Plantar fasciitis

What is

The plantar fascia is a thick band of tissue that runs across the sole of the foot and connects the heel bone to the toes. Inflammation of it is known as plantar fasciitis and is one of the most common causes of foot pain.

Causes

Obesity.
Impact sports such as running.
Achilles tendon problems.
Wearing shoes with poor arch support or soft soles.

Symptoms

The pain of plantar fasciitis manifests slowly as a shooting pain in the sole of the foot that appears at the onset of walking. It may be accompanied by symptoms such as stiffness and burning in the area. The pain is usually worse in the morning, when climbing stairs or after strenuous activity or even when walking.

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis and physical examination. The multidisciplinary vision is essential for a comprehensive approach (requiring the intervention of professionals in biomechanics, podiatry and physiotherapy), personalized, focused on detecting the factors that have produced the injury.

Complementary tests

Ultrasound and nuclear magnetic resonance.

Treatment

Interventional treatment: the pain unit has minimally invasive treatments to reduce pain sensation.
- Nerve blocks.
- Regenerative medicine.
  - Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
  - Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
  - Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
- Radiofrequency of Baxter’s nerve, which is responsible for picking up the sensitivity of this area.
Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

Here begins your life without pain

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Ivan Quer

Yolanda Beribos

Me ha encantado el trato tan amable, tan exquisito y siempre con una sonrisa que eso hace que incluso el dolor sea menor. Muy contenta con la atencion al paciente a la entrada como en el quirofano. Gracias.

Noemi Navarro

Muy agradecida. Levaba año y medio con un dolor intenso en la zona del sacro y con el procedimiento del doctor Duca el dolor se va minimizado muchísimo y esperemos que se vaya del todo. Muchas gracias!!

Marta Del Valle

Execelentes profesionales que dan respuesta a tu dolor

Sebastián Trujillo

Cristina Moya

Estoy encantada con el Doctor Francisco Duca y su gran profesionalidad y su trato humano. Hace que mi vida sea mucho mejor, y hace que mi día día sea mucho más llevadero. Rodeado de un gran equipo.
Lo recomiendo 100x100.