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The heel pad, located under the calcaneus of the human foot, is a hidden treasure that has been subjected to harsh mechanical conditions such as impact, vibration, and cyclic loading. This has resulted in a unique compartment structure and material composition, endowed with advanced biomechanical functions including cushioning, vibration reduction, fatigue resistance, and touchdown stability, making it an ideal natural bionic prototype in the field of bionic materials. It has been shown that the highly specialized structure and material composition of the heel pad endows it with biomechanical properties such as hyperelasticity, viscoelasticity, and mechanical anisotropy. These complex biomechanical properties underpin its advanced functions. Although it is known that these properties interact with each other, the detailed influence mechanism remains unclear, which restricts its application as a bionic prototype in the field of bionic materials. Therefore, this study provides a comprehensive review of the structure, materials, biomechanical properties, and functions of the heel pad. It focuses on elucidating the relationships between the structure, materials, biomechanical properties, and functions of heel pads and proposes insights for the study of bionic materials using the heel pad as a bionic prototype. Finally, a research idea to analyze the advanced mechanical properties of heel pads by integrating sophisticated technologies is proposed, aiming to provide directions for further in-depth research on heel pads and inspiration for the innovative design of advanced bionic materials.
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http://dx.doi.org/10.3390/biomimetics10050267 | DOI Listing |
J Foot Ankle Surg
July 2025
Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Republic of Korea. Electronic address:
Background: Plantar fat-pad atrophy syndrome is characterized by thinning of the heel and forefoot fat pads, causing pain and functional limitation. Conventional treatments, such as heel cups and taping, offer only temporary relief and are often hindered by poor patient compliance.
Purpose: To evaluate the short-term clinical outcomes and complications of cross-linked hyaluronic acid (HA) filler injections into the plantar region of the foot.
Biol Pharm Bull
June 2025
Departments of Pharmacology and Pathophysiology, College of Pharmacy, Kinjo Gakuin University, 2-1723 Omori, Moriyama-ku, Nagoya 463-8521, Japan.
Mechanical hyperalgesia is commonly evaluated using von Frey filaments (vFFs) in the rodent hind paw plantar. However, it is difficult to select the plantar location to stimulate with the vFFs. In the present study, we investigated the effective location of the plantar surface for the evaluation of mechanical hyperalgesia using vFFs in mice treated with paclitaxel (PTX).
View Article and Find Full Text PDFBiomimetics (Basel)
April 2025
State Key Laboratory of Crane Technology, Yanshan University, Qinhuangdao 066104, China.
The heel pad, located under the calcaneus of the human foot, is a hidden treasure that has been subjected to harsh mechanical conditions such as impact, vibration, and cyclic loading. This has resulted in a unique compartment structure and material composition, endowed with advanced biomechanical functions including cushioning, vibration reduction, fatigue resistance, and touchdown stability, making it an ideal natural bionic prototype in the field of bionic materials. It has been shown that the highly specialized structure and material composition of the heel pad endows it with biomechanical properties such as hyperelasticity, viscoelasticity, and mechanical anisotropy.
View Article and Find Full Text PDFJ Am Podiatr Med Assoc
May 2025
‡Elite Foot and Ankle, Happy Valley, OR.
Background: Pulsed electromagnetic field (PEMF) therapy is a conservative, noninvasive, nonpharmacological option for treatment of plantar fasciitis that accelerates the body's anti-inflammatory and healing responses.
Methods: In this case series, adult patients presenting with more than 2 weeks of heel pain due to plantar fasciitis were treated with the OrthoCor Active System (OrthoCor Medical Inc, Blaine MN) PEMF device for 12 weeks. Efficacy was measured at 0 (baseline), 4, 8, and 12 weeks of treatment.
J Clin Ultrasound
September 2025
Department of Internal Medicine, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Background: The heel pad is essential for cushioning and shock absorption during weight-bearing activities. Its thickness and integrity significantly impact foot health, particularly in diabetics at risk for ulcers due to neuropathy and vascular issues. This study examines heel pad thickness in diabetics and non-diabetics with normal BMI.
View Article and Find Full Text PDF