Beneath the bottom of the rearfoot is a fat pad that normally cushions us and protects us as we walk. When walking, there exists a pressure comparable to nearly 2.5 times our weight on the heel during heel strike, so that it should be no surprise that we require that fat pad. Not having that fat pad there would undoubtedly be inadequate cushioning which can lead to a number of conditions due to that inadequate cushioning. The commonest is simply pain under the heel. The discomfort will typically show up on standing and not as much on touching it. It isn't really a frequent cause of heel pain, however it is a vital one since it could often be wrongly identified as heel spurs as well as other reasons. Frequently it is not difficult to diagnose as there is certainly just zero cushioning below the heel and you can easily feel the calcaneus.
What causes fat pad atrophy aren't completely obvious. The fat pad does waste away as we grow old naturally and in some it just wastes away more at a faster rate. Some individuals simply seem to develop this and others will not. It's not related to bodyweight concerns. It may appear in a number of rheumatological conditions and athletes as a result of years of beating on the heel might be at a higher risk this condition. People who have a higher arch foot (pes cavus) will also get a displacement of this fat pad which will make a comparable problem to the atrophy.
The only method to manage fat pad atrophy is to try to replace the fat or substitute for the fat. This may be inserted in operatively or a cushioning heel pad in the shoes used which has a comparable consistency to the missing fat pad. Padded footwear may also be used without or with extra padding. Operatively this can be an injectable fillers or an autograft utilizing your own fat cells.