My wife has something called fat pad syndrome (Fat Pad Syndrome), a mild form of it. She got it several years back but didn't know what is was until recently.

We have looked into what do to about it and we are confused about what to do. On one end there are people saying that we need to go see a specialist and have a shoe implant or a heel cup made. On the other end, there are people who say going barefoot is the solution because that will make the foot build up it's muscles.

Barefoot is something that resonates with us but doing it on hard surfaces still feels like it may damage the heelů

My wife also suffers from a knee injury called Chondromalacia Patellae (Chondromalacia patellae - Wikipedia, the free encyclopedia), which she is recovering from. We believe that this injury might affect the choice of whether to go barefoot or with a shoe implant.

What's your take on fat pad syndrome? Is barefoot always the better alternative or are shoe implants the way to go? Or should we do both and switch method depending on the surface and the activity (keeping the knee injury in mind)?

Barefoot or shoe implant when walking on soft/hard surfaces?
Barefoot or shoe implant when running on soft/hard surfaces?
Barefoot or shoe implant when jumping on soft/hard surfaces?

Short about my wife: she is 25 years old, thin and quite fit. Her feet are in quite good shape too since she loves going barefoot.

Thanks for any information and advice you can give us!

Varm regards