What is fat pad atrophy?
Fat pad atrophy is the gradual thinning or loss of the protective cushioning beneath the heel or ball of the foot, leading to increased pressure, discomfort, and vulnerability to injury. The fat pads act as natural shock absorbers, distributing weight and reducing friction during walking and standing. Over time, these pads can deteriorate due to ageing, repetitive stress, or biomechanical changes, causing the bones and joints to bear more direct load. This can result in burning pain, bruising, or the sensation of “walking on bone,” especially on hard surfaces or during high-impact activities.
Treatments Available At EKFC
What Causes Fat Pad Atrophy?
Common causes of fat pad atrophy include ageing, prolonged standing, high-impact sports, and inappropriate footwear.
- As we age, the skin and connective tissues lose elasticity and volume, making the fat pads more prone to breakdown.
- Athletes and individuals who spend long hours on their feet may experience accelerated wear due to repetitive loading.
- Wearing unsupportive shoes—particularly those with thin soles or high heels—can concentrate pressure on specific areas, hastening fat pad degeneration.
- Medical conditions such as diabetes, rheumatoid arthritis, or connective tissue disorders may also contribute to fat pad loss and impaired healing.
Our dedicated team of podiatrists will listen, assess and form a tailored management plan to create long term solutions to manage this condition.