heel pain

Underneath the bottom of the heel bone is a fat pad which normally cushions the body and protects the body while we walk as well as run. Whenever running or walking, there exists a stress equal to around in excess of two times body weight to the heel bone during heel contact, so it should really be no surprise that we need to have that fat pad. This impact is even larger when running. Without this fat pad there will be insufficient impact moderation which can result in numerous issues as a result of that poor shock absorption. The commonest is probably soreness under the heel. This is not a typical reason for heel discomfort, however is an important cause as it can certainly often be mistaken for plantar fasciitis or other conditions. Typically it is straightforward to diagnose as there is just no shock absorption under the heel and you may very easily feel the heel bone.

What Causes Fat Pad Atrophy:

The causes are not totally clear. The fat pad really does atrophy as we age naturally and in some it just atrophies far more at a faster rate. Many people simply seem to get this yet others don't. It is really not linked to body weight problems. It could take place in several bone and joint conditions and athletes due to the years of thumping on the heel may well be at a higher risk for this. Those with a higher arched foot (pes cavus) will also get a movement of your fat pad that may give a similar difficulty to the atrophy.

Treatment of Fat Pad Atrophy:

The only way to deal with fat pad atrophy is to replace the fat or substitute for the fat. Sometimes it is implanted in surgically or maybe a shock reduction heel pad in the footwear used featuring a similar nature like the absent fat pad. Cushioned footwear could also be used without or with additional cushioning. Surgically this can be an injection of fillers or an autograft utilizing your own fat cells.

Pain in the rearfoot of kids isn't very common, however when it does occur, the most common cause is a condition known as Severs disease. It's not a real “disease”, but it's the label that has regrettably stuck. It is appropriately known as calcaneal apophysitis. It is a problem with the growing region at the rear of the heel bone. As it is a problem, of the growing bone, the problem is self-limiting and will not be a concern once the growth of that bone has finished. It is more prevalent around the age groups of 10-12 years.

The typical characteristic of Severs disease is pain on activity and pain on squeezing the sides of the rear part of the heel. At first the soreness is minor and does not impact action much, however later it becomes more severe and affects exercise levels and might result in limping. The exact cause of it is not known, but it is obviously an overuse type problem as it is more prevalent in children who play more sport and more frequent in kids who have got a higher bodyweight. Those with tighter calf muscles may also be at a higher risk for the development of this disorder.

Usually, the treatment of Severs disease is load management. The child is urged to remain active, but just reduce activity levels to a level which can be coped with and not too uncomfortable. A cushioning heel pad in the footwear might be useful to cushion it. Ice after sport might also be useful to help the inflammation. If the calf muscles are tight, then a stretching program ought to be started. Sometimes foot orthotics can be helpful when the arch of the foot is lower. On rare occasions a splint may be used, and all activities ceased until it heals. By the mid-teens the growth plate that this occurs at merges with the rest of the heel bone, and this ceases to be a problem at those age groups.

How is fat pad atrophy treated?

How is Severs disease in the child’s foot treated?

Categories

Recent Posts

Comparative Politics : Political System of USA

Archives