injuries and poisoning
Fractures of the Heel Bone
Treatment of Heel Bone Fractures
Consultation with an orthopedic specialist Sometimes protection (usually by a splint), rest, ice, compression, and elevation A cast (after the swelling goes down) Possibly surgery Physical therapy after it has healed Doctors consult a specialist (orthopedist) to determine the best treatment for heel fractures. Depending on the type of fracture, surgery may be needed. If the fracture does not affect the joint, treatment involves protection (usually by a splint), rest (staying off the foot and using crutches), ice, compression (pressure), and elevation ( PRICE ). After the swelling goes down, the person may be referred to an orthopedist, who applies a cast. When a heel fracture affects the joint, whether surgery is the best treatment is debated. If surgery is needed, Surgery (ORIF) is done. People are instructed not to put any weight on the heel until the fracture heals. How long they have to wait depends on the injury and may be as long as several months. Often, doctors encourage people to move the foot and ankle and sometimes to put weight on the ankle as soon as doing so is not too painful. Physical therapy is required. It consists of specific exercises to improve the range of motion of the affected foot and ankle and to strengthen supporting muscles. When people start to walk, they may need a cane or a specially designed shoe or boot that protects the foot from further injury. If people do not precisely follow the doctor's instructions about when to start walking and how to walk, the bone may not heal well. 