Heel pain frequently occurs and there are a number of causes of that. Plantar fasciitis is certainly the most frequent problem and is often easy to diagnose. However, there are plenty of other reasons that aren't as frequent and are much harder to diagnose. One of the less common causes is a ailment referred to as heel fat pad atrophy. There is a covering of fat beneath the heel which provides a cushion and shock absorber when we are walking or running. Usually there is adequate fat there to provide that shock absorption, but in some individuals it atrophies or wastes away and it may no longer guard the heel with that shock reduction. The reason why it occurs is not completely clear, there is however some atrophy of that fat pad with growing older and some simply appear to atrophy more than others quicker. The key symptoms of fat pad atrophy are usually increasing pain with standing and walking under the heel. It is also important to eliminate other reasons since they might exist at the same time.
The primary way to treat heel pad atrophy is to replace the fat which has wasted away. The easiest way is to use pads in the shoe beneath the heel, preferably made of a silicone gel that has the identical consistency as the natural fat, because they technically substitute the pad that is wasted. This typically deals with the majority of cases of this and this is all that has to be done. A possible problem with this approach is you have to wear the pads and you can’t do that when barefoot or in sandals very easily. The only other option is a surgical procedure called augmentation where some fat is surgically inserted underneath the heel. The inserted fat can come from another part of the body or might be synthetically created in the laboratory. The long term outcomes of this sort of surgery aren't yet known, however early results from the procedure appear good.