Calcaneum Fracture Rehabilitation|| Heel Fracture|| Dr. Rohit Rathore||Axon Physiotherapy

Calcaneus fractures are the most common fractured tarsal bone and are associated with a high degree of morbidity and disability.
Calcaneal fractures are mostly the result of high energy events leading to axial loading of the bone.
Predominantly, falls from height and automobile accidents (a foot depressed against an accelerator, brake, or floorboard) are common mechanisms of injury. The talus acting as a wedge causes depression and thus flatten, widen, and shorten the calcaneal body.
Patients will present with diffuse pain, edema, and ecchymosis at the affected fracture site.
The patient is not likely able to bear weight, walk, and move the foot.
Swelling in the heel area
Nonoperative management is preferable when there is no impingement of the peroneal tendons and the fracture segments are not displaced (or are displaced less than 2 mm). Nonoperative care is also recommended when, despite the presence of a fracture, proper weight-bearing alignment has been adequately maintained and articulating surfaces are not disturbed.
For the majority of patients with the calcaneus fracture, surgery is the indicated treatment. Intraarticular fractures are often treated operatively.
There are many similarities between nonoperative and operative physical therapy management of calcaneal fractures. These similarities include: periods of immobilization with restricted weightbearing, joint mobilization, range of motion exercises, pain management, strengthening, proprioception training, gait training, plyometrics, and gradual loading to resume more challenging activities.