Do I Need Support Braces After Fifth Metatarsal Fracture?

No need to use low-temperature thermoplastic sheets?

Hello Doctor, I had a car accident on April 30, 2020, which resulted in a fracture of the fifth metatarsal.
I was put in a cast in the emergency room and scheduled for a follow-up appointment about a week later.
The doctor at the follow-up visit decided that a cast was unnecessary and recommended using a low-temperature thermoplastic splint for stabilization instead.
On June 16, 2020, the follow-up doctor advised that I could stop using the splint and try to walk without crutches, but I am unable to walk for long periods due to tingling sensations and tightness in my ankle and calf.
I know there are braces for the knee, ankle, wrist, etc.
Should I be using a brace? What would be the appropriate name for it? Thank you, Doctor.

Ms. Li, 40~49 year old female. Ask Date: 2020/06/17

Dr. Shi Guozheng reply Orthopedics

The rehabilitation department will provide you with a brace.
This will be sufficient.
Before the fracture heals, you may experience tightness, and prolonged walking may lead to swelling or numbness, which is normal.
After three months, you will gradually start to recover.

Reply Date: 2020/06/17

More Info

After suffering a fifth metatarsal fracture, it is understandable to have concerns about the need for support braces during your recovery. Based on your description, it seems you have already made significant progress in your healing journey, transitioning from a cast to a thermoplastic splint, and now being advised to try walking without crutches. However, the symptoms you are experiencing, such as tingling sensations and tightness in your ankle and calf, indicate that you may still benefit from some form of support.

Do You Need Support Braces?
1. Supportive Braces: Given your current symptoms, using a supportive brace could be beneficial. A brace can provide stability to the ankle and foot, helping to alleviate discomfort and prevent further injury as you regain strength and mobility. Specifically, an ankle brace or a stirrup brace could be appropriate for your situation. These braces are designed to limit excessive movement while allowing for some range of motion, which can be helpful in your recovery.

2. Types of Braces:
- Ankle Brace: This type of brace can help stabilize the ankle joint and provide support during activities. It can be particularly useful if you experience instability or discomfort while walking.

- Stirrup Brace: This is a more rigid option that can offer additional support and protection, especially if you are engaging in activities that may put stress on the foot and ankle.

- Compression Socks: These can also be beneficial in reducing swelling and improving circulation in the lower leg, which may help alleviate the tightness you are feeling.

3. Consultation with a Specialist: It is advisable to consult with your orthopedic doctor or a physical therapist regarding the use of braces. They can assess your specific condition and recommend the most suitable type of brace for your needs. They may also provide guidance on how long you should wear the brace and when you can gradually reduce its use.

Importance of Rehabilitation
In addition to using a brace, continuing with rehabilitation exercises is crucial. Physical therapy can help strengthen the muscles around the ankle and foot, improve flexibility, and enhance overall function. Your therapist can design a program tailored to your recovery stage, focusing on exercises that promote stability and strength without overloading the healing bone.

Monitoring Symptoms
As you progress, it is essential to monitor your symptoms closely. If you experience increased pain, swelling, or any new symptoms, it is important to reach out to your healthcare provider. They may need to reassess your condition and adjust your treatment plan accordingly.

Conclusion
In summary, while you may not need a brace indefinitely, using a supportive brace during your recovery from a fifth metatarsal fracture can provide the stability and protection you need as you regain strength and mobility. Consult with your healthcare provider to determine the best course of action tailored to your specific situation. Remember, recovery is a gradual process, and listening to your body is key to achieving a successful outcome.

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