The heel will ensure a secure fit. Shock-absorbing insoles for high-heeled shoes. In addition, the Russian market presents…

The heel bone in the arch of the foot breaks quite rarely, especially on both sides. The main cause of fracture is often swipe heels or falling on your feet from a height. Often such an injury is combined with a fracture in the thoracic and lumbar spine or ankle joint.

After completion of the recommended treatment, a long period of rehabilitation is required. An orthosis for a fracture of the calcaneus can significantly facilitate and speed up the recovery process.

Mechanism and causes of fracture

The heel bone is rightfully considered the largest bone of the foot. When walking and standing, it bears most of the load and acts as a shock absorber. According to anatomical data, it is customary to distinguish the body and the tubercle located behind it. In front, the bone has a connection with the cuboid bone, and above with the talus.

It is the talus bone that directly connects the heel and shin bones to each other. In the event of a jump on the feet or a high-altitude fall, the weight of the entire body is transferred to the ankle, and through it to the talus. The result is its wedging into the heel bone, followed by splitting the latter into pieces.

The fracture and its type, the nature of the displacement of fragments directly depend on the position of the foot and the height of the fall. Another cause of fractures can be bone compression due to an accident or constant physical activity in professional athletes.

A fracture due to a blow to the heel bone with a massive object is much less common.

Classification

• All calcaneal fractures are usually divided into two large groups:
• extra-articular fractures: tubercles (horizontal, vertical, separation of the median tubercle, “beak” type), body;

intra-articular: compression, isolated, marginal, with and without displacement of fragments.

We should not forget that a fracture often leads to damage to surrounding tissues. Based on this feature, fractures are classified into closed and open.

Symptoms

• The main complaint for a fracture in the heel area is pain. During the examination, pronounced swelling is noticeable, extending all the way to the Achilles tendon. Other symptoms include:
• change in the shape of the foot in the heel area (expands and flattens);
• presence of hemorrhage (occupies the center of the sole);
• preservation of movements in the ankle joint (if it is not broken).

A characteristic sign is the fact that the patient cannot stand on his foot.

Important! Calcaneal fractures often go undetected due to concomitant spinal or ankle injuries. In this regard, all patients whose injury is associated with a fall on the foot should be examined for the presence of this fracture.

Diagnosis and treatment

To diagnose a heel fracture, in addition to collecting complaints and the presence of injury, it is important visual inspection and additional research methods. Radiography in three projections is of key importance. The nature of the damage is judged by the change in the angle of the heel bone (Behler angle).

For a non-displaced fracture, conservative therapy is indicated by immobilizing the affected limb with a plaster cast. It is applied for at least three weeks from the toes to knee joint

. If there is displacement, the treatment tactics change - reposition is performed under local anesthesia.

Particular attention is required to comminuted fractures that accompany damage to the articular surfaces of the talus and calcaneus and significant displacement of bone fragments. If necessary, an Ilizarov apparatus can be used.

When a false joint is formed between bone fragments, a three-joint resection operation with additional excision of the bone plates of each fragment is necessary. Then all parts are connected to each other using a special screw. The next step should be competent rehabilitation.

Important! Regardless of the type of fracture, its severity and method of treatment, resting on the injured leg is strictly prohibited. This will not only worsen the condition and prolong the recovery period, but may also lead to displacement of bone fragments.

Using an orthosis

To speed up the recovery period for heel fractures, it is often recommended to use a special ankle joint brace called the 28f10 heel-off-load orthosis. Orthoses are commonly called external therapeutic and prophylactic devices used for injuries to the musculoskeletal system.

The devices can consist of an elastic fabric with additional inserts or special materials (turbocast), which provide the entire structure with the necessary rigidity for maximum fixation. They are often equipped with lacing or straps.

• allow you to support the longitudinal arch of the foot by covering the metatarsal bones and transferring part of the support to the ankle;
• provide reduction of loads on the heel bone;
• allow the foot to roll, similar to the physiological one;
• help reduce pain and shorten rehabilitation time;
• help quickly restore motor activity;
• reduce swelling in the lower limb and minimize muscle atrophy.

When wearing an orthosis, the foot is in almost a physiological position, which is a good prevention of complications in the form of flat feet.

IN this device It is possible to carry out active movements that increase blood flow. As a result, the risk of post-traumatic osteomyelitis, arthrosis and osteoporosis is reduced.

Another undeniable advantage is the ability to independently remove the clamp from the leg. For example, to wash a limb. The clamps weigh a little and do not cause any inconvenience. In the orthosis, you can walk without crutches and freely use a variety of ointments. You can walk freely in it and even ride a bike.

Terms of use

Basically, an orthosis for heel fractures is necessary during the period of treatment and rehabilitation measures, which on average last about three months. It is often prescribed after the cast is removed to speed up the recovery process.

Important! All orthoses are sold disassembled; their direct fitting to the leg and assembly must be carried out exclusively by a specialist.

The use of a retainer requires compliance with certain rules:

• used only with the permission of the treating doctor;
• the size is selected individually;
• application is possible only in the absence of plaster, open wounds or swelling;
• Gradually, the load on the leg can be increased, guided by the recommendations of the treating doctor and the instructions for the brace;
• While wearing, you should put a load on the affected limb, but only in the absence of pain.

Recovery period

The rehabilitation period for a fracture in the heel bone should include a full range of measures:

• massage;
• physiotherapy;
• physiotherapy;
• proper nutrition.

The main objectives of all procedures are to improve blood supply to damaged tissues, quick fix signs of inflammation and acceleration of regenerative processes. For this, massage sessions with cedar oil, thermal procedures with ozokerite and regular exercises with rising on your toes and then lowering onto your heels will be useful. Warm baths with sea salt have worked well.

As a balanced diet for a heel fracture, foods high in vitamin D, calcium, phosphorus, silicon, copper and zinc will be useful. These can be dairy and fermented milk products, sea fish, meat broths, legumes, eggs, potatoes and bananas.

Possible complications

If therapy is not started in a timely manner, all doctor’s instructions are not followed, or severe cases of heel fracture, the likelihood of complications increases several times. TO possible problems include:

• flat feet of a post-traumatic nature;
• development of arthrosis in the area of ​​the subtalar joint and the joint formed by the talus and navicular bones of the foot (Chopard);
• pain when putting pressure on the foot;
• formation of heel spurs and bone protrusions;
• violation of support.

With chronic fractures, there is a high probability of deformation of the foot, an increase in the transverse dimensions of the heel bone, and the inability to actively move the thumb of the lower limb, and in especially severe cases, all the toes on the foot.

From all of the above, it becomes clear that heel fractures are a serious injury that requires a careful approach and appropriate treatment.

Good to know about this

After observing patients with various heel fractures, orthopedists and surgeons made quite important conclusions:

1. With closed simultaneous reduction and in the case of a comminuted fracture, there is a high probability of subsequent disability.
2. For a specific and accurate picture, radiography should be performed in five projections and, if possible, in a high-profile specialized institution.
3. Skeletal traction should only be used as a preparatory stage to surgery for three-joint resection.
4. Relief from pain in chronic form and complete restoration of supporting function is possible after surgery for resection of the talocalcaneal and Shopar joints.

Restoring sensation and motor activity to the fingers of the lower limb is possible by cutting the long extensors.

On a note

It must be remembered that after the final restoration of all functions of the lower limb in the foot area after a fracture, there is no need to immediately stand on heels or wear tight and narrow shoes.

Within six months preference should be given orthopedic shoes with the presence of an appropriate instep support. In some cases, this period lasts up to a year.

If flat feet or shortening of the foot occurs, it is necessary to make special shoes based on casts of the foot. It will be useful to visit a specialized sanatorium for spa treatment and follow the principles proper nutrition at least for six months.

The heel bone is quite strong, it is not easy to break it, but if it is broken, serious problems will arise, since movement will simply become impossible. Do not assume that the possibilities human body are limitless, exposing the body to excessive stress. Even a broken bone can change your quality of life for the worse. It’s worth taking care of your body and directing your strength in the right direction.

We are all different and unique. We have different figures, builds, the structure of our arms and, of course, our legs. Many people whose foot structure differs significantly from normal values ​​due to biomechanical disorders or congenital characteristics often experience difficulty in choosing shoes and discomfort in wearing them. Corrective and orthopedic shoe inserts and inserts can significantly help in this situation. Our clients and many other people who use foot inserts confirm that pain and discomfort disappear.

The online store "Stelki.ru" offers your choice the widest range shoe inserts, with the help of which everyone can adapt standard shoes to their feet to make wearing them comfortable. And this:

• half insoles with anti-slip effect, absorbing moisture and unpleasant odors,
• inserts for fixing heels in shoes,
• inserts under the tongue of shoes to correct slight insteps,
• orthopedic inserts with a pelot under the forefoot and a shock absorber under the heel.

In the catalog of our store "Stelki.ru" everyone can find an orthosis or corrective insert that will literally change the quality of life. After all, with them you can wear absolutely any shoes, experiencing comfort and aesthetic pleasure.

The orthopedic footwear and silicone shoe inserts for the forefoot presented in our catalog will allow you to promptly prevent orthopedic diseases. Moreover, if you often wear narrow dress shoes, you will like high heel or have to spend a lot of time standing - you just need these inserts.

Heel holders are comfortable and soft holders for the back of shoes or boots. The products are designed to provide stable support for the foot while walking and to prevent the formation of calluses on the heel. You can purchase accessories for shoes at a competitive price in the online store “Magic of Shoe Shoe”.

Range

The catalog features soft heel holders made of natural suede that prevent chafing. Accessories are recommended for breaking in new shoes.

You can order self-adhesive strips, which also make the back pad softer, making walking or running comfortable and preventing pain. We have products of various widths, which allows you to choose an accessory for specific shoes.

The site offers gel-based heel guards that are securely glued to the heel and at the same time are soft and easy to care for.

All products have the following advantages:

• high-quality and wear-resistant materials;
• ease of attachment to the heel and reliable fixation of the foot in the shoe;
• protection against the formation of calluses in people with non-standard feet;
• affordable price.

To order these accessories, call us and indicate which option you need. After this, we will process your request and send the goods for delivery, which will take a short time.

A calcaneal fracture is a fairly rare type of injury. The heel bone can break at the most unexpected angles and at different quantities fragments. The fracture can be either simple (without displacement) or complex, with displacement of fragments.

Various factors and accidents can lead to such an injury. Here are the most common of them:

1. falling from a height onto straight legs;
2. violation of safety regulations by athletes and conscripts;
3. traffic accidents;
4. pathological conditions of bones (osteomyelitis).

Symptoms

The injury is most often unilateral. After the blow, the victim feels severe pain in the heel area. A fracture can be suspected after the victim has described the mechanism of injury (fall, blow). The diagnosis is confirmed using x-rays or CT scans.

Treatment

Basically, to treat this injury, a “boot” type plaster cast is used without repositioning (putting in place) the bone fragments. This type of treatment is often characterized by poor results - muscle atrophy, the formation of flat feet, and the development of stiffness in the ankle joint.

In the case of impacted fractures (occurring from a fall on straight legs), skeletal traction is often used. It is carried out in a hospital setting using special loads.

There is also a technique for open treatment of these types of injuries. For this purpose, an operation is performed during which the bone fragments are fixed with special devices.

1. Preparation for operations on the talocalcaneal joint;
2. Fractures of the calcaneus of any type, regardless of what type of fracture treatment was used before.

How does the 28f10 brace work?

The stress on the heel is reduced by distributing the load between the arch of the foot and the lower part of the shin. While in a cast, the foot does not take a physiological position, which can provoke the formation of longitudinal flat feet. In the orthosis, thanks to the corresponding bends, the foot has an almost completely physiological position, which is.

The sooner the patient begins to perform active actions with the leg, the less will be the manifestation of contractures and other stagnation in the tissues. Due to more active muscle work, signs of stagnation (in particular, venous thrombosis) in the vessels will not appear. As a result of activation of blood circulation in the limb, the risk of post-traumatic deforming arthrosis, osteoporosis, osteomyelitis and some other diseases that may lead to disability in the future is significantly reduced.

The undoubted advantage of a rigid clamp is the ability to remove it yourself, for example, if necessary, wash your leg. Also, when wearing a brace on the leg, the use of ointments and physiotherapeutic procedures are allowed. Unlike a cast, you can walk without crutches.

Features of application

You can walk in the orthosis not only indoors, but also outdoors, since there is no need to compensate for the height of shoes on the opposite side. You can even ride a bike.

In order for the use of this product to be as effective as possible, a number of conditions must be met:

1. Orthotics are only possible with a written prescription from a doctor. Oral referral in such cases is absolutely not acceptable.
2. The orthosis is sold unassembled. It is unacceptable to assemble it yourself, since assembly and adjustment of the product should only be carried out by a specialist in an orthopedic workshop. Personal presence of the patient is required.
3. At the time of application of the orthosis, the patient should not have a cast, swelling of the legs or open wounds.
4. While wearing an orthosis, it is possible and even necessary to put pressure on the injured leg. An important condition At the same time, there is no pain when walking.
5. Thanks to a variety of inserts, you can gradually increase the load on the heel bone.

Dimensions

The orthosis for men and women has the same shape. His Size chart Provides three sizes and shapes for right and left legs. The size of the clamp is adjustable to fit your foot.

A light gait is a person’s adornment and a sign of good health. This gracefulness largely depends on the condition of the legs, especially the feet. To prevent an ordinary walk from turning into a serious ordeal, orthopedists recommend using silicone heel pads. They are effective for heel spurs and other foot deformities and injuries, making walking more comfortable and pain-free.

Why do you need heel pads for shoes?

Orthopedic products for the foot are intended for the prevention and treatment of many diseases. When walking, the main load falls on the heel, because the step begins with it. Heel pads are good shock absorbers, they reduce pressure on the foot and joints.

These devices relieve pain and prevent discomfort and fatigue when walking. Orthopedic inserts improve blood circulation and help fix the correct position of the foot in shoes.

• flat feet;

• (heel spur);

• rear foot injuries;

• and ankle joint;

• curvature of the pelvis due to unequal leg lengths (with a difference of up to 3 cm);

• diseases of the hip and knee joints;

• disorders of the spine.

Such devices are useful for correcting gait when the sole of a shoe is worn skewed to one side.

Doctors recommend that patients wear silicone heel pads as part of the treatment of diabetic foot and problems with the skin of the sole. The use of inserts makes the gait of pregnant women and people with hallux valgus (X-shaped deformity) more stable. Special products for heels are useful for athletes, overweight people and those who spend a lot of time on their feet.

Types of products, their advantages and disadvantages

An orthopedic heel pad is a shoe insert that resembles a shortened insole secured with an adhesive retainer.

There are many types of heel pads for dress and casual shoes. These are products for any time of year. Heel pads are made from hypoallergenic materials that do not irritate the skin.

Manufacturing companies create adult and children's models. Shape options:

• oval,
• round,
• rectangular with smoothed corners.

Many designs have heel cutouts or padded inserts to reduce the pain of plantar fasciitis. The height of the orthopedic product varies from 3 to 12 mm.

There are hard and soft heel pads depending on the material:

• Leather. Suitable for different leg lengths. They are characterized by low shock absorption and have a small latex insert. They breathe well, are of high quality and durable. At the same time, they do not have a strong orthopedic effect.

• Gel. Soft prophylactic products. Reduce pressure on the heel and prevent the formation of calluses, cracks, and spurs. Compact heel pads can be used in elegant women's shoes. The products are quite thin and cannot eliminate serious dysfunctions of the foot.

• Cork. They have a pronounced orthopedic effect. A fairly rigid base is effective in correcting flat feet, diseases of the spine and joints. Not always effective in treating plantar fasciitis.

• Silicone. They are distinguished by a complex structure and thickening in the heel area. They have sides to secure your feet in closed shoes without heels. Prevents the formation of calluses and cracks on the heel, prevents leg fatigue. Useful in the treatment of flat feet. Not used in dress shoes.

• Latex. Good shock-absorbing properties of the material are important for heel spurs and different leg lengths. Reduces foot fatigue. Products made from breathable latex foam with leather covering are very comfortable, but require reliable fixation in shoes. It is advisable to have separate orthopedic heel pads for each pair of shoes.

Corrective inserts are produced in the USA and European countries. Brand fame, along with technical qualities, affects the cost of the product.

How to choose orthopedic heel pads for shoes

The search for a product should be taken seriously, because well-being, performance, and mood often depend on the accuracy of the choice. We can list several important rules that will help you find the right option:

• determine exactly why you need to purchase heel pads (prevention, treatment or increasing comfort);

• consult a doctor;

• determine for which pair of shoes the inserts will be selected;

• explore the range and choose suitable model appropriate size;

• read the product description;

• have with you when trying on the right pair shoes to better evaluate the comfort of the chosen design;

• It is advisable to purchase orthopedic heel pads in specialized salons and pharmacies.

Important! For heel spurs you should use soft products with good shock-absorbing effect. For rehabilitation after a heel bone fracture, the device must be rigid. To prevent the initial stage of disease of the legs or spine, plastic structures are recommended.

In some cases it is possible custom production liner according to foot measurements, taking into account the type of shoe.

Rules for using the product

The comfort of the foot and the durability of the inserts often depend on following the operating rules:

• Always use the inserts in one pair of shoes to avoid deformation of the products.

• Periodically renew the adhesive fixative.

• Do not use heel pads if the skin on the heel is damaged.

• Wear orthopedic inserts for no more than 16 hours at a time.

• Wash the product in warm soapy water and dry naturally (wipe leather products with a damp alcohol wipe).

• Protect from sunlight.

• Do not exceed the service life.

The inserts can be used in pairs or separately.

Video reviews of silicone heel pads:

Orthopedic heel pads are an excellent device for compensating for the negative consequences of many diseases of the musculoskeletal system. Heel pads will help improve the condition of your feet and restore ease of movement.