Novel Rehabilitation Strategies for Bilateral Calcaneal Fractures with minimal wedging of lumbar vertebra – A Case Report

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Nikita Deshmukh
Sakshi Gandole
Hrutuja Karekar

Abstract

The purpose of the article is to describe the case of early full-functional rehabilitation in bilateral calcaneal fractures and minimal wedging of the lumbar vertebra without the use of any invasive approach. In the follow-up to the first, the patient was enrolled in an interdisciplinary rehabilitation course based on the lower limbs and spine. Some of the rehabilitation involved early mobilization and restoring muscle power and joint mobility. This strategy focused on the functions that helped recovery and diminished the risk of the complications seen in the hospital. Overall, increases in mobility and function were seen post-rehabilitation on assessment, which reinforces the effectiveness of the developed rehabilitative strategies as individual-specific. This case demonstrates the importance of individualized care in achieving optimal outcomes for patients with complex musculoskeletal injuries.

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1.
Novel Rehabilitation Strategies for Bilateral Calcaneal Fractures with minimal wedging of lumbar vertebra – A Case Report. JPD [Internet]. 2026 Nov. 1 [cited 2026 Nov. 3];2(5):252-63. Available from: https://journalofphysiotherapydirectories.com/index.php/index_php/article/view/56

References

Rammelt S, Swords MP: Calcaneal Fractures-Which Approach for Which Fracture? Orthop Clin North Am. 2021, 52:433–50. 10.1016/j.ocl.2021.05.012

Schepers T, van Lieshout EMM, Ginai AZ, Mulder PGH, Heetveld MJ, Patka P: Calcaneal fracture classification: a comparative study. J Foot Ankle Surg Off Publ Am Coll Foot Ankle Surg. 2009, 48:156–62. 10.1053/j.jfas.2008.11.006

Galluzzo M, Greco F, Pietragalla M, et al.: Calcaneal fractures: radiological and CT evaluation and classification systems. Acta Bio Medica Atenei Parm. 2018, 89:138–50. 10.23750/abm.v89i1-S.7017

Rammelt S, Sangeorzan BJ, Swords MP: Calcaneal Fractures – Should We or Should We not Operate? Indian J Orthop. 2018, 52:220–30. 10.4103/ortho.IJOrtho_555_17

Alexandru D, So W: Evaluation and Management of Vertebral Compression Fractures. Perm J. 2012, 16:46–51.

Harper BE, Reveille JD: Spondyloarthritis: Clinical Suspicion, Diagnosis, and Sports. Curr Sports Med Rep. 2009, 8:29–34. 10.1249/JSR.0b013e3181967ac6

Kim D, Cho M, Park Y, Yang Y: Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci. 2015, 27:1791–4. 10.1589/jpts.27.1791

Miller D, Smith N, Bailey M, Czarnota G, Hynynen K, Makin I: Overview of Therapeutic Ultrasound Applications and Safety Considerations. J Ultrasound Med Off J Am Inst Ultrasound Med. 2012, 31:623–34.

Pouresmaeili F, Kamalidehghan B, Kamarehei M, Goh YM: A comprehensive overview on osteoporosis and its risk factors. Ther Clin Risk Manag. 2018, 14:2029–49. 10.2147/TCRM.S138000

Schleunes S, Lobos E, Saltrick K: Current Management of Intra-Articular Calcaneal Fractures. Clin Podiatr Med Surg. 2024, 41:473–90. 10.1016/j.cpm.2024.01.006

Liu Z, Hou G, Zhang W, et al.: Calcaneal tuberosity avulsion fractures - A review. Injury. 2024, 55:111207. 10.1016/j.injury.2023.111207

Brockett CL, Chapman GJ: Biomechanics of the ankle. Orthop Trauma. 2016, 30:232–8. 10.1016/j.mporth.2016.04.015

Albin SR, Koppenhaver SL, Van Boerum DH, McPoil TG, Morgan J, Fritz JM: Timing of initiating manual therapy and therapeutic exercises in the management of patients after hindfoot fractures: a randomized controlled trial. J Man Manip Ther. 2018, 26:147–56. 10.1080/10669817.2018.1432542

Adams MR, Koury KL, Mistry JB, Braaksma W, Hwang JS, Firoozabadi R: Plantar Medial Avulsion Fragment Associated With Tongue-Type Calcaneus Fractures. Foot Ankle Int. 2019, 40:634–40. 10.1177/1071100719830948

Chirayath A, Dhaniwala N, Kawde K: A Comprehensive Review on Managing Fracture Calcaneum by Surgical and Non-surgical Modalities. Cureus. 2024, 16:. 10.7759/cureus.54786

Glasoe WM, Allen MK, Awtry BF, Yack HJ: Weight-bearing immobilization and early exercise treatment following a grade II lateral ankle sprain. J Orthop Sports Phys Ther. 1999, 29:394–9. 10.2519/jospt.1999.29.7.394

Aman JE, Elangovan N, Yeh I-L, Konczak J: The effectiveness of proprioceptive training for improving motor function: a systematic review. Front Hum Neurosci. 2014, 8:. 10.3389/fnhum.2014.01075

Lu Y, Wiltshire HD, Baker JS, Wang Q, Ying S: The effect of Tabata-style functional high-intensity interval training on cardiometabolic health and physical activity in female university students. Front Physiol. 2023, 14:1095315. 10.3389/fphys.2023.1095315

Al-horani RA, Batainah AS, Shamroukh N, Abumoh’d MF: McKenzie-type Exercises Improve the Functional Abilities of a Patient with Recurrent Herniated Discs: A Case Report. 10.2174/1875399X02013010049

Chirayath A, Dhaniwala N, Kawde K: A Comprehensive Review on Managing Fracture Calcaneum by Surgical and Non-surgical Modalities. Cureus. 2024, 16:. 10.7759/cureus.54786

Li Y, Xie L, Li W: Effect of early partial weight-bearing rehabilitative exercise on postoperative functional recovery of sanders IV calcaneal fractures. Am J Transl Res. 2021, 13:8316.

Rehabilitation Protocols for Calcaneus Fractures. Accessed: September 23, 2024. https://www.jfasap.com/abstractArticleContentBrowse/JFASAP/21127/JPJ/fullText.