Managing a Fifth Metatarsal Fracture: Recovery Tips and Support Options - Orthopedics

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Fifth metatarsal fracture


Hello, Doctor.
On October 22, I accidentally missed a step and fractured the fifth metatarsal in my left foot.
Since there was no external injury, I did not undergo surgery.
For the past month, I have been using a wooden board to immobilize my foot and applying medication.
So far, the swelling in my foot has almost completely subsided, and I am experiencing minimal pain.
However, during an X-ray on November 19, the healing of the fracture was not ideal (compared to the first X-ray taken on October 25, there was only a very slight improvement in alignment).
I would like to ask if, given my situation, it would be better for me to wear a brace? Do I need to use crutches, or can I walk directly on my foot? Thank you for your response.

Una, 20~29 year old female. Ask Date: 2016/11/21

Dr. Wang Shouji reply Orthopedics


Hello: One month after a fracture, X-rays usually do not show significant healing.
However, as long as there is no excessive weight-bearing or increased pain, it generally should not cause major issues.
Bone healing typically requires at least three months.
The use of crutches can help reduce complications related to weight-bearing on the fractured area.
Thank you!

Reply Date: 2016/11/21

More Info


Managing a fifth metatarsal fracture can be a challenging process, especially when recovery does not seem to progress as expected. Based on your description, it appears that you have been following a conservative treatment plan since your injury on October 22. The fact that you have been using a wooden board for immobilization and have seen a reduction in swelling and pain is a positive sign. However, the X-ray results indicating that the fracture has not healed as well as anticipated raises some concerns.


Recovery Tips for Fifth Metatarsal Fracture
1. Immobilization: Given that your X-ray shows only minimal healing, it may be beneficial to consider a more supportive device such as a walking boot or a cast. These devices provide better immobilization than a wooden board and can help ensure that the fracture site remains stable, which is crucial for proper healing.

2. Weight Bearing: It is essential to follow your physician's advice regarding weight-bearing activities. If your doctor has not specifically instructed you to bear weight on the injured foot, it is advisable to use crutches or a walker until you receive further guidance. Walking on a healing fracture can lead to complications, including delayed healing or non-union of the bone.

3. Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial. They can monitor the healing process through X-rays and adjust your treatment plan as necessary. If healing is not progressing, they may consider additional interventions, such as physical therapy or even surgical options if warranted.

4. Physical Therapy: Once your doctor gives you the green light to start weight-bearing activities, physical therapy can be beneficial. A physical therapist can guide you through exercises that strengthen the muscles around the foot and improve range of motion, which is vital for returning to normal activities.

5. Pain Management: Continue to manage any discomfort with over-the-counter pain relievers, as recommended by your healthcare provider. Ice therapy can also help reduce any swelling that may occur during the recovery process.

6. Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, as these nutrients are essential for bone healing. Foods such as dairy products, leafy greens, and fortified foods can support your recovery.

7. Activity Modification: While you may be eager to return to your regular activities, it is crucial to listen to your body. Avoid high-impact activities until your doctor confirms that your fracture has healed adequately.


Support Options
- Orthopedic Support: Wearing a supportive shoe or boot can provide the necessary stability to your foot as it heals. Discuss with your doctor about the best options for your specific situation.


- Assistive Devices: If you find it difficult to walk without pain, using crutches or a walker can help you move around safely while minimizing stress on your foot.

- Home Modifications: Consider making adjustments at home to reduce the risk of falls or further injury. This could include removing tripping hazards and ensuring that you have a safe path to navigate.

In conclusion, while your initial recovery seems to be progressing, the lack of significant healing as indicated by your X-ray suggests that further immobilization and possibly the use of assistive devices may be necessary. Always consult with your healthcare provider before making any changes to your treatment plan. They can provide personalized recommendations based on your specific condition and recovery progress. Remember, patience is key in the healing process, and taking the necessary precautions now can lead to a more successful recovery in the long run.

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