{"id":911,"date":"2020-03-19T16:34:07","date_gmt":"2020-03-19T16:34:07","guid":{"rendered":"https:\/\/ontheballorthotics.ca\/?p=911"},"modified":"2020-03-19T16:34:08","modified_gmt":"2020-03-19T16:34:08","slug":"calcanealfatpadcontusion","status":"publish","type":"post","link":"https:\/\/ontheballorthotics.ca\/calcanealfatpadcontusion\/","title":{"rendered":"Calcaneal Fat Pad Contusion\/Fat Pad Syndrome"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Calcaneal Fat Pad\nContusion\/Fat Pad Syndrome<\/h1>\n\n\n\n<h3 class=\"wp-block-heading\">&nbsp;<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\">What is it?<\/h3>\n\n\n\n<p>Calcaneal\nfat pad contusion, or fat pad syndrome, occurs when the fat pad under the heel becomes\nirritated. There is a fat pad that sits under the heel to protect the bone while\nwalking and standing. When this fat pad shifts around, it exposes the heel bone\n(calcaneus) causing more pressure\/less cushioning. Pain may develop at the\nbottom, or around the sides of the heel. While standing, the fat pad shifts out\nto the sides and pushes against the side of the heel. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Causes<\/h3>\n\n\n\n<h5 class=\"wp-block-heading\">Age <\/h5>\n\n\n\n<p>Over time, the fat pad starts to wear down or atrophy, leading to calcaneal fat pad contusion. This can be accelerated by the factors below.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Specific Activities<\/h5>\n\n\n\n<p>Hard surfaces,\nespecially in combination with hard shoes, can eventually irritate the fat pad.\nThis can be at work, daily activities or even during exercise. Some examples of\nthis are safety shoes on concrete floors, barefoot at home on hardwood floors,\nor running on the sidewalk with hard soled shoes.<\/p>\n\n\n\n<div class=\"wp-block-image is-style-default\"><figure class=\"alignright size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ontheballorthotics.ca\/wp-content\/uploads\/2020\/03\/Rearfoot-valgus-300x239.png\" alt=\"Heels rolling in (pronation)\" class=\"wp-image-913\" width=\"225\" height=\"179\" srcset=\"https:\/\/ontheballorthotics.ca\/wp-content\/uploads\/2020\/03\/Rearfoot-valgus-300x239.png 300w, https:\/\/ontheballorthotics.ca\/wp-content\/uploads\/2020\/03\/Rearfoot-valgus.png 452w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><\/figure><\/div>\n\n\n\n<h5 class=\"wp-block-heading\">Mechanics<\/h5>\n\n\n\n<p>The way\nyour feet move can make an impact on the heel fat pad. With pronation (rolling\nin), the heel moves side to side creating shear. With supination (rolling out),\nthere could be a lack of shock absorption, and\/or improper weight distribution\nat the heel, shifting the fat pad to one side. &nbsp;<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Trauma<\/h5>\n\n\n\n<p>An impact\nto the heel can lead to a calcaneal fat pad contusion. This impact can be minor,\nsuch as stepping on an object, or severe, such as a fall from a height. A minor\nimpact may be many minor impacts over time, such as hiking on an uneven surface.\nWhen there is a severe impact, be aware that a calcaneal (heel) fracture may occur.\nVisit a physician to confirm if a facture is present, especially if there is\nbruising. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What will I feel and see?<\/h3>\n\n\n\n<p>Most people\nfeel a bruised heel, or like they are walking on the bone without cushioning.\nIt is different than plantar fascia pain, as the plantar fascia presents as pain\nat the front of the heel, where the calcaneal fat pad contusion presents as\npain at the very bottom, or even around the sides of the heel. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ontheballorthotics.ca\/wp-content\/uploads\/2020\/03\/Calcaneal-fat-pad-contusion-white-bumps-1.png\" alt=\"Heel fat pad cells pushing against the side of the heel.\" class=\"wp-image-917\" width=\"225\" height=\"101\"\/><\/figure><\/div>\n\n\n\n<p>A visible\nsign of calcaneal fat pad contusion are white bumps on the side of the heel\nwhen standing\/weight bearing. This may not be present in all cases. These bumps\nare the fat cells pushing against the side of the heel. Because these bumps appear\nat the back and sides of the heel, it is best seen by another person. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/ontheballorthotics.ca\/pedorthicservices\/\">Pedorthic<\/a> Treatments<\/h3>\n\n\n\n<h5 class=\"wp-block-heading\"><a href=\"https:\/\/ontheballorthotics.ca\/customfootorthotics\/\">Orthotics<\/a><\/h5>\n\n\n\n<p>Orthotics help\nwith calcaneal fat pad contusion through support and cushioning. In addition to\nadded heel cushioning, a deep heel cup on the orthotic helps to contain the\nnatural fat pad under the heel. Support on the orthotic helps to prevent any\nheel shearing by preventing the heel from shifting around. Depending on factors\nsuch as the severity, mechanics and cause of the pain, an over the counter\ninsert or custom orthotic may be recommended. <\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><a href=\"https:\/\/ontheballorthotics.ca\/orthopaedicshoes\/\">Footwear<\/a><\/h5>\n\n\n\n<p><a href=\"https:\/\/ontheballorthotics.ca\/shoesrightfit\/\">Proper footwear<\/a> is important to prevent and relieve pain through support and cushioning. <\/p>\n\n\n\n<p>An important\npart of shoe support is the heel counter. This is the area directly behind and\nto the sides of the heel. There should be a solid piece to prevent the heel\nfrom moving around and to cup the heel. A solid base is also important to prevent\nthe foot from moving around too much. This can be tested by bending the shoe in\nhalf. The shoe should not bend in half through the middle.<\/p>\n\n\n\n<p>Cushioning\nis also important, especially on hard surfaces. Look for a cushioned shoe\nthrough the midsole. The midsole should be thick, and you should be able to depress\nyour thumb in slightly with a hard push. Be aware that shoes can be cushioned\nand supportive at the same time. <\/p>\n\n\n\n<p>In some cases,\ncertain footwear is required and it may be difficult to find the proper footwear\nfor your pain. In this case, try to minimize the amount of time on your feet, step\/stand\non softer surfaces when possible, and look into supportive inserts. <\/p>\n\n\n\n<p>If it sounds like the condition you have, or you would like more information, feel free to <a href=\"https:\/\/ontheballorthotics.ca\/contact\/\">contact us<\/a>!\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Calcaneal Fat Pad Contusion\/Fat Pad Syndrome &nbsp; What is it? Calcaneal fat pad contusion, or fat pad syndrome, occurs when the fat pad under the heel becomes irritated. There is a fat pad that sits under the heel to protect the bone while walking and standing. When this fat pad shifts around, it exposes the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":916,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,15],"tags":[83,82,84,8,5],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Calcaneal Fat Pad Contusion | On the Ball Orthotics, Barrie<\/title>\n<meta name=\"description\" content=\"Calcaneal fat pad contusion, or fat pad syndrome, occurs when the fat pad under the heel becomes irritated. 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