Foot & Ankle Pain Treatment Without Surgery in Marbella

Plantar Fasciitis

Heel Pain

Plantar fasciitis is one of the most common causes of heel pain, affecting runners, active individuals and those who spend long periods on their feet. The plantar fascia — a thick band of connective tissue running along the bottom of the foot — becomes inflamed and degenerated, causing sharp, stabbing pain with the first steps of the morning or after periods of rest.

PRP therapy is one of the most clinically studied treatments for plantar fasciitis, with strong evidence supporting its ability to stimulate tissue repair and provide lasting pain relief — often outperforming cortisone injections in long-term outcomes. For chronic plantar fasciitis that has not responded to physiotherapy or other conservative treatment, PRP offers a highly effective non-surgical solution.

Achilles Tendinopathy

Achilles Tendon Degeneration

Achilles tendinopathy involves chronic degeneration of the Achilles tendon — the largest tendon in the body — causing pain, stiffness and swelling at the back of the ankle and lower leg. It is common in runners, cyclists and anyone who increases activity levels rapidly. Unlike acute tendon injuries, tendinopathy involves structural degeneration that does not heal effectively without targeted treatment.

PRP therapy directly addresses this degenerative process by delivering concentrated growth factors to the tendon, stimulating cellular repair and restoring tendon structure. It is particularly effective for mid-portion and insertional Achilles tendinopathy that has not responded to rest, physiotherapy or eccentric exercise programmes.

Ankle Arthritis

Degenerative Joint Disease

Ankle osteoarthritis involves progressive cartilage loss in the ankle joint, leading to pain, swelling, stiffness and reduced range of motion. It frequently develops following previous ankle injuries, fractures or chronic instability. Orthobiologic treatments can help reduce joint inflammation, support cartilage health and improve function — offering a non-surgical management option for patients who are not yet ready for or wish to avoid ankle fusion or replacement surgery.

Ankle Sprains & Instability

Ligament Damage

Repeated ankle sprains can stretch or partially tear the lateral ankle ligaments, leading to chronic instability, persistent pain and a feeling that the ankle gives way during activity. Chronic ankle instability is often undertreated with conventional approaches. PRP therapy supports ligament repair by delivering concentrated growth factors directly to the damaged connective tissue, helping to restore structural integrity and stability without surgery.

Posterior Tibial Tendon Inflammation

Flat Foot Deformity

Inflammation or degeneration of the posterior tibial tendon — the main tendon supporting the arch of the foot — leads to progressive flat foot deformity, pain along the inner ankle and difficulty standing on tiptoe. If left untreated, it can progress to significant structural foot deformity. Early intervention with PRP therapy can support tendon repair and help prevent further deterioration.

Peroneal Tendinopathy

Lateral Ankle Tendon Degeneration

Peroneal tendinopathy involves degeneration or inflammation of the peroneal tendons on the outer side of the ankle, causing pain, swelling and weakness — particularly during walking, running or when pushing off the foot. It is common following ankle sprains and in athletes involved in running or jumping sports. PRP therapy supports tendon repair and reduces the chronic inflammation associated with this often-overlooked condition.