🦶 Corticosteroid Injection Fat Pad Atrophy Risk Simulator
This simulator assesses the risk of atrophy and rupture of the heel fat pad and plantar fascia following repeated corticosteroid injections into the heel area.
The First Corticosteroid Shot Into the Heel
A single injection targets painful plantar tissue directly.
- ~1 mL: Typical dose (placeholder steroid volume)
- 24–72 hr: Onset of relief (placeholder timeframe)
- 100%: Fat pad at baseline (placeholder thickness)
- Low: Rupture risk (placeholder starting risk)
Why the injection is given
Placeholder: steroid reduces local inflammation and pain quickly.
Temporary Relief Masks the Underlying Problem
Pain fades but the tissue damage mechanism is not addressed.
- Weeks: Relief duration (placeholder window)
- Increases: Patient activity (placeholder behavior)
- Minimal: Fat pad change (placeholder early stage)
- Common: Recurrence (placeholder outcome)
Why relief is short-lived
Placeholder: steroids treat symptoms, not the structural cause.
Injections Accumulate Over Time
Each repeat shot compounds tissue exposure and risk.
- 0–6: Injections tracked (placeholder slider range)
- Yes: Interval shrinks (placeholder trend)
- Rising: Cumulative dose (placeholder trend)
- Limit shots: Guideline caution (placeholder note)
Why repetition matters
Placeholder: repeated steroid exposure weakens collagen and fat tissue.
The Heel Fat Pad Progressively Thins
Cushioning tissue loses volume with each injection cycle.
- Up to ~70%: Fat pad loss (placeholder at max injections)
- Reduced: Shock absorption (placeholder effect)
- Changes: Heel pain pattern (placeholder symptom shift)
- Limited: Reversibility (placeholder note)
Why atrophy occurs
Placeholder: steroids suppress fibroblast and adipocyte turnover locally.
Plantar Fascia Rupture Becomes a Real Threat
Thin cushioning plus weakened fascia raises tear risk sharply.
- High: Rupture risk (placeholder at max exposure)
- Compromised: Fascia integrity (placeholder status)
- Months: Recovery time (placeholder estimate)
- Limit injections: Prevention (placeholder guidance)
Why rupture risk climbs
Placeholder: weakened fascia fails under normal load without cushioning.
This simulator assesses the risk of atrophy and rupture of the heel fat pad and plantar fascia following repeated corticosteroid injections into the heel area.
2D · HTML5 Canvas 2D · 60 FPS target · runs fully client-side, no install