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ORIF Calcaneus

ORIF of the calcaneus (heel bone) is a surgical procedure used to treat severe heel fractures. These injuries can significantly affect walking and weight-bearing. Physiotherapy is essential after surgery to restore mobility, strength, and function. At ACE Physio Sports in Singapore, we provide structured rehabilitation to support full recovery.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 29 May 2026
ORIF Calcaneus

What is Calcaneus ORIF?

Calcaneus ORIF (Open Reduction and Internal Fixation) is a surgical procedure used to repair and stabilise fractures of the heel bone.

During surgery:

  • The bone is realigned (open reduction)
  • Plates and screws are used to hold it in place (internal fixation)

This is required when fractures are:

  • Displaced
  • Involving joint surfaces
  • Complex or unstable

Understanding the Calcaneus (Heel Bone)

The calcaneus:

  • Is the largest bone in the foot
  • Supports body weight during standing and walking
  • Works closely with the talus and surrounding joints

Injuries to this bone can affect:

  • Walking ability
  • Balance and stability
  • Overall foot mechanics

Types of Calcaneus Fractures

  • Non-displaced → bone remains aligned
  • Displaced → bone fragments shift
  • Intra-articular → involves joint surface
  • Extra-articular → outside the joint

Severe fractures (Types II–IV) typically require ORIF surgery.

How Do Calcaneus Fractures Happen?

Common causes include:

  • Falls from height
  • High-impact injuries
  • Road accidents

People often describe:

  • “heel pain after a fall”
  • “cannot put weight on heel”
  • “severe swelling in foot after injury”

Symptoms (Real-World Search Intent)

  • Severe heel pain
  • Swelling and bruising
  • Difficulty or inability to walk
  • Reduced movement in the foot
  • Tenderness around the heel

Physiotherapy Before Surgery

Surgery is often delayed 5–14 days to allow swelling to reduce.

During this phase, physiotherapy at 👉 acephysiosport.com focuses on:

  • Elevation to reduce swelling
  • Ice therapy for pain relief
  • Maintaining strength in other joints
  • Safe movement and positioning
  • Preventing stiffness

Symptoms After Calcaneus ORIF

After surgery, you may experience:

  • Pain around the heel and incision site
  • Swelling
  • Stiffness
  • Reduced mobility

You will initially:

  • Be non-weight-bearing
  • Use crutches
  • Wear a cast or protective support

Physiotherapy After Calcaneus ORIF

Physiotherapy is essential to restore walking ability, strength, and confidence.

At 👉 acephysiosport.com your rehab is structured in phases:

Weeks 0–6 (Protection Phase)

Focus: healing and gentle movement

  • Non-weight-bearing with crutches
  • Toe and gentle ankle movements
  • Pain and swelling management
  • Strengthening surrounding joints

Weeks 6–12 (Mobility Phase)

Focus: restoring movement and strength

  • Seated stretching and strengthening
  • Scar management and massage
  • Improving flexibility
  • Building endurance

Weeks 10–12 (Transition Phase)

Focus: partial weight-bearing

  • Gradual weight transfer exercises
  • Balance training
  • Supported walking practice

Weeks 12–14+ (Functional Phase)

Focus: full recovery

  • Full weight-bearing progression
  • Gait retraining (walking pattern)
  • Stair training and functional tasks
  • Strength and balance exercises

Recovery & Long-Term Outcomes

With proper physiotherapy:

  • Walking ability improves
  • Strength and mobility return
  • Risk of long-term stiffness reduces

Recovery timeline:

  • 3–6 months depending on severity

Without rehabilitation:

  • Chronic pain and stiffness
  • Poor walking mechanics
  • Reduced function

Why Choose ACE Physio Sports in Singapore

If you are looking for calcaneus ORIF physiotherapy in Singapore, ACE Physio Sports can help.

  • Expertise in foot and ankle rehabilitation
  • Personalised recovery programmes
  • Focus on restoring full walking ability
  • Evidence-based physiotherapy care
  • Conveniently located near East Coast Road

We help you return to pain-free walking and daily activities.

Book Appointment

If you have undergone heel (calcaneus) ORIF surgery, early physiotherapy is key to recovery.

Book your session now: 👉 acephysiosport.com 📞 +65 81535374

Start your recovery with expert physiotherapy in Singapore.

Frequently Asked Questions

How long will I need to be non-weight-bearing after ORIF Calcaneus?

Non-weight-bearing periods typically range from 4–12 weeks depending on the procedure. Your surgeon and physiotherapist will guide progressive loading using a boot or crutches, with milestones paced based on your imaging and healing progress.

When can I get back into regular shoes after ORIF Calcaneus?

Most patients transition into normal footwear between 8–16 weeks, once swelling reduces and healing is confirmed. Wide-fitting or supportive shoes are usually recommended initially, with your physiotherapist guiding the footwear transition.

Will physiotherapy help with stiffness and poor balance after ORIF Calcaneus?

Yes — physiotherapy is essential for restoring ankle range-of-motion, strength, and proprioception after surgery. Early mobilisation, soft tissue therapy, and progressive strengthening significantly reduce stiffness and improve long-term balance outcomes.

Ready to start your recovery?

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