Heel pain breakthrough? new study pits needle therapy against surgery
NCT ID NCT07654660
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares a 6-week non-surgical treatment (manual therapy plus nerve stimulation) with surgery for people who have had heel pain for over 6 months and haven't gotten better with standard care. 120 adults aged 30-65 will choose their preferred treatment and be followed for 6 weeks to see which approach works better for pain and function. The goal is to give patients and doctors clearer evidence on whether to operate or try a more advanced non-surgical option first.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multimodal conservative intervention (manual therapy and ultrasound-guided percutaneous neuromodulation) versus endoscopic plantar fascial release surgery
- What this could lead to
- If it works, this could show that a non-surgical approach is as good as or better than surgery for stubborn heel pain, helping patients avoid an operation.
- What could go wrong
- This is a relatively small trial (120 people) and participants choose their treatment, which can bias results. The non-surgical treatment is complex and may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 30 to 65 years. * Diagnosis of chronic refractory plantar fasciopathy with symptom duration greater than 6 months. * Failure of at least two previous conservative treatments, each lasting at least 12 weeks. * Foot Function Index (FFI) total score ≥45 points. * Resting pain intensity ≥4/10 on the Visual Analog Scale (VAS). * Plantar fascia thickness ≥4 mm at the calcaneal insertion confirmed by ultrasound. * Ability to provide written informed consent and comply with study procedures. Exclusion Criteria: * Previous foot surgery on the affected side. * Calcaneal stress fracture. * Glycated hemoglobin (HbA1c) \>7.5%. * Inability or unwillingness to comply with study procedures or follow-up assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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European University of Valencia
Valencia, Valencia, 46010, Spain