What is it?
Your heel is protected by a thick pad of fat that acts as a shock absorber. If this pad thins or becomes inflamed, the heel bone is less well cushioned and becomes painful.
What causes it?
- Thinning with age.
- Repeated impact on hard surfaces.
- Weight gain.
- Repeated steroid injections into the heel.
Common symptoms
- A deep, bruise-like pain in the middle of the heel.
- Pain that is worse walking barefoot on hard floors.
How is it diagnosed?
Diagnosis is usually by examination. An ultrasound scan can measure the thickness of the fat pad and rule out other causes.
Things you can do now
- Wear cushioned shoes with a firm heel counter
- Use a gel heel cup
- Avoid walking barefoot on hard floors
- Reduce long periods of standing while it settles
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include cushioned footwear, heel cups, taping, changes to activity and weight management.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Deep, bruise-like pain in the centre of the heel lasts more than a few months
- Pain is getting worse despite cushioning
- You are unsure whether it is plantar fasciitis or fat pad pain
What to expect
Most people improve with cushioning, heel cups and taping. Surgery is rarely needed.
Common questions
Where can I see a specialist about heel fat pad pain in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with heel fat pad pain at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.