Fat pad contusion

What is it?

Heel fat pad contusion is an injury to the fat pad located under the heel bone (calcaneus). This fat pad acts as a cushion, absorbing shock and providing support during activities like walking, running, and jumping.

What causes it?

Heel fat pad contusion typically occurs due to:

Direct Trauma

Landing hard on the heel, such as from a jump or fall.

Repetitive Impact

Activities that involve consistent pounding on the heel, like running on hard surfaces.

Improper Footwear

Shoes with inadequate cushioning can increase the risk of this injury.

How is it diagnosed?

Heel fat pad contusion is typically diagnosed through a combination of medical history, physical examination, and sometimes imaging tests. Here’s how the process generally works:
  • X-rays: These are often done to rule out fractures or other bone injuries, as they can appear similar to a fat pad contusion.
  • MRI or Ultrasound: These imaging techniques may be used if there’s a need to evaluate soft tissue damage more closely or to confirm the diagnosis.

A thorough diagnosis helps ensure that the appropriate treatment is provided and that any other underlying conditions are addressed.

How is it Treated?

Heel pad contusions, often caused by trauma or impact, can be painful but typically respond well to conservative treatment. Here are some common approaches:

Rest

Avoid putting weight on the affected foot to allow the area to heal.

Ice

Apply ice packs to the heel for 15-20 minutes every few hours to reduce swelling and pain.

Compression

Use a compression bandage to help control swelling.

Elevation

Elevate the foot when possible to minimise swelling.

Pain Relief

Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.

Footwear

Wear supportive shoes with cushioning to reduce pressure on the heel.

Orthotics

Custom or over-the-counter orthotic inserts can provide additional cushioning and support.

Frequently Asked Questions

How long does it take to heal?

Healing time varies, but most mild cases improve within a few weeks with appropriate rest and care.
It’s generally advised to avoid activities that put pressure on the heel until healing occurs. Low-impact exercises may be recommended.
Complications are rare but can include chronic pain or reinjury if the area is not properly cared for.

Wearing appropriate footwear, using orthotics, and avoiding high-impact activities can help reduce the risk of future contusions.

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