Thank you for your query at doctorspring.com
I agree that many people who practice this trampling and shoot videos and post to internet and also you do not suffer from any events post such episodes. But I would like to strongly advise you against performing such an action. 145 lbs all concentrated at a single point of heel can break a rib or 2 and it can go right through your heart and lung or liver. It can cause sudden death. In the abdomen it can cause rupture of vital organs like liver spleen kidneys and stomach.
So please discontinue this practice of trampling. I hope this helps, please feel free to discuss further.
Dr Vivek Mahajan
Patient replied :
Thank you for your reply! Do I have to fear that something might already be damaged by now althoug I have never had any inconveniences so far? Are there long-term aftermaths to be expected or can I assume that as long as no bones are broken everything will be fine?
Does the heart suffer from the mere pressure on the chest or is it only dangerous if bones break?
The most serious consequences can be after rib or sternum fractures. If the rib cage is intact the chances of injury to lung and heart is unlikely. Anyways if severe trauma had occured it would manifest. So its not too late to stop the practice of trampling.