Heel Bone Fracture
The heel bone (calcaneus) is the largest bone in the foot and plays a vital role in walking, balance, and weight-bearing. A fracture in this bone, often called a calcaneus fracture, is usually the result of high-impact injuries such as falls from a height, road accidents, or severe sports trauma. Since the heel supports the body with every step, a fracture here can cause significant pain, swelling, and difficulty in walking.
Causes of Heel Bone Fracture
- High-impact trauma such as falling from a ladder or jumping from a height.
- Road traffic accidents, particularly when the foot is forcefully pressed against the brake.
- Sports injuries involving sudden impact or stress on the heel.
- Repetitive stress over time, leading to small cracks known as stress fractures.
Symptoms
- Intense heel pain immediately after injury.
- Swelling and bruising around the heel and ankle.
- Inability to bear weight or walk normally.
- Visible deformity in severe fractures.
- Stiffness and restricted ankle/foot motion.
Diagnosis
Early diagnosis is crucial to prevent long-term complications. Doctors typically use:
- X-rays to assess the location and severity of the fracture.
- CT scans for detailed imaging, especially for complex fractures.
- Clinical evaluation to check swelling, stability, and associated injuries.
Treatment Options
Treatment depends on the severity of the fracture:
Conservative Treatment
- Rest, ice, compression, and elevation (RICE).
- Plaster cast or boot to immobilize the heel.
- Use of crutches to avoid weight-bearing during recovery.
Surgical Treatment
- Required for displaced or severe fractures.
- Metal plates, screws, or wires may be used to realign the bone.
- Post-surgery rehabilitation is vital for restoring function.
Rehabilitation and Recovery
- Physiotherapy to regain mobility, strength, and balance.
- Gradual weight-bearing as recommended by the doctor.
- Use of orthotics or heel cushions for added support.
- Recovery time may vary between 3 to 6 months, depending on the severity.
