Tag: heel pain

Severs disease heel pads

Pain in the heel is among the most most frequent causes of discomfort in the feet. The most common reason behind pain in the heel in adults is plantar fasciitis and the most common reason for pain in the heel in youngsters can be a disorder referred to as Sever’s disease. Sever’s disease is the problem affecting the growth region at the back of the calcaneus bone that is especially common in youngsters who are active and typically is painful at the rear of the heel bone. For the reason that the problem is associated with the development with the bone tissue, Sever's disease disappears on it's own when the development in this bone tissue has ended. It can be nevertheless, painful and restrict the activity of the youngster so this nonetheless really needs to be taken care of to help that pain even though they will ultimately grow out of it. The important thing for treating Sever's disease is cutting back exercise as well as other activity amounts right down to an amount that the discomfort in the heel is bearable. It is usually really difficult to have children to comply with this.

One other approach is wearing heel pads for Severs disease. Most of these Severs disease heel pads come in a number of types and a few are going to have no impact. The idea under pinning the heel insert is that the insert need to cushion the ground forces with the heel on the ground plus they need to lift the heel bone up to ensure that the stress of the Achilles tendon on the rear of the heel bone. Too frequently the inserts which have been used will not accomplish these purposes. For example a pad material can experience really soft between your fingertips whenever you feel this, however should your fingers may flatten the material, then it is most likely going to do nothing at all under the feet because the bodyweight of the youngster could very easily compress the padding. These kinds of pads will do nothing to absorb the ground forces on the floor or lower the tension in the Achilles tendon. At the other end of the array is a material that is way too hard that's going to work at lowering the stress of the Achilles tendon and may do nothing at all to cushion the ground forces. The optimal padding for this purpose would be a trade off to achieve the two aims. It should be hard enough to reduce that pull with the Achilles tendon but not too hard that it could not soak up the impact forces coming from the floor. The material also can change with regards to the body weight of the kid, with the more heavy youngster requiring a harder insert that they will not compress. Often the most often used padding material with this Sever’s heel padding is usually a firm silicon gel like material. The much softer gel materials are generally too soft to do this and so are very easily compressed. Often a very good running shoe will do the same thing and several even have a silicon gel materials within the heel in them. This could be also present in a few football shoes. Numerous clinicians could use an EVA form of material which is a effective alternate to the gels type of padding.

What might cause the fat pad under the heel to atrophy?

Beneath the bottom of the rearfoot is a fat pad that naturally cushions us and protects the heel as we walk. When walking, you will find a force comparable to nearly 2.5 times body weight on the heel during heel strike, so it ought to be obvious why we need that fat pad. Without that fat pad there would likely be inadequate shock reduction which may result in a number of conditions because of that inadequate shock absorption. The commonest is simply pain under the heel. The pain sensation will mostly be there on weightbearing and not so much on palpation. This may not be a common reason for heel pain, but it is an important cause because it can often be wrongly identified as heel spurs and other reasons. Usually it is not difficult to diagnose as there is just virtually no cushioning under the heel and you will easily notice the bone.

The causes of fat pad atrophy are not totally clear. The fat pad does atrophy as we grow old naturally and in many it just atrophies more at a faster rate. Some people just seem to develop this while others will not. It's not linked to bodyweight issues. It might occur in a number of arthritis problems and athletes because of the years of hitting on the rearfoot can be at a higher risk this condition. People with a higher arched foot (pes cavus) also get a displacement of this fat pad which might give a similar problem to the atrophy.

The only method to manage fat pad atrophy will be to replace the fat or substitute for the fat. This could be inserted in surgically or a cushioning heel pad in the shoes used that has a comparable uniformity to the missing fat pad. Padded shoes could also be used without or with extra cushioning. Surgically this can be an injectable fillers or an autograft using your own fat tissue.