[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100641547":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":51,"collaborators":25,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":25,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":25,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":74,"overallStatus":85,"whyStopped":25,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"Universidad Europea de Valencia","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Multimodal Conservative Intervention","EXPERIMENTAL","Participants assigned to this arm will receive a 6-week multimodal conservative intervention consisting of manual therapy techniques combined with ultrasound-guided percutaneous neuromodulation, delivered in 12 supervised sessions (2 sessions per week).",[13],"Procedure: Multimodal Conservative Intervention",{"label":15,"type":16,"description":17,"interventionNames":18},"Surgical Management","ACTIVE_COMPARATOR","Participants assigned to this arm will undergo endoscopic plantar fascial release followed by a standardized postoperative rehabilitation program, including manual therapy during the rehabilitation period.",[19],"Procedure: Endoscopic Plantar Fascial Release",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","A 6-week multimodal conservative treatment including manual therapy techniques (gastrocnemius stretching, transverse friction massage, and tibial nerve neurodynamic mobilization) combined with ultrasound-guided percutaneous neuromodulation of the posterior tibial nerve using low-frequency electrical stimulation.",[9],null,{"type":22,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Endoscopic Plantar Fascial Release","Endoscopic plantar fascial release performed using a standardized surgical technique followed by a standardized postoperative rehabilitation program.",[15],[31],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Javier Bonastre Férez, PhD","CONTACT","+34644120315","javier.bonastre@universidadeuropea.es",[37],{"facility":38,"status":25,"city":39,"state":39,"zip":40,"country":41,"countryCode":42,"cosmosGeoPoint":43,"geoPoint":48,"contacts":49},"European University of Valencia","Valencia","46010","Spain","ES",{"type":44,"coordinates":45},"Point",[46,47],-0.37966,39.47391,{"lat":47,"lon":46},[50],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},{"type":52,"investigatorFullName":53,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Dr. Javier Bonastre Férez","Associate Professor of Physiotherapy","100641547","multimodal-conservative-intervention-versus-surgery-for-chronic-refractory-plantar-fasciopathy-100641547",false,"NCT07654660","Multimodal Conservative Intervention Versus Surgery for Chronic Refractory Plantar Fasciopathy","Study Protocol for a Multicenter Controlled Trial Comparing Multimodal Conservative Intervention Versus Surgical Management in Chronic Refractory Plantar Fasciopathy","Inclusion Criteria:\n\n* Adults aged 30 to 65 years.\n* Diagnosis of chronic refractory plantar fasciopathy with symptom duration greater than 6 months.\n* Failure of at least two previous conservative treatments, each lasting at least 12 weeks.\n* Foot Function Index (FFI) total score ≥45 points.\n* Resting pain intensity ≥4\u002F10 on the Visual Analog Scale (VAS).\n* Plantar fascia thickness ≥4 mm at the calcaneal insertion confirmed by ultrasound.\n* Ability to provide written informed consent and comply with study procedures.\n\nExclusion Criteria:\n\n* Previous foot surgery on the affected side.\n* Calcaneal stress fracture.\n* Glycated hemoglobin (HbA1c) \\>7.5%.\n* Inability or unwillingness to comply with study procedures or follow-up assessments.","ALL","30 Years","65 Years",{"count":66,"type":67},120,"ESTIMATED","INTERVENTIONAL",[70],"NA","Chronic refractory plantar fasciopathy is a common musculoskeletal condition that can cause persistent heel pain and functional limitations despite conservative treatment. When symptoms do not improve, patients often face the decision between continuing non-surgical management or undergoing surgery. However, direct comparative evidence between these treatment strategies is limited.\n\nThis multicenter controlled trial aims to compare the effectiveness of a multimodal conservative intervention consisting of manual therapy and ultrasound-guided percutaneous neuromodulation with endoscopic plantar fascial release followed by standard postoperative rehabilitation in adults with chronic refractory plantar fasciopathy.\n\nA total of 120 participants will be allocated to treatment groups according to their informed treatment preference within a shared decision-making process. The primary outcome will be the change in the Foot Function Index (FFI) after 6 weeks. Secondary outcomes include pain intensity, health-related quality of life, treatment adherence, adverse events, and exploratory neurophysiological measures. The results are expected to provide evidence to support clinical decision-making and optimize the management of patients with chronic refractory plantar fasciopathy.",[73],"Chronic Refractory Plantar Fasciopathy",[75,76,77,78,79,80,81,82,83,84],"Plantar Fasciopathy","Plantar Fasciitis","Manual Therapy","Percutaneous Neuromodulation","Endoscopic Plantar Fasciotomy","Foot Function Index","Heel Pain","Conservative Treatment","Rehabilitation","Comparative Effectiveness","NOT_YET_RECRUITING","2026-06-12",{"date":88,"type":89},"2026-06-17","ACTUAL",{"date":91,"type":67},"2026-12",{"date":93,"type":67},"2028-01",{"name":5,"class":6},1]