Table 1. Clinical timeline from initial fracture repair to final follow-up.

This table outlines the chronological sequence of key clinical events for the patient, from the initial surgical repair of the calcaneal fracture to the final assessment following hydrodissection therapy. The timeline emphasizes the persistence of symptoms for a significant period after hardware removal, culminating in the presentation with refractory pain and subsequent intervention.

ORIF: Open reduction and internal fixation.

Event	Date / Timeframe
Initial calcaneal ORIF	October 2021
Elective hardware removal	Approximately 18 months post-ORIF
Presentation for refractory pain	March 2025
First hydrodissection session	March 2025
Second hydrodissection session	One week after first session
Final follow-up assessment	Six months after initial presentation