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Heel Bone (Calcaneus) Fracture Healing Time and Rehabilitation

Healing Phases

  1. Immobilization (weeks 0–6+): Non-weight-bearing cast/boot; surgery (ORIF) if displaced.
  2. Protected weight-bearing (weeks 6–12): Progressive loading with crutches/boot.
  3. Rehabilitation (months 3–6+): PT for ROM, strength, proprioception, gait.

Timeline

Full recovery: 3–6 months for simple fractures; 6–12+ months for complex intra-articular fractures. Factors: severity, surgery, age, comorbidities (diabetes, smoking), adherence.

Key to Success

  • Strict non-weight-bearing compliance.
  • Early PT referral.
  • Regular follow-up imaging.
  • Manage swelling (elevation, compression).

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