The calcaneus (heel bone) bears significant weight with every step, which is why non-weight-bearing periods for this fracture tend to be longer than for many other fractures.
This page explains how a nonoperative calcaneus (heel bone) fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
The calcaneus (heel bone) bears significant weight with every step, which is why non-weight-bearing periods for this fracture tend to be longer than for many other fractures.
Heel fractures can unite while swelling, shoe intolerance, and subtalar stiffness continue for months.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A bulky Jones splint for about 2–4 weeks.
No weight bearing (NWB) for about 12 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 12 weeks.
Ankle/subtalar motion when allowed; later gait and strengthening therapy may be beneficial.
A 6–8 week X-ray to check healing, then a 12-week X-ray to confirm healing and clear the weight-bearing restriction. An optional 6–9 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work may resume early; standing/manual work often requires several months.
Sports or High-Risk Activity: Often 4–6 months or longer; impact may remain limited by subtalar symptoms.
Skin compromise, increasing swelling, compartment symptoms, neurovascular deficit, displacement, or inability to maintain restrictions.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A bulky Jones splint for about 2–4 weeks.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.