Do your feet feel like you're walking on concrete—no matter how thick your socks or how cushioned your shoes?
If you experience pain in the ball of the foot, persistent heel pain, or discomfort from corns and calluses, the underlying issue may be plantar fat pad atrophy—the natural thinning of the cushioning layer in the soles of your feet.
This condition is more common than you think, especially for runners, active professionals, high heel lovers, and anyone spending long hours on their feet.
At St. Louis Foot and Ankle Institute we’re proud to offer PedalVolume Therapy™ - non-surgical dermal filler treatments that restore volume, relieve pain, and elevate your every step.
As we age or with years of repetitive impact, standing, or shoe compression, the fat pads that naturally cushion the heel and ball of the foot begin to thin out or atrophy.
Without this protection, the soles of the feet bear the brunt of your body weight which can lead to pain, inflammation, and skin changes like painful calluses.
Common symptoms include:
Dermal fillers that are used in both medical and cosmetic procedures can be precisely injected into the sole of the foot to rebuild lost cushioning. This reduces pressure on sensitive areas, improves shock absorption, and brings instant relief from pain and discomfort.
The treatment can be used in:
Hyaluronic acid (HA) is a naturally occurring substance in the body that helps retain moisture and volume in the skin and connective tissues. As a filler, it’s one of the safest and most biocompatible injectable materials available, with an excellent safety profile and virtually no risk of rejection or allergic reaction.
When used in the feet, HA fillers can:
PedalVolume Therapy™ typically offers 6 - 12 months of relief, with some patients experiencing benefits for up to 18–24 months due to collagen stimulation.
Over time, your body naturally reabsorbs the filler—but the newly thickened tissue often offers longer-lasting support even after the filler breaks down.