What might cause the fat pad under the heel to atrophy?

Heel pain is common and there are many different causes of that. Plantar fasciitis is by far the most frequent condition and is often simple to diagnose. However, there are numerous other causes that are not as frequent and are much harder to diagnose. One of the less common conditions is a condition known as heel fat pad atrophy. There is a covering of fat beneath the heel that acts as a cushion and shock absorber when we are running or walking. Usually there's adequate fat there to provide that shock absorption, but in some individuals it atrophies or wastes away and it can no longer protect the heel with that shock absorption. The reason why it occurs is not entirely clear, but there is some atrophy of that fat pad with getting older and some just appear to atrophy a lot more than others at a faster rate. The primary symptoms of fat pad atrophy are usually increasing pain with weight bearing underneath the heel. It is also essential to exclude other reasons because they could exist concurrently.

The main strategy to take care of heel pad atrophy is to replace the fat that has wasted away. The simplest way is to use pads in the footwear under the heel, usually made of a silicone gel which has a similar consistency as the natural fat, since they theoretically substitute the pad which is atrophied. This normally works with the majority of cases of this and that is all that has to be done. The only problem with this approach is that you need to wear the pads and you can’t do this when without shoes or in sandals without difficulty. The only other choice is surgery called augmentation in which some fat is surgically inserted under the heel. The inserted fat can come from another area of the body or might be synthetically created in the laboratory. The longer term results of this sort of method aren't yet known, however early results from the procedure appear great.