Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 7 , ISSUE 2 ( July-December, 2020 ) > List of Articles


Rehabilitation Protocols for Calcaneus Fractures

Himmat Dhillon, Sidak Dhillon, Mandeep Singh Dhillon

Keywords : Calcaneus, Fracture-rehabilitation, Physiotherapy, Return to function

Citation Information : Dhillon H, Dhillon S, Dhillon MS. Rehabilitation Protocols for Calcaneus Fractures. J Foot Ankle Surg Asia-Pacific 2020; 7 (2):77-82.

DOI: 10.5005/jp-journals-10040-1131

License: CC BY-NC 4.0

Published Online: 01-10-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Calcaneus fractures are a complex injury. Since the calcaneus plays a key role in weight-bearing and gait cycle, rehabilitation after injury needs to be individualized, and a structured program needs to be implemented. The rehabilitation protocol also varies depending on the type of injury, the associated injuries, and the management of the injury itself, be it surgical or conservative. It is important to understand that mobilization starts much earlier than weight-bearing. The nonweight-bearing time period also differs from patient to patient as that too depends on the type of approach that has been taken to manage the injury. That being said, weight-bearing is very important to minimize reflex sympathetic dystrophy syndrome and osteopenia, so the patients should be encouraged to start weight-bearing as soon as possible. Protocols will differ between patients having bilateral and unilateral calcaneal fractures. The structuring of the rehabilitation program according to the patients’ needs is what is essential to ensure good outcomes and will determine the return to activity and work. Stress fractures are a unique problem, and periodization of rehabilitation is the key.

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