The heel fat pad is a layer of fatty tissue under the heel bone. It works like a cushion, absorbing force when your heel hits the ground. Heel fat pad atrophy occurs when this layer becomes thinner, shifts out of place, or loses its springy quality. The heel then has less protection from pressure. Pain feels deep and bruise-like in the center of the heel. It can worsen when standing for long periods of time, when walking on hard floors, or when running. Unlike plantar fasciitis, which usually hurts closer to the inner edge of the heel, fat pad pain tends to stay centered beneath it.

Age-related changes can reduce the fat pad’s thickness and flexibility. High-impact activity and added body weight can place stress on this tissue. Other causes include an injury, diabetes, or arthritis. Shoes that lack proper support can make symptoms worse because they provide less cushioning. Patients may change the way they walk to avoid pain. That can place extra strain on the feet, ankles, or knees. Since heel fat pad atrophy can resemble other heel problems, an accurate diagnosis is important. A podiatrist will review the symptoms, examine the painful area, and study how you stand and walk. Imaging, like an ultrasound or X-ray, can measure the pad or rule out another cause.

Treatment focuses on reducing pressure and improving heel protection. A podiatrist can recommend heel cups, supportive shoes, or custom orthotics. Orthotics are shoe inserts that support your feet and improve how pressure is spread. The podiatrist also may use taping to hold the heel pad in a better position. The care plan will reflect specific symptoms, activity level, and foot structure. Surgery is rarely considered for this problem. If you have pain underneath the heel, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Footcare Now. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our offices located in Elmhurst Jackson Heights, Astoria, Rego Park, and Forest Hills, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.