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Los Angeles Orthopedic
Foot & Ankle · Conditions A–Z

Calcaneus Fracture broken heel bone

A calcaneus fracture is a break in the heel bone, usually from a fall from height or a high-impact injury that drives force up through the heel. Our board-certified foot and ankle specialists offer same-day or next-week evaluations with on-site imaging across eight Los Angeles–area offices.

Los Angeles orthopedic specialist evaluating a patient for calcaneus fracture — LAOSS board-certified care across eight LA offices
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Experts in foot & ankle care.

Surgical and non-surgical options at LAOSS.

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Common foot & ankle concerns we treat

  • Pain that limits walking, standing, or sleep
  • Stiffness, swelling, or reduced range of motion
  • Sports injuries — acute or overuse
  • Arthritis or post-traumatic joint changes
  • Conditions other doctors couldn’t resolve

What sets LAOSS apart

  • Same- or next-day appointments at eight Los Angeles–area offices
  • On-site imaging; PT coordinated with your in-network provider
  • Conservative-first care, surgery only when needed
  • Board-certified specialists, not generalists
Key takeaways
  • A calcaneus fracture is a break in the heel bone, most often caused by a fall from height, a car crash, or another high-energy axial load.
  • Treatment depends on the fracture pattern — undisplaced fractures often heal in a cast or boot, while displaced or joint-involving fractures may need surgery.
  • Surgical options include open reduction with internal fixation (ORIF), minimally invasive percutaneous fixation, and, for severe joint damage, subtalar fusion.
  • On-site CT and X-ray at LAOSS offices and same-day or next-week evaluations across eight Los Angeles–area locations.
Overview

What is calcaneus fracture?

A calcaneus fracture is a break in the heel bone — the large bone at the back of the foot that forms the heel and supports your body weight with every step. Most calcaneus fractures happen from a hard, downward impact, such as landing on the heels in a fall from a ladder or roof, a car crash, or a workplace injury. Because the heel bone takes such heavy force, these fractures range from a clean undisplaced crack to a shattered, joint-involving break.\n\nThe right treatment depends entirely on the fracture pattern and whether the subtalar joint (where the heel bone meets the ankle bone) is involved. Undisplaced fractures often heal well with protected immobilization — a cast or boot, no weight on the foot, and a staged return to walking. Displaced fractures, joint-line fractures, and breaks that change the shape of the heel often do better with surgery to restore alignment.\n\nBelow, we walk through the heel anatomy involved, the symptoms and causes we see most often, how we diagnose calcaneus fractures with X-ray and CT, and the full range of treatment options — from casting to surgical fixation.

Patient education

Watch: Calcaneus Fracture

This is a break of the heel bone. The calcaneus forms the back of the foot and supports you when you walk. A calcaneus fracture is a serious injury that needs medical care.

Animations licensed from ViewMedica · Swarm Interactive

Anatomical illustration of the foot and ankle showing the tibia, talus, calcaneus, and plantar fascia
Anatomy of the foot & ankle — tibia, talus, calcaneus, metatarsals, and the plantar fascia.
Anatomy

Inside the foot & ankle.

The foot and ankle have 26 bones, more than 30 joints, and over 100 ligaments and tendons. The plantar fascia spans the bottom of the foot, the Achilles tendon anchors the calf to the heel, and the ankle is a hinge that handles every step you take. Most foot and ankle problems trace back to overload, alignment, or footwear that doesn’t match the way your foot is built.

Self-orient

When calcaneus fracture shows up.

Symptoms

Common symptoms

  • Sudden, severe heel pain after a fall or high-impact injury
  • Inability to bear weight or walk on the affected foot
  • Heavy bruising and swelling along the heel and arch
  • A widened, shortened, or visibly deformed heel
  • Tenderness when the heel is squeezed from both sides
  • Numbness or tense, shiny skin that signals dangerous swelling
Causes

Common causes

  • Fall from a height onto the heels (ladder, roof, stairs)
  • High-speed car or motorcycle crashes
  • A sudden, forceful pull of the Achilles tendon that avulses a fragment off the back of the heel bone
  • Crush injuries to the foot at work or in an accident
  • Stress fractures from repetitive overload in athletes or runners
  • Weakened bone from osteoporosis, which lowers the force needed to break
Diagnostics

How we diagnose calcaneus fracture

You want answers, fast — and we’re built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.

Here’s what your initial visit for calcaneus fracture typically looks like:

  • Detailed history — when it started, what makes it better or worse, what you’ve already tried
  • Focused exam of the foot & ankle — range of motion, stability, strength, specific provocation tests
  • On-site imaging at most offices: X-ray for bone, ultrasound or MRI when soft-tissue detail is needed
  • A written plan with options ranging from conservative care to surgical procedures, in plain English

Schedule your evaluation with a trusted Greater Los Angeles orthopedic expert today.

Treatment options

How we treat calcaneus fracture at LAOSS

Once we’ve confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits — and escalate only when it doesn’t.

Conservative care
Step 1

Conservative care first

Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.

  • Strict non-weight-bearing on crutches, a knee scooter, or a walker
  • Cast or controlled-ankle-motion (CAM) walking boot immobilization
  • Elevation, ice, and swelling control in the first days after injury
  • Pain management and a staged, supervised return to weight-bearing
  • Physical therapy to rebuild ankle motion, strength, and balance
  • Custom orthotics or a heel cup to cushion and support the healed heel
Surgical care
When needed

Surgical options when needed

Procedures performed by board-certified foot & ankle surgeons when conservative care isn’t enough.

  • Open reduction and internal fixation (ORIF) with plates and screws to rebuild the heel's shape and joint surface
  • Minimally invasive percutaneous or sinus-tarsi fixation to reduce soft-tissue risk
  • Restoration of heel height, width, and alignment to the subtalar joint
  • Bone grafting to fill defects in severely shattered (comminuted) fractures
  • Subtalar fusion for severe joint destruction or post-traumatic arthritis
  • Hardware removal later if screws or plates cause irritation
Surgeon expertise

Why experience matters.

Why experience matters

Foot & Ankle care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.

  • Precise diagnosis from imaging and exam
  • Conservative-first care that avoids unnecessary surgery
  • Surgical technique refined over thousands of cases
  • On-site imaging + coordinated PT through your in-network provider

The LAOSS approach

Our foot & ankle specialists move stepwise — start with the least-invasive option that fits your situation, escalate only when it doesn't.

  • Same-day imaging at most offices
  • PT coordinated in your insurance network
  • Board-certified surgeons performing the procedures themselves
  • Direct access to your specialist between visits
Candidacy

Am I a candidate?

If most of these match your situation, an evaluation with a foot & ankle specialist is the next step.

You may be

You may be a candidate if

These signs typically point toward an in-person evaluation with a foot & ankle specialist.

  • You landed hard on your heel in a fall or crash and cannot put weight on the foot
  • Your heel is severely swollen, bruised, or looks wider or flatter than the other side
  • An X-ray showed a heel-bone fracture and you need a clear treatment plan
  • You have ongoing heel pain or a limp after a calcaneus fracture treated elsewhere
  • You're developing stiffness, arthritis, or shoe-fitting problems in a previously fractured heel
Evaluation

What evaluation includes

Your first visit is built to give you an answer the same day, not just another referral.

  • Detailed history — onset, mechanism, what makes it better or worse
  • Hands-on exam focused on the affected joint or region
  • On-site imaging at most offices (X-ray, ultrasound)
  • Clear plan with options ranging from conservative to surgical
  • Same-day or next-day scheduling for any follow-up tests
ImportantSeek urgent evaluation for sudden severe pain, an open wound or exposed bone, foot or ankle deformity after trauma, loss of sensation, or any sign of infection (fever, spreading redness, or swelling).
Recovery

Your foot & ankle recovery roadmap.

Recovery is rarely a straight line — but a clear plan with measurable milestones makes the path predictable.

01Days 0–14

Right after care

In the first two weeks we focus on protecting the foot & ankle, calming inflammation, and restoring basic motion.

  • Activity modification with clear do/don’t guidance
  • Ice, elevation, and pain control as needed
  • Gentle range-of-motion within safe limits
  • Follow-up scheduled to track healing
02Weeks 2–8

Rehabilitation

Targeted physical therapy rebuilds strength, mobility, and confidence in the foot & ankle.

  • Progressive strengthening and neuromuscular work
  • Manual therapy and soft-tissue treatment
  • Sport- or job-specific movement re-training
  • Coordinated PT through your in-network provider
03Months 2+

Long-term care

Once function is restored, the focus shifts to keeping you there — and catching any recurrence early.

  • Return-to-activity plan with measured benchmarks
  • Home program tailored to your sport or job
  • Maintenance visits or imaging if symptoms change
  • Direct line back to your specialist if needed
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient — informed consent is a conversation, not a form.

General

General considerations

Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.

  • Infection (rare with modern technique and prophylaxis)
  • Bleeding or bruising at the treatment site
  • Reaction to anesthesia or medications
  • Need for additional procedures in some cases
Specific

Foot & Ankle-specific considerations

Some risks are tied to the structures we're treating in the foot & ankle. We discuss these in detail at your visit so you can weigh them against the benefits.

  • Temporary stiffness or weakness during recovery
  • Incomplete pain relief in a small percentage of cases
  • Nerve or vessel irritation near the treatment area
  • Need for follow-up therapy to fully restore function
Your care team

Meet our foot & ankle doctors in the Greater Los Angeles area

At LAOSS, our foot & ankle specialists combine advanced surgical expertise with a patient-first approach. From minimally invasive arthroscopic techniques to reconstruction, fracture care, and arthritis management, our physicians bring decades of experience to every case. Trusted across Los Angeles, our team is dedicated to restoring mobility, relieving pain, and helping you return to the activities you love.

Specialists

Meet your foot & ankle specialists.

4 providers
About this care

Expert calcaneus fracture care across Los Angeles

A broken heel bone is a serious injury, and the early decisions matter — proper imaging, swelling control, and the right call on surgery all shape how well you walk a year later. At LAOSS, board-certified foot and ankle specialists evaluate your fracture with on-site X-ray and CT, protect the foot while swelling settles, and lay out a plan in plain English before any decision is made.\n\nWith same-day or next-week appointments at eight Los Angeles–area offices, you won't wait weeks for answers after an acute injury. Whether your fracture heals in a boot or needs surgical fixation, you'll have coordinated care — imaging, the procedure itself, and physical therapy with your in-network provider — all the way through recovery.

Patient reviews

What patients say about us.

★★★★★4.97,500+ Google reviews
Wonderful staff. The MA was so kind to my elderly mom and the doctor explained everything twice so she’d remember. Felt like we were treated like family.
Patricia Aguilar
Cerritos, CA · 6 January 2025
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FAQ

Common calcaneus fracture questions

  • It depends on the fracture pattern. Undisplaced fractures often heal in a cast or boot with no weight-bearing, while displaced fractures or those involving the subtalar joint frequently do better with surgery to restore the heel's shape. We use X-ray and CT to make that call and explain every option before you decide.
  • Most patients stay completely off the foot for roughly 6 to 12 weeks while the bone heals, whether treated in a boot or with surgery. We bring you back to weight-bearing gradually based on follow-up imaging and your healing, not a fixed calendar.
  • X-rays confirm the fracture, but a CT scan shows whether the break extends into the subtalar joint and how the fragments are displaced — detail that directly drives the surgical decision. On-site imaging at most of our offices means you usually get this in one visit.
  • Yes — heel fractures that involve the joint can lead to stiffness, post-traumatic arthritis, a widened heel, or shoe-fitting trouble, especially with severe injuries. Restoring alignment well, whether non-surgically or with fixation, lowers that risk, and we can treat arthritis later with orthotics, injections, or fusion if needed.
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