Specialist in Plantar Fasciitis Treatment with Injections.

Does this happen to you?

Do you have a dull ache at the base of your heel, especially when getting out of bed?

Do you have a feeling like a stone in your shoe?

Has the heel pain gotten worse and now you limp for a few minutes in the morning and then it goes away?

Heel pain caused by plantar fasciitis can result from various factors. To alleviate your heel pain, you should consult specialists in orthopaedics.

Take the first step towards a full and pain-free life with Regenerative Medicine.

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traumatologist foot specialist

Specialists in plantar fasciitis trreatments in Valencia

I am Miguel Alfonso Porcar, orthopedic surgeon and traumatologist of recognized prestige.

At Regenerat Traumatology Clinic we are specialists in the diagnosis and treatment of plantar fasciitis.

Our objective is to:

  • Determine the cause of your plantar fasciitis.
  • Perform appropriate diagnostic tests to determine the extent of your condition,
  • and apply the treatment of regenerative traumatology or orthopedic surgery to relieve your pain so that you can recover your wellbeing as soon as possible.

We have tried almost every treatment available and only use the ones that really work.

We don’t just focus on reducing pain, we treat the cause of your plantar fasciitis and heel pain.

This will ensure that your plantar fasciitis heals and is less likely to recur.

A curious note: Although there is an old notion that high heels are bad for women and flat shoes are good, almost all plantar fasciitis patients find relief with a wedge or heeled shoe.

We want to help our patients using the safest, most successful, least invasive and most economical treatments possible!

Speaking English Orthopedic Doctor Carlos Mairal

English-Speaking Orthopedic Doctor for International Patients

Dr Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides medical care in English for international patients.

If you are looking for cutting-edge treatment for musculoskeletal injuries, osteoarthritis, or tendinopathies and prefer to communicate in English, Dr Mairal will offer you personalised care in a professional and welcoming environment.

Book your appointment today and receive expert care from an English-speaking orthopedic doctor.

Foot and ankle pain

What is plantar fasciitis?

Plantar fasciitis is a painful inflammation of the plantar fascia, which is a thick band of tissue on the bottom of the foot, extending from the heel to the toes.

The plantar fascia can become thickened and inflamed due to irritation at its junction at the base of the heel bone (calcaneus), causing pain in the arch of the foot and heel. In some patients, small tears may occur and these people suffer acute pain that can be unbearable .

Sometimes heel spurs (bone spurs) can be seen on x-rays, but these are not usually the cause of the patient’s heel pain.

It should be noted that “heel spur” is a misdiagnosis that has been used by podiatrists and physicians for many years. Today, more and more professionals are open to the fact that heel spurs are not the problem and that these bone spurs do not cause pain.

Instead, the source of pain is inflammation within the plantar fascia surrounding the spur itself.

Fasciitis occurs most often in adult men and women, although it can also occur in people who are constantly on their feet.

Symptoms of foot pain and ankle pain

Causes of plantar fasciitis

The plantar fascia functions as a shock absorber and supports the arch of the foot.

  • Excessive pressure on the fascia can strain and tear the tissue, causing heel pain.
  • Over-stretching or repeated overuse causes irritation or inflammation of the fascia.

Other risk factors or causes that favor the appearance of plantar fasciitis are:

  • Very overweight or obese people .
  • Problems with the arch or curvature of the foot such as flat feet.
  • Tight calf muscles and wearing soft shoes are a problem.
  • Frequent long-distance running, ballet and aerobic dance.
  • Jobs that require walking or standing on hard surfaces for long periods of time.
  • Use of thin-soled shoes or shoes with little support for the arch of the foot.
  • Biomechanical problems that cause foot malfunction can also trigger the disease.
  • Patients who suddenly increase the amount or frequency of sports/exercise activity are also at risk.

There is no single cause of plantar fasciitis, it is multifactorial, as is the treatment of plantar fasciitis.

What are the symptoms of plantar fasciitis?

Signs and symptoms include:

Throbbing pain in the sole of the foot and heel.

  • Heel pain is common first thing in the morning when you get out of bed.
  • It reappears when standing up again after periods of rest, such as when driving or sitting.
  • Heel pain can be erratic and there are often pain-free periods when you may think it is healing.
  • If the pain comes on very suddenly, rather than gradually, it may be due to a tear of the plantar fascia.

Diagnosis of plantar fasciitis 

Dr. Miguel Alfonso Porcar will initially evaluate your medical history and then perform a physical examination or evaluation.

He or she will examine your foot for signs of flat or cavus foot, tenderness, swelling, redness, stiffness, or tightness of the arch of the foot.

More advanced imaging is often helpful in accurately defining the origin of the pain and therefore the best treatment for each individual.

  • It is important to differentiate between normal plantar fasciitis and plantar fascia tear, as the treatment is different.
  • An x-ray may be necessary to rule out a stress fracture, which sometimes causes similar symptoms.
  • Ultrasound helps us to accurately diagnose the cause of the patient’s heel pain.

An x-ray, ultrasound or MRI may be necessary to rule out other causes of heel pain, such as a stress fracture or pinched nerve.

Treatments for plantar fasciitis and heel pain

Our goal is to provide a long-term solution to your heel pain, not just quick pain relief.

We are specialists with extensive experience in the treatment of plantar fasciitis, as well as all other types of painful heel conditions.

Initial treatments usually include rest from activities that make the pain worse. Application of ice packs to the area at least 2 times a day and use of night splints that stretch the plantar fascia while you sleep.

Other treatments for heel pain caused by plantar fasciitis include:

  • Orthotics offload and support the plantar fascia, allowing the foot to heal naturally.
  • Shoe changes/recommendations: use shoes with a good support or heel cup and good cushioning capacity.
  • Custom-made prescription orthoses (soft arches).
  • Treatment with non-steroidal anti-inflammatory drugs(NSAIDs).
  • Inject corticosteroids directly into the plantar fascia to reduce pain and inflammation.
  • Physiotherapy: our physiotherapist will design an exercise program focused on stretching the plantar fascia and Achilles tendon, and strengthening the muscles of the lower leg.
  • Shock wave treatment: sound waves are directed to the painful area to stimulate the healing process.

 

Plantar fasciitis treatment with PRP Platelet-Rich Plasma

Multidisciplinary pain management in more complex cases with pain, we can perform platelet-rich plasma injections (abbreviated as PRP) as an option prior to fasciectomy surgery.

Platelet-rich plasma therapy is a regenerative treatment for plantar fasciitis that involves injecting your own platelets to activate the body’s natural repair and regeneration processes.

This biological therapy induces the mechanisms for healing, and is the treatment of choice for plantar fasciitis heel pain prior to fasciectomy.

Fasciectomy surgery

Surgery may be appropriate if you continue to have severe heel pain after 6 to 12 months of more conservative treatments and your heel pain is affecting your ability to work or do moderate exercise.

Plantar fasciitis surgery involves cutting (releasing) part of the plantar fascia ligament to release tension and relieve inflammation.

At Clinica Regenerat we perform this surgical technique percutaneously and on an outpatient basis.

After surgery, heel pain will most likely be reduced.

Of the few people who need surgery, approximately 75 out of 100 have less pain than before surgery.

 

Why Regenerat Clinic to treat your plantar fasciitis and heel pain in Valencia?

 

Referents in heel pain in Valencia

In the field of heel pain treatment, Regenerat clinic is your reference center.

Patient Testimonials

Our patients value our experience and multidisciplinary treatment. We provide solutions that are not found in other clinics and hospitals, through regenerative treatments for heel pain, which in many cases avoid the need for surgery.

State-of-the-art technology

Ultrasound diagnosis and less invasive state-of-the-art techniques that relieve and in many cases eliminate your heel pain in Valencia, offering better health and quality of life.

El doctor con su equipo forman un clínica de 10, así como sus instalaciones. El trato y la amabilidad forman parte de su A.D.N, recomendamos al 100% sus servicios.
Francisco José Figuerola Guillem Avatar
Francisco José Figuerola Guillem
12/08/2023
Mi nombre es Beatriz J. Castro, hace más de 6 años, fui diagnosticada con el grado más avanzado de artritis y teniendo como única solución un reemplazo de cadera. El Dr. Miguel Alfonso Porcar me inyectó mis plaquetas enriquecidas en la cadera por primera vez en Marzo del 2023 y desde ese momento sentí la mejoría, pero he esperado 8 meses para escribir mi experiencia, por considerar este lapso de tiempo más que prudente para confirmar mi consistente y notoria mejoría (desaparecieron los calambres, dolores y contracturas musculares, me siento más fuerte y estable al caminar, luego de trabajar o ir al gimnasio me recupero con mayor rapidez). Aprovecho para agradecerles de todo corazón, a los pacientes que han compartido sus experiencias vía video o por escrito y muy especialmente al Dr. Alfonso por su experiencia y gran conocimiento del poder sanador de la biología humana; a los podólogos por su profesionalismo y dedicación y a todo este equipo por su gran humanidad y empatía. My name is Beatriz J. Castro, more than 6 years ago, I was diagnosed with the most advanced degree of arthritis and the only solution was a hip replacement. Dr. Miguel Alfonso Porcar injected my enriched platelets into my hip for the first time in March 2023 and from that moment on I felt improvement, but I have waited 8 months to write my experience, considering this period of time more than prudent to confirm my consistent and noticeable improvement (cramps, pain and muscle contractures disappeared, I feel stronger and more stable when walking, after working or going to the gym I recover more quickly). I take this opportunity to wholeheartedly thank the patients who have shared their experiences via video or in writing and especially Dr. Alfonso for his experience and great knowledge of the healing power of human biology; to the podiatrists for their professionalism and dedication and to this entire team for their great humanity and empathy.
Beatriz Jimenez Avatar
Beatriz Jimenez
12/08/2023
Sufrí una lesión de ligamento colateral interno de la rodilla. Tras varias visitas a distintos profesionales, di con el doctor Alfonso y me propuso un tratamiento de proloterapia. Tras cuatro infiltraciones el resultado ha sido muy bueno y ya estoy practicando deporte. Muy recomendable el trato y la profesionalidad.
Emilio Hernandez Avatar
Emilio Hernandez
4/11/2023
Causes of foot or ankle pain

Causes of ankle or foot pain

Anyone can be at risk for foot or ankle pain, as it can result from injury or everyday wear and tear.

Some factors can increase the likelihood of a person suffering from foot and ankle pain include the following: 

  • Osteoarthritis of ankle: Occurs when the surface of the cartilage of the ankle begins to wear away. This causes inflammation, stiffness and pain in the joint.
  • Achilles tendinitis treatment: For the inflammation of the Achilles tendon, which can be very painful. In the absence of treatment, it becomes a long-term chronic problem that makes walking difficult.
  • Peroneal tendinopathy:Peroneal tendonitis causes pain on the outside of the foot and leg when walking or running. Peroneal tendonitis is rare and is caused by overuse that affects athletes, such as runners and long distance runners.
  • Plantar fasciitis injection: Plantar fasciitis is a degenerative disease of the thick band of tissue (fascia) on the bottom of the foot, which runs from the heel to the toes.
  • Bunions: mainly affect women due to the use of narrow shoes or heels. They manifest as painful bumps on the big toe. When the pain is persistent or the deformity is severe, the percutaneous bunion operation percutaneous bunion operation is the best solution.
  • Other foot and ankle conditions: calcaneal spur removal

New opening Regenerat: Orthopaedic surgeon in Gandía, Denia, Jávea....

Specialists in Regenerative Medicine and Physiotherapy in Gandía

Call ☎ 961 146 834

Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.

Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.

The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.

 

Providing expert care to patients from Denia and Javea to Benidorm and across Alicante at our Gandia clinic.

We are located at C/ Ciutat de Laval, 23, 46702 Gandia, Valencia, Spain.

Make an appointment in Gandia, Catarroja or Torrent

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Contact information

☎ 961 146 834

info@regeneratclinica.com

Schedule

Mornings – 9:30am – 14:00pm
Afternoons – 16:00pm – 20:00pm
Saturday & Sunday – Closed

Regenerat Clinic in Catarroja

Carrer Emili Ferrer Gómez, 4, 46470

Regenerat Clinic in Torrent

C/ del Mestre Lorenzo Fuertes Julvez, 14, 46901

Regenerat Clinic in Gandia

C/ Ciutat de Laval, 23, 46702 Gandia, Valencia