Waiting delays care an average of 7 days, and longer for tibial plateau and calcaneal fractures.
The area approximately two inches above the calcaneal attachment is most susceptible to these ruptures due to a zone of avascularity.
One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot.
The pain is localised to the posterior and plantar side of the heel over the calcaneal apophysis.
They also lack supraorbital processes on the frontal and have underdeveloped calcaneal tubers.
Generally, a calcaneal spur develops when proper care is not given to the foot and heels.
The medial calcaneal, medial plantar and lateral plantar nerve areas all had a reduction in pain after successful nonoperative or conservative treatment.
A projection on the calcaneum bone called the calcaneal tuber is narrow and positioned downward relative to other lateral projections on the bone.
