Heel Bruise
Heel Bruise
Description
Most often the result of trauma from landing heel first on a hard surface (after a jump or fall) or from prolonged standing or walking on hard surfaces with inadequate protection from footwear. The injury can be to the fat pad that protects the heel bone or to the bone itself.
Symptoms
  • Persistent pain and tenderness over the bottom surface of the heel when standing and walking.
Pedorthic Management
  • Mild heel bruises may resolve with over-the-counter cushioned insoles or heel cups.
  • More severe cases may need to be treated with custom orthoses to stabilize the bones of the feet and provide more precise localized protection for the heel bone.
  • Supportive footwear that is torsionally stable (can’t be folded or twisted easily) with firm heel counters and soles that provide a high level of cushioning.
Other Treatments
  • Physical therapy modalities include rest and icing.