een gespecialiseerde beoordeling nodig.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\ud83d\udcda Wetenschappelijke literatuur en bronvermeldingen\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Conservatieve behandeling (schokgolven, PRP, steunzolen):- Zuo A, Gao C, Jia Q, et al. Platelet-Rich Plasma versus corticostero\u00efden bij de behandeling van plantaire fasciitis: een systematische review en meta-analyse. Am J Phys Med Rehabil. 2025;104(7):613-621. [PubMed]- Lippi L, Folli A, Moalli S, et al. Werkzaamheid en verdraagbaarheid van extracorporale schokgolftherapie bij pati\u00ebnten met plantaire fasciopathie: een systematische review met meta-analyse en metaregressie. 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. Werkzaamheid van extracorporale schokgolftherapie, vergeleken met corticostero\u00efdinjecties, op pijn, de dikte van de plantaire fascia en de voetfunctie bij pati\u00ebnten met plantaire fasciitis. Clin Rehabil. 2024;38(8):1023-1043. [PubMed]- Tung WS, Daher M, Covarrubias O, et al. Extracorporale schokgolftherapie vertoont vergelijkbare resultaten met andere behandelingsmethoden voor de behandeling van plantaire fasciitis. Foot Ankle Surg. 2025;31(4):283-290. [PubMed]- Melese H, Alamer A, Getie K, et al. Extracorporale schokgolftherapie op pijn en voetfuncties bij personen met chronische plantaire fasciitis: systematische review van RCT's. Disabil Rehabil. 2022;44(18):5007-5014. [PubMed]Minimaal invasieve chirurgie (percutane, endoscopische, Strayer\/Baumann-fasciotomie):- Encinas R, Hall S, Gauthier C, et al. Minimaal invasieve, echogeleide percutane plantaire fasciotomie bij chronische plantaire fasciitis: een retrospectieve analyse. Foot Ankle Surg. 2025;31(8):737-741. [PubMed]- Ward L, Mercer NP, Azam MT, et al. Resultaten van endoscopische behandeling van plantaire fasciitis: een systematische review. Foot Ankle Spec. 2025;18(2):193-201. [PubMed]- Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. Endoscopische fasciotomie bij plantaire fasciitis levert superieure resultaten op in vergelijking met een gecontroleerd niet-operatief behandelprotocol: een RCT. Knee Surg Sports Traumatol Arthrosc. 2020;28(10):3301-3308. [PubMed]- Gamba C, \u00c1lvarez Gomez C, Mart\u00ednez Zaragoza J, et al. Proximale mediale gastrocnemius-release: chirurgische techniek. JBJS Essent Surg Tech. 2022;12(1):e20.00039. [PubMed]Epidemiologie en risicofactoren:- Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. Risicofactoren voor plantaire fasciitis bij lichamelijk actieve personen: een systematische review en meta-analyse. Sports Health. 2021;13(3):296-303. [PubMed]- Liu P, Chen Q, Yang K, Cai F. Prevalentie, kenmerken en bijbehorende risicofactoren van hielpijn bij Amerikanen: de cross-sectionele NHANES-studie. 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>BEHANDELING VAN FASCIITIS PLANTARIS IN ALICANTE<\/strong><\/p>\n\n\n\n<h1 class=\"wp-block-heading\" style=\"font-size:48px;line-height:1.1\">Fasciitis plantaris: definitieve behandeling in Alicante<\/h1>\n\n\n\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#0a3d62;font-size:22px;font-style:italic\">Pijn in de hiel bij het opstaan. Inlegzolen die niet echt helpen. Hier is de oplossing.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Als u elke ochtend uw eerste stappen zet met een <strong>stekende pijn in de hiel<\/strong>, heeft u waarschijnlijk <strong>fasciitis plantaris<\/strong>. Bij <strong>Cl\u00ednica San Rom\u00e1n<\/strong> behandelen wij deze aandoening al meer dan 45 jaar met een uitgebreid behandelprotocol: <strong>steunzolen op maat, schokgolftherapie (ESWT), PRP-injecties<\/strong> en, in gevallen die niet reageren op conservatieve behandeling, <strong>minimaal invasieve percutane fasciotomie<\/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 Vraag uw gratis evaluatie aan<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:13px\"><strong>\u2b50 4,8\/5<\/strong> (190 beoordelingen) \u00b7  <strong>\ud83c\udfc5 Cert. MIS23BE03 <\/strong>  \u00b7 <strong>\ud83c\uddea\ud83c\uddfa 5 talen<\/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=\"Hielpijn door fasciitis plantaris \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\">Gesteund door 45 jaar ervaring<\/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 jaar en ouder<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:14px\">Een huisartsenpraktijk, opgericht 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\">De eersten in Europa met een certificering van de American Board<\/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 geverifieerde recensies op 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\">Talen: 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\">Onder leiding van <strong>dr. Jos\u00e9 Manuel San Rom\u00e1n P\u00e9rez<\/strong> (oprichter) en <strong>dr. Israel San Rom\u00e1n Sirvent<\/strong>, sinds 1986 Fellow van de American Academy of Ambulatory Foot &amp; Ankle Surgery.<\/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=\"Anatomie van de hiel \u2014 plantaire fascia en hielspoor\" 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\">Wat is fasciitis plantaris?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">De <strong>plantaire fascia<\/strong> is een dikke band van vezelig weefsel die over de voetzool loopt, van de hiel tot aan de basis van de tenen, en zo de binnenste lengteboog vormt. <strong>Fasciitis plantaris<\/strong> is de ontsteking en degeneratie van deze fascia ter hoogte van de aanhechting aan de <strong>hiel<\/strong>, en is <strong>de meest voorkomende oorzaak van hielpijn bij volwassenen<\/strong>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Het mechanisme is <strong>herhaaldelijk microtrauma<\/strong>: bij elke stap wordt de fascia aan een trekkracht blootgesteld. Wanneer deze belasting langdurig aanhoudt (overgewicht, ongeschikt schoeisel, sport met veel schokken, verkorting van de gastrocnemius), verliest de fascia haar normale structuur, ontstaan er micro scheurtjes en verandert het weefsel in een degeneratief weefsel (<em>fasciopathie<\/em>), in plaats van louter ontstekingsweefsel. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is dit hetzelfde als een hielspoor?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nee.<\/strong>  Een hielspoor is een botverkalking die op het hielbeen ontstaat als reactie op aanhoudende trekkracht op de fascia. Het is het <em>gevolg<\/em>, niet de oorzaak van de pijn. <strong>Veel mensen hebben een hielspoor zonder pijn<\/strong> en anderen hebben fasciitis zonder hielspoor. De behandeling is niet gericht op de hielspoor, maar op de fascia en de mechanische oorzaak die deze beschadigt.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Hoe vaak komt dit voor?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Chronische hielpijn komt voor bij ongeveer <strong>11% van de volwassen bevolking<\/strong>. Het komt vaker voor bij vrouwen tussen de 40 en 65 jaar, bij mensen met overgewicht, bij hardlopers en bij beroepsbeoefenaars die vele uren per dag staan. <\/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\">Symptomen: hoe weet u of u fasciitis plantaris heeft?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Het belangrijkste symptoom, dat zo kenmerkend is dat het bijna op zichzelf al voldoende is voor de diagnose:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Een stekende pijn aan de binnenkant van de hiel bij de eerste stappen \u2019s ochtends<\/strong> of na een tijdje zitten. De pijn neemt af tijdens het lopen, maar komt terug na langdurig staan. <\/li>\n\n\n\n<li>Pijn bij het palperen van de mediale zijde van de hiel.<\/li>\n\n\n\n<li><strong>De pijn verergert bij dorsiflexie van de grote teen<\/strong> (positief Windlass-teken).<\/li>\n\n\n\n<li>Pijn over de gehele voetboog bij gevorderde gevallen.<\/li>\n\n\n\n<li>De neiging om <strong>alleen op de voorvoet te lopen<\/strong> om pijn te vermijden (wat secundaire overbelasting veroorzaakt).<\/li>\n\n\n\n<li>Bij chronische aandoeningen: <strong>verkorting en verstijving van de achillespees<\/strong> en de gastrocnemius-spieren.<\/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 Wanneer u direct een afspraak kunt maken<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>De pijn <strong>houdt al meer dan zes weken aan<\/strong> en wordt niet beter door rust en goed schoeisel.<\/li>\n\n\n\n<li>U hebt inlegzolen, rekoefeningen en ontstekingsremmers geprobeerd\u2026 <strong>maar het helpt niet<\/strong>.<\/li>\n\n\n\n<li>Vermoeden van <strong>een gedeeltelijke scheur in de fascia<\/strong> (plotselinge pijn na een sprong of tijdens het hardlopen).<\/li>\n\n\n\n<li>Het heeft invloed op uw <strong>levenskwaliteit, uw werk of uw sportbeoefening<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Chronische fasciitis plantaris is veel moeilijker te behandelen. Een vroege diagnose en een <strong>behandeling op maat<\/strong> maken het verschil. <\/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\">Vraag uw beoordeling aan \u2014 wacht niet langer<\/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=\"Symptomen van fasciitis plantaris \u2014 scherpe pijn in de voet bij het opstaan of na langdurig staan\" 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=\"Schoenen met hoge hakken als veelvoorkomende oorzaak van voetafwijkingen\" 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\">Waarom ontstaat fasciitis plantaris?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Er is zelden sprake van \u00e9\u00e9n enkele oorzaak. Meestal gaat het om een combinatie van factoren die de spanning op de fascia vergroten: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Verkorting van de achterste spierketen<\/strong> (gastrocnemius\/achillespees): dit is de belangrijkste factor, die vaak wordt onderschat.<\/li>\n\n\n\n<li><strong>Overgewicht of obesitas<\/strong> (BMI &gt; 27).<\/li>\n\n\n\n<li><strong>Platvoeten<\/strong> (pronatie) of <strong>holvoeten<\/strong> \u2014 beide be\u00efnvloeden de fysiologische spanning van de fascia.<\/li>\n\n\n\n<li><strong>Ongeschikt schoeisel<\/strong>: platte schoenen zonder demping, minimalistische sandalen, hoge hakken.<\/li>\n\n\n\n<li><strong>Beroepsbeoefenaars die vele uren staand doorbrengen<\/strong> (gezondheidswerkers, obers, verkopers, docenten).<\/li>\n\n\n\n<li><strong>Sporten met veel impact<\/strong> zonder passende opbouw (hardlopen, basketbal, CrossFit).<\/li>\n\n\n\n<li><strong>Plotselinge veranderingen<\/strong>: het begin van de training, een toename van het aantal kilometers, hardere ondergronden.<\/li>\n\n\n\n<li>Leeftijd: vanaf de leeftijd van 40-50 jaar verliest het bindweefsel geleidelijk aan zijn elasticiteit.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Daarom is het voor een effectieve behandeling noodzakelijk om de oorzaken op te sporen en aan te pakken, en niet alleen de pijn te verlichten.<\/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\">Conservatieve behandeling: de eerste keuze<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>90% van de gevallen van fasciitis plantaris kan worden verholpen met een goed opgezette conservatieve behandeling<\/strong>, mits deze alle relevante aspecten omvat. Bij Cl\u00ednica San Rom\u00e1n hanteren wij een uitgebreid behandelprotocol: <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udde9 Steunzolen op maat<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ontworpen op basis van uw biomechanisch onderzoek: ondersteuning van de voetboog, ontlasting van de hiel, stabilisatie van de voetafwikkeling. <strong>Een inlegzool uit de apotheek is niet hetzelfde als een steunzool op maat<\/strong>: het verschil in effect is enorm.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udfc3 Rek- en spierversterkende oefeningen<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Absoluut essentieel: rekoefeningen voor <strong>de kuitspieren, de achillespees en de plantaire fascia<\/strong>. Deze oefeningen moeten dagelijks worden uitgevoerd, in meerdere sets, bij voorkeur voordat u uit bed komt en voordat u naar bed gaat. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83c\udf0a Schokgolftherapie (ESWT)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Extracorporale schokgolftherapie<\/strong> is een van de behandelingen met het hoogste niveau van wetenschappelijk bewijs (niveau I) bij chronische fasciitis plantaris. Deze <strong>therapie<\/strong> stimuleert weefselregeneratie, vermindert pijn en verbetert de functie van de voet. Meestal worden er 3 tot 5 sessies per week uitgevoerd. <strong>Het is de optie met de beste baten-risicoverhouding<\/strong> wanneer de basismaatregelen niet voldoende zijn geweest.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc89 Injectie met PRP (plaatjesrijk plasma)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Bij chronische of hardnekkige gevallen biedt een <strong>PRP-injectie<\/strong> (autologe groeifactor) een regeneratieve behandeling met <strong>een beter veiligheidsprofiel dan corticostero\u00efden op de middellange tot lange termijn<\/strong> (corticostero\u00efden kunnen de fascia verzwakken en het risico op scheuren vergroten).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddb6 Podologie en controle van de voetboog<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Een gangbare podologische behandeling om de fascia te ontlasten en een verkeerde stand te corrigeren die deze overbelast.<\/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=\"Behandeling met extracorporale schokgolven (ESWT) bij fasciitis plantaris \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\">Wanneer conservatieve behandeling niet volstaat: MIS-chirurgie<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:20px;font-style:italic\">Percutane plantaire fasciotomie in verlenging van de gastrocnemius: een definitieve oplossing voor chronische fasciitis plantaris.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ongeveer <strong>10% van de pati\u00ebnten reageert niet op een<\/strong> gedurende zes maanden correct uitgevoerde <strong>conservatieve behandeling<\/strong>. In die gevallen biedt minimaal invasieve chirurgie een definitieve oplossing, met <strong>bewijs van niveau I<\/strong> dat wordt ondersteund door gerandomiseerde klinische studies (Johannsen et al., 2020). <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Gedeeltelijke percutane plantaire fasciotomie<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Onder <strong>plaatselijke verdoving en echografische controle<\/strong> wordt een kleine incisie van 3-4 mm gemaakt in de mediale aanhechting van de fascia, waarna het beschadigde gebied gedeeltelijk wordt ontlast. De ontlasting is selectief \u2014 nooit volledig \u2014 om de voetboog te behouden en instorting te voorkomen. Het herstel verloopt snel: onmiddellijke belasting met een postoperatieve schoen, geleidelijke terugkeer naar normale activiteiten binnen 2-4 weken.  <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Percutane verlenging van de gastrocnemius (Baumann\/Strayer-techniek)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Wanneer de fasciitis wordt veroorzaakt door <strong>een aanzienlijke verkorting van de achterste keten<\/strong> (beperkte dorsiflexie, zelfs bij gestrekte knie), neemt de percutane verlenging van de gastrocnemius de onderliggende oorzaak weg, waardoor een stabieler herstel mogelijk wordt. Deze ingreep kan eveneens poliklinisch worden uitgevoerd onder plaatselijke verdoving. <\/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=\"Herstel \u2014 weer pijnloos lopen na een MIS-operatie aan de voet\" 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>Opstaan zonder pijn in de hiel. Weer kunnen lopen en rennen. Dat is mogelijk met de juiste behandeling.  <\/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\">Gaat uw fasciitis niet over? Vraag uw gratis evaluatie aan<\/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=\"Eerste podologisch consult in 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\">Uw eerste consult bij ons<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Eerste gratis evaluatie, geheel vrijblijvend.<\/strong>  In 30-45 minuten maken we:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Een uitgebreide anamnese<\/strong>: hoe lang u al pijn heeft, wat u al heeft geprobeerd, en uw activiteitsniveau.<\/li>\n\n\n\n<li><strong>Lichamelijk onderzoek<\/strong>: palpatie, Windlass-test, Silfverski\u00f6ld-test (dorsiflexie met en zonder gestrekte knie).<\/li>\n\n\n\n<li>Biomechanische ganganalyse in statische en dynamische omstandigheden.<\/li>\n\n\n\n<li><strong>Echografie van de hiel<\/strong> om de dikte en structuur van de fascia te beoordelen, evenals eventuele scheuren.<\/li>\n\n\n\n<li><strong>Een persoonlijk behandelplan<\/strong>: wat u eerst moet doen, wat u kunt verwachten en wanneer u de situatie opnieuw moet beoordelen.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Wij bieden onze diensten aan in <strong>het Spaans, Engels, Duits, Frans en Nederlands<\/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\">Veelgestelde vragen over fasciitis plantaris<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccb Diagnose en prognose<\/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\">Hoe lang duurt het voordat fasciitis plantaris genezen is?<\/span><\/div><div class=\"uagb-faq-content\"><p>Bij een goed uitgevoerde conservatieve behandeling treedt er na 4 tot 6 weken verbetering op en is de aandoening binnen 3 tot 6 maanden volledig genezen. In 10% van de gevallen wordt de fasciitis chronisch en zijn specifieke behandelingen nodig (schokgolven, PRP of MIS-chirurgie). <strong>Het ergste is om de aandoening niet te behandelen<\/strong>: hoe langer de pijn aanhoudt, hoe moeilijker deze te verhelpen is. <\/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\">Waarom doet het meer pijn als ik opsta?<\/span><\/div><div class=\"uagb-faq-content\"><p>&#8217;s Nachts trekt de fascia zich in rust samen. Wanneer u \u2019s ochtends uw gewicht op de voet zet, veroorzaakt de plotselinge trekkracht op het aangetaste weefsel een kenmerkende stekende pijn. Dat is de reden waarom de eerste stappen het pijnlijkst zijn. Het dragen van een nachtbrace kan de pijn in milde gevallen verlichten.   <\/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\">Moet ik een operatie ondergaan voor mijn hielspoor?<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Bijna nooit.<\/strong>  De hielspoor is een reactieve verkalking en niet de oorzaak van de pijn. Het operatief verwijderen ervan lost de fasciitis niet op. De operaties die wel kunnen helpen, zijn een percutane gedeeltelijke fasciotomie en\/of een verlenging van de gastrocnemius, die de werkelijke oorzaak aanpakken.  <\/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\">Mag men hardlopen met fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p>In de acute fase is het raadzaam om het trainingsvolume sterk te verminderen of een paar weken te stoppen. Hardlopen met pijn verergert de fasciitis vaak en vertraagt het herstel. Als de pijn onder controle is en u over geschikte inlegzolen beschikt, kunt u het hardlopen geleidelijk weer oppakken. Als sport voor u belangrijk is, raadpleeg dan tijdig een arts.   <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\ud83e\ude7a Behandelingen<\/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\">Doen schokgolven pijn?<\/span><\/div><div class=\"uagb-faq-content\"><p>Ze zijn vervelend, maar draaglijk. De energie wordt aangepast aan elke pati\u00ebnt en elk behandelingsgebied. De meeste pati\u00ebnten beschrijven een \u201eprikkelend\u201d gevoel tijdens de sessie (die 5 tot 10 minuten duurt), met lichte restklachten gedurende 24 tot 48 uur. Er zijn geen systemische bijwerkingen.   <\/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\">Wat is beter: schokgolven of PRP?<\/span><\/div><div class=\"uagb-faq-content\"><p>Dit hangt af van het profiel van de pati\u00ebnt en de ernst van de aandoening. Er is meer wetenschappelijk bewijs voor <strong>schokgolftherapie<\/strong>, en deze behandeling vormt de eerste stap wanneer basismaatregelen niet aanslaan. <strong>PRP<\/strong> is een nuttig regeneratief alternatief bij hardnekkige chronische gevallen. Soms worden beide behandelingen gecombineerd. De beslissing wordt tijdens het consult genomen na een echografie.    <\/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\">Mag ik corticostero\u00efden gebruiken?<\/span><\/div><div class=\"uagb-faq-content\"><p>Injecties met corticostero\u00efden verlichten de pijn op korte termijn, maar <strong>verzwakken de fascia<\/strong> en verhogen het risico op scheuren bij herhaald gebruik. Bovendien pakken ze de oorzaak niet aan. Het is niet de eerste keuze in onze kliniek, en wanneer ze worden toegepast, gebeurt dat slechts zeer sporadisch en in geselecteerde gevallen.  <\/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\">Hoe verloopt het herstel na een percutane fasciotomie?<\/span><\/div><div class=\"uagb-faq-content\"><p>Na een gedeeltelijke percutane fasciotomie kunt u nog dezelfde dag lopen met een postoperatieve schoen. De belasting wordt geleidelijk opgevoerd; meestal kunt u binnen 1 \u00e0 2 weken weer zittend werk verrichten en na 4 tot 8 weken weer sporten. Het litteken (3-4 mm) is vrijwel onzichtbaar.  <\/p><\/div><\/div><\/div>\n\n\n<h3 class=\"wp-block-heading\">\u274c Mythen<\/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\">Hebben alleen hardlopers last van fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Het beroep is een risicofactor, maar de meeste pati\u00ebnten die zich melden, zijn mensen met een zittend leven en overgewicht, beroepsbeoefenaars die vele uren staand doorbrengen of vrouwen in de perimenopauze vanwege hormonale veranderingen in het collageenweefsel. <\/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\">Moet men dure merk-inlegzolen kopen?<\/span><\/div><div class=\"uagb-faq-content\"><p>Onjuist. Het belangrijkste is dat de inlegzool is <strong>aangepast aan uw biomechanica<\/strong>, niet het merk. Een generieke inlegzool is, hoe duur ook, niet effectief. Een op maat gemaakte inlegzool van een podoloog is superieur aan elke standaardinlegzool.   <\/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 blootsvoets lopen goed voor fasciitis?<\/span><\/div><div class=\"uagb-faq-content\"><p>In de acute fase <strong>niet<\/strong>. De fascia zonder ondersteuning raakt dan nog meer gespannen en de klachten verergeren. In de preventieve fase (zonder pijn) en op zachte ondergronden (zand, gras) kan het de intrinsieke spieren van de voet versterken, maar bij actieve pijn kunt u beter niet op blote voeten over harde vloeren lopen.  <\/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\">Kan ik mezelf behandelen met een tennisbal?<\/span><\/div><div class=\"uagb-faq-content\"><p>Zelfmassage met een bal of rol kan lichte klachten verlichten, maar is geen vervanging voor een professionele diagnose of behandeling. Als de pijn langer dan 6 weken aanhoudt, is een gespecialiseerde beoordeling nodig. <\/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 Wetenschappelijke literatuur en bronvermeldingen<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Conservatieve behandeling (schokgolven, PRP, steunzolen):<\/strong><br \/>- Zuo A, Gao C, Jia Q, et al. <em>Platelet-Rich Plasma versus corticostero\u00efden bij de behandeling van plantaire fasciitis: een systematische review en meta-analyse.<\/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 \/>- Lippi L, Folli A, Moalli S, et al. <em>Werkzaamheid en verdraagbaarheid van extracorporale schokgolftherapie bij pati\u00ebnten met plantaire fasciopathie: een systematische review met meta-analyse en metaregressie.<\/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 \/>- Cort\u00e9s-P\u00e9rez I, Moreno-Montilla L, Ib\u00e1\u00f1ez-Vera AJ, et al. <em>Werkzaamheid van extracorporale schokgolftherapie, vergeleken met corticostero\u00efdinjecties, op pijn, de dikte van de plantaire fascia en de voetfunctie bij pati\u00ebnten met plantaire 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 \/>- Tung WS, Daher M, Covarrubias O, et al. <em>Extracorporale schokgolftherapie vertoont vergelijkbare resultaten met andere behandelingsmethoden voor de behandeling van plantaire 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 \/>- Melese H, Alamer A, Getie K, et al. <em>Extracorporale schokgolftherapie op pijn en voetfuncties bij personen met chronische plantaire fasciitis: systematische review van RCT&#8217;s.<\/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>Minimaal invasieve chirurgie (percutane, endoscopische, Strayer\/Baumann-fasciotomie):<\/strong><br \/>- Encinas R, Hall S, Gauthier C, et al. <em>Minimaal invasieve, echogeleide percutane plantaire fasciotomie bij chronische plantaire fasciitis: een retrospectieve analyse.<\/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 \/>- Ward L, Mercer NP, Azam MT, et al. <em>Resultaten van endoscopische behandeling van plantaire fasciitis: een systematische 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 \/>- Johannsen F, Konradsen L, Herzog R, Krogsgaard MR. <em>Endoscopische fasciotomie bij plantaire fasciitis levert superieure resultaten op in vergelijking met een gecontroleerd niet-operatief behandelprotocol: een 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 \/>- Gamba C, \u00c1lvarez Gomez C, Mart\u00ednez Zaragoza J, et al. <em>Proximale mediale gastrocnemius-release: chirurgische techniek.<\/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>Epidemiologie en risicofactoren:<\/strong><br \/>- Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. <em>Risicofactoren voor plantaire fasciitis bij lichamelijk actieve personen: een systematische review en meta-analyse.<\/em> Sports Health. 2021;13(3):296-303. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33530860\/\" target=\"_blank\" rel=\"noopener\">[PubMed]<\/a><br \/>- Liu P, Chen Q, Yang K, Cai F. <em>Prevalentie, kenmerken en bijbehorende risicofactoren van hielpijn bij Amerikanen: de cross-sectionele NHANES-studie.<\/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=\"Vraag uw gratis consult aan bij Cl\u00ednica San Rom\u00e1n in 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\">Sta zonder pijn op. Begin vandaag nog met uw behandeling. <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Fasciitis plantaris kan effectief worden behandeld.  <strong>De eerste beoordeling is gratis en vrijblijvend.<\/strong>  Een nauwkeurige diagnose, een persoonlijk behandelplan en de beste beschikbare behandelingen om u weer pijnloos te laten lopen.<\/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\/nl\/neem-contact-op-met\/\" onclick=\"return false;\" style=\"color:#0a3d62;background-color:#FFFFFF;padding-top:16px;padding-right:32px;padding-bottom:16px;padding-left:32px\">\ud83d\udcc5 Vraag uw gratis evaluatie aan<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BEHANDELING VAN FASCIITIS PLANTARIS IN ALICANTE Fasciitis plantaris: definitieve behandeling in Alicante Pijn in de hiel bij het opstaan. Inlegzolen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"template":"","meta":{"inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-kleur-5)","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"herhaal","background-position":"centrum centrum","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"ubicacion":[95],"class_list":["post-4598","tratamientos","type-tratamientos","status-publish","hentry","ubicacion-retropie-nl"],"spectra_custom_meta":{"_top_nav_excluded":[""],"_cms_nav_minihome":[""],"_wp_page_template":["default"],"_last_translation_edit_mode":["native-editor"],"_wpml_word_count":["1620"],"_oembed_d6476a921c15087514eb115a8806c5df":["<iframe title=\"Fascitis Plantar \ud83d\udc63 Cl\u00ednica San Rom\u00e1n\" width=\"1200\" height=\"675\" src=\"https:\/\/www.youtube.com\/embed\/nFn4N3uGuU0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; 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