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 Subject: RE: Plantar Fat Pad Atrophy ?
 
Author: Foot Doc
Date:   9/17/2007 4:45 am PDT
DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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Age related plantar fat-pad atrophy is common, as is such atrophy related to specific conditions including rheumatoid arthritis. Pain and discomfort will normally be accentuated in the exceptionally high-arched foot, as an inappropriate amount of weight is borne on the balls as well as the heels of the foot with not enough dispersion of body weight elsewhere on the plantar. Various injectable substances have been tried, but, to date, and to my knowledge, nothing in terms of actual replacement or internal simulation of the fat pad has proven very successful, and one is pretty much left to external pads and cushions and materials to reduce direct and shearing forces. But you might be glossing over the possible Morton's neuroma too lightly. Although padding treatments can sometimes mitigate symptoms, rarely, in my experience do they provide permanent or even long-lasting results.
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