Worn-Out Heel Pad: Symptoms, Causes, and Treatment

A worn-out heel cushion, also known as heel cushion syndrome, can cause significant pain and discomfort in the heel. This article covers the most common symptoms, causes, and treatment options for this condition.
What is a Worn Heel Cushion?
A worn heel cushion occurs when the fat pad under the heel, which acts as a natural shock absorber, becomes thinner or damaged. This can lead to a feeling of "walking through the heel" while walking or running.
Symptoms of Worn Heel Pad
Common symptoms include:
- Pain in the heel pad, especially when bearing weight
- Feeling of stepping through the heel
- Tenderness when pressure is applied to the underside of the heel
- Difficulty standing or walking for extended periods
- Increased pain on hard surfaces
Causes of Worn Heel Pad
Several factors can contribute to the development of a worn heel pad:
- Aging and natural breakdown of fat tissue
- Overuse from prolonged standing or walking
- Excess weight that increases pressure on the heel pad
- Inappropriate shoes with poor cushioning
- Certain medical conditions such as diabetes or rheumatoid arthritis
Diagnosis and Treatment of Worn Heel Pad
- Assistive Devices and Products
Heel inserts or heel cups (e.g., Tulis) can provide support and reduce pain. These aids are placed in shoes to protect the heel bone and ensure that pressure is distributed more evenly.
Custom shoes with a soft sole and good shock absorption protect against impacts on hard surfaces. - Physical Therapy and Stretching
Exercises that strengthen the foot muscles and improve mobility in the heel can alleviate discomfort and prevent further issues.
- Weight Loss if Necessary
Reducing pressure on the heel pad by maintaining a healthy weight can be crucial for healing. - Rest and Offloading
Avoid activities or sports that worsen the pain, and try to take regular breaks if you are standing or walking a lot. - Corticosteroid Injections or Other Medical Treatment
In some cases, injections may reduce inflammation and pain. Discuss appropriate causes and treatments with a doctor.

How Heel Cups Can Help with Worn-Out Heel Pads
Heel cups from Komforten offer several benefits for individuals with worn-out heel pads:
- Provides extra cushioning and relief for the heel
- Helps distribute pressure evenly across the heel area
- Reduces pain and discomfort while walking and standing
- Made from high-quality materials for optimal comfort
- Can be used in most types of shoes
Conclusion
A worn heel cushion can be a painful condition, but with the right treatment and support, many people can effectively manage the symptoms. The use of heel cups, along with appropriate footwear and possible physical therapy, can help reduce pain and improve comfort during daily activities. It is important to consult a doctor or foot specialist for an accurate diagnosis and individualized treatment plan.
Frequently Asked Questions (FAQ)
Can a worn-out heel cushion heal itself?
Although the condition cannot be completely "cured," symptoms can often improve with the right treatment and support.
How long do I need to use heel cups?
The usage time varies, but many find it beneficial to use them continuously for long-lasting relief.
Can I train with a worn-out heel cushion?
Yes, but it is important to use appropriate shoes and support, such as heel cups, to reduce the strain on the heel.
Are there exercises that can help with a worn-out heel pad?
Yes, stretching of the calf muscles and Achilles tendon, as well as strengthening exercises for the foot, can be helpful.
Can heel cups prevent worn-out heel pads?
While they are primarily used for treatment, heel cups can also help prevent overloading of the heel pad, especially in individuals at risk.