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The response to the question below was authored by Marc Mitnick DPM
The heel of my foot is in a lot of pain, especially when active
by Jamie
(England)
A few days a go I jumped off a wall about 2 meters high, maybe a bit more but I didn't brace myself for the impact. I landed hard on my right foot which gave way and I fell over. I managed to get back up and limp over to somewhere to sit down where I remained for about 30-45 minutes when I managed to walk around a bit without too much pain. I then went home and my foot wasn't too painful for the rest of the evening. However the next day I went about my normal activities where I experienced periods of intense pain in my foot. I was just wondering if I could have broken or fractured a bone in my foot
RESPONSEHi Jamie,
Any time there is trauma to the foot there is always the chance of a broken bone. I have no way of knowing by your narrative whether or not you fractured your heel.
The only way you are going to know for sure is to go have an x-ray and have the foot examined by a doctor.
Keep in mind, however, that sometimes very small fractures in a bone may not show up initially on x-ray. The heel bone is notorious for "hiding" small fractures.
The prudent move, even if there is no fracture on x-ray, but pain still present, would be to put you in a cast, possibly non-weightbearing. This would protect the heel and even if there is an undiagnosed fracture, would allow it to start healing.
I would then give it two weeks and be re-evaluated. If there were still significant pain, I would think the doctor at the very least would take another x-ray, but he or she might consider an MRI or bone scan which are better means to find small fractures.
If it turns out that there is no fracture at all then probably all you did to your foot was suffer a contusion and again being in a cast and possibly non-weightbearing would be a great way to get the foot better as quickly as possible.
Lastly, depending on the type of shoe you were wearing, the type of impact your foot had when it hit the ground and your overall body weight, there is always the possibility that you tore something like a tendon or perhaps the plantar fascial ligament which is the long ligament running from the bottom of the heel to the ball of the foot.
So as you can see there are a few different possibilities that may be causing your pain and the only way to know for sure what it is, is for you to see a doctor.
Marc Mitnick DPM
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