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 studied treatments for plantar fasciitis. For chronic plantar fasciitis that has not responded to physiotherapy or other conservative treatment, PRP may be considered as a non-surgical option following assessment.

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 delivers concentrated growth factors to the tendon. Mid-portion and insertional Achilles tendinopathy are distinct forms of the condition, and evidence for PRP differs between them; a randomised trial found no benefit over placebo for chronic mid-portion Achilles tendinopathy, so suitability and expected benefit should be discussed with your clinician based on the specific diagnosis.

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. PRP therapy delivers concentrated growth factors directly to the damaged connective tissue. Non-surgical options may be considered after assessment. PRP should not be presented as a proven way to prevent surgery or as a substitute for surgery when indicated.

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. PRP therapy may be considered as part of an early treatment plan, following assessment of the specific stage of the condition.

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 delivers concentrated growth factors to the affected tendon; suitability and expected benefit depend on the specific diagnosis.