FAQ: Calcaneal Fracture

What is a calcaneal fracture?

A calcaneal fracture is a break in the heel bone, also known as the calcaneus. It is one of the strongest bones in the foot and plays a major role in supporting your body weight, so a fracture can be very painful and serious.what is a calcaneal fracture | foot pain | heel pain

How does a calcaneal fracture happen?

Most calcaneal fractures occur from high-impact injuries such as falling from a height or being involved in a car accident. They can also occur during sports when the heel absorbs a sudden, strong force.

What are the symptoms?

Common symptoms include severe heel pain, swelling, bruising, difficulty putting weight on the foot, and limited movement of the ankle or foot. Some people also notice the heel looks weird or misshapen.

How is a calcaneal fracture diagnosed?

A podiatrist will examine your foot, discuss how the injury happened, or order imaging such as an X-ray or CT scan. These tests help determine the type and severity of the fracture.

How is it treated?

Treatment depends on how severe the fracture is. Mild fractures may be managed with rest, a boot or cast, and non-weight bearing. Most serious fractures may require surgery to realign and stabilize the heel bone.

How long does recovery take?

Healing can take several months because the heel bone absorbs so much pressure. Most patients need a period of non-weight bearing followed by physical therapy to restore strength and mobility.

What happens if a calcaneal fracture is not treated properly?

Without proper care, long-term issues such as chronic pain, arthritis in the joint, difficulty walking, or changes in foot shape can occur. Early treatment improves the chances of a full recovery.

When should I see a podiatrist?

If you experience heel pain after a fall or impact, cannot put weight on your foot, or notice significant swelling or bruising, you should seek care right away. Prompt evaluation helps protect your long-term foot health.

Scott Werter, DPM, FACFAS
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Certified foot surgeon & podiatrist Dr. Scott Werter has been helping patients in South Carolina since 1997.