What is a Bone Bruise in the Heel of the Foot?

A bone bruise in the heel of the foot happens when the calcaneus (heel bone) sustains trauma. This injury is common in athletes, runners, and individuals who experience a direct impact or repetitive stress to the heel. Although less severe than a fracture, a heel bone bruise can be painful and limit activity if not treated properly.

Common Causes

• Sports injuries (basketball, soccer, running)
• Direct trauma such as landing hard on the heel
• Repetitive stress and overuse
• Poor footwear with inadequate cushioning

Symptoms of a Heel Bone Bruise

• Deep, aching pain in the heel
• Tenderness when walking or standing
• Swelling or mild bruising of the heel
• Sharp pain with impact activities

Treatment Options

Most cases of bone bruise heel of foot can be managed without surgery. Recommended treatments include:

• Rest and avoiding high-impact activity
• Ice and elevation to reduce swelling
• Supportive, cushioned shoes or inserts
• Physical therapy to restore strength and mobility
• Medical evaluation to rule out a fracture

Recovery Time

Heel bone bruises usually heal in 4–8 weeks, depending on severity. Early evaluation and proper treatment can help prevent chronic pain or long-term issues with foot biomechanics.

FAQs About Bone Bruise Heel of Foot

How do I know if it’s a bone bruise and not plantar fasciitis?

Plantar fasciitis causes pain on the bottom of the heel, usually first thing in the morning. A bone bruise causes deep, persistent pain often linked to trauma or overuse. An orthopedic exam and imaging can confirm the difference.

When should I see a doctor?

If heel pain lasts longer than a few days, or if walking becomes very difficult, it’s important to see an orthopedic specialist for evaluation.