STEp Into Comfort

Fat Graft Injections For Bottom of Foot Pain

If it feels like you're walking on a pebble, or you experience a burning or tingling sensation under your foot, you may be dealing with fat pad atrophy, a condition that makes every step uncomfortable.
At DD Podiatry, we understand how this type of foot pain can limit your mobility, affect your daily life, and make even simple activities a challenge. Our goal is to identify the root cause and provide a targeted, effective treatment that helps you walk with ease again.

Understanding Fat Pad Atrophy

Fat pad atrophy is a painful condition where the natural cushioning under the heel or ball of the foot wears down over time. Without this protective padding, walking, standing, or exercising can feel like stepping directly on bone. Patients often describe it as walking on pebbles or feeling constant soreness in the feet. While shoe inserts and padding may offer temporary relief, regenerative medicine therapies provide advanced, long-lasting solutions by restoring support and comfort naturally.

The fat pads in your feet act like natural shock absorbers, protecting bones, joints, and soft tissues from daily impact. As they thin or break down — often with age or overuse — the foot loses its cushioning. This leads to pain, irritation, and sometimes skin breakdown, especially in the heel or forefoot.

What Causes Fat Pad Atrophy?

Several factors contribute to fat pad loss, including:
  • Natural aging and tissue breakdown
  • Repetitive impact from running, jumping, or prolonged standing
  • Genetics and foot structure (high arches or flat feet)
  • Previous foot injuries or surgery
  • Medical conditions such as diabetes or inflammatory arthritis

Common Symptoms of Fat Pad Atrophy

  • Burning, aching, or sharp pain in the heel or ball of the foot
  • Feeling like you’re “walking on pebbles”
  • Thinning or loss of visible cushioning under the foot
  • Increased calluses or skin irritation in pressure areas
  • Pain that worsens with activity and improves with rest

Liposana: A Revolutionary Option for Long-Term Relief

One of the most exciting new options we offer is Liposana, a regenerative therapy designed to address fat pad atrophy, a common and often overlooked cause of ball of foot pain.

Here’s how it works:

  • Liposana uses live and processed fat cells to restore lost cushioning in the ball of your foot.
  • This natural fat is strategically injected into areas where the protective padding has thinned, helping to absorb pressure, reduce pain, and improve foot function.
  • The procedure is minimally invasive and performed in-office under local anesthesia.

Why patients love Liposana:

  • It targets the root cause not just the symptoms
  • It’s a natural solution
  • Many patients feel more comfortable walking within days
  • It offers lasting relief without the need for daily devices or long-term medications
If your foot pain is due to fat pad loss, Liposana may be the best next step.

Frequently Asked Questions

What is Liposana?

Liposana is an injectable fat allograft made from donated human adipose (fat) tissue. When injected into the foot, it provides cushioning and stimulates your body to grow new fat cells, restoring lost padding and reducing painful pressure points.

What conditions can Liposana treat?

Liposana is especially effective for conditions related to fat pad atrophy, where the natural cushioning under the heel or ball of the foot has thinned. It can also help with painful calluses, pressure sores, and other areas of chronic foot pain caused by loss of soft tissue padding.

How does Liposana work?

Once injected into the foot, Liposana acts as a scaffold for your body’s cells. Over time, your body replaces the allograft with its own fat tissue, creating natural, long-lasting cushioning that reduces pain and pressure.

Is Liposana a surgical procedure?

No. Liposana is a minimally invasive, in-office injection. There are no incisions or stitches, and patients typically return to normal daily activity shortly after the procedure.

How long does Liposana last?

Unlike temporary fillers or padding, Liposana stimulates the growth of your own fat cells. This means the results can last years, offering longer-term relief from pain compared to traditional cushioning inserts or gel pads.

How soon can I walk after getting Liposana injections?

You’ll be able to walk right away, but you may be asked to limit high-impact activity for a short period to allow the graft to integrate. Most patients return to normal daily routines immediately, with full activity (like running or sports) resumed in a few weeks.

Testimonials

What our Customers are saying...

"Great experience. The doctor did what TWO other doctors could not do. Foot pain and swelling for three months and after just ONE visit he was able to diagnose / treat condition and cure it."

- Jason
Google Reviews

Rated 5 Stars On Google

Imagine Getting Rid of Your Pain

Ball of foot pain is debilitating. Our Liposana injection can help you get back to life quickly and safely. If you would like to explore and learn more about Liposana, book an appointment with our podiatrist today.
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