Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know

Walking after surgery for a metatarsal fracture?

I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to insert screws.
It has been six weeks since the operation, and I have already had the splint removed.
I am currently using a liquid-filled cane to walk.
Doctor, can I start to lightly bear weight on my foot now? A few days ago, I accidentally tripped and slightly put weight on my foot, which felt very numb.
Will this affect my recovery? Given that it has been this long and there are still bone screws in place, is it safe for me to put some weight on my foot?

Kevin, 20~29 year old female. Ask Date: 2020/06/27

Dr. Chen Bochen reply Orthopedics

Hello Kevin,
Actually, I would need to see your recent X-ray to provide you with a more accurate answer.
However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks after surgery.
It is important to wear hard-soled shoes; boots, thick-soled sneakers, and safety shoes are all acceptable.
Initially, you may feel some discomfort when you start walking again because it has been a while, and the injured area may have some adhesions.
Gradually stretching it out will help, but the key is to follow the advice of your attending physician based on your X-ray and surgical condition.
Wishing you a speedy recovery.
Dr.
Chen Bo-Chen, Orthopedics, Changhua Hospital

Reply Date: 2020/06/27

More Info

After undergoing surgery for a fifth metatarsal fracture, it's essential to approach your recovery with caution and follow your doctor's recommendations closely. Given that you are now six weeks post-surgery and have had your splint removed, you may be eager to start walking more normally. However, there are several important considerations to keep in mind.

Firstly, it's crucial to understand that the healing process for a metatarsal fracture can vary significantly from person to person. While six weeks is a common timeframe for initial healing, the bone may not be fully healed yet. Typically, the first six to eight weeks post-surgery involve a gradual increase in weight-bearing activities, but this should be done under the guidance of your healthcare provider.
Since you mentioned that you are currently using a liquid underarm crutch, this indicates that you are still in the process of transitioning to full weight-bearing. It's generally recommended to continue using crutches or a walking aid until you receive clearance from your doctor. This is to ensure that you do not put undue stress on the healing bone, which could lead to complications or delayed healing.

Regarding your question about lightly stepping on your foot, it is essential to be cautious. If your doctor has not specifically advised you to start putting weight on your foot, it is best to refrain from doing so. Even a slight amount of pressure can affect the healing process, especially if the bone is still in the early stages of recovery. If you accidentally stepped on your foot and felt discomfort, it could indicate that the bone is still sensitive and not ready for full weight-bearing activities.

In terms of the presence of hardware (like screws) in your foot, while these devices are designed to stabilize the fracture and allow for healing, they do not necessarily mean that you can start walking normally. The hardware can sometimes cause discomfort or a sensation of tightness, especially if you are beginning to put weight on the foot too soon.
It is also important to monitor your foot for any signs of complications, such as increased swelling, pain, or changes in color. If you experience any of these symptoms, it is crucial to contact your healthcare provider immediately.

In summary, while you may be feeling better and eager to return to normal activities, it is vital to proceed with caution. Follow your doctor's advice regarding weight-bearing activities, continue using your crutches as recommended, and avoid putting pressure on your foot until you receive explicit clearance. Regular follow-up appointments will help assess your healing progress and determine when it is safe to transition to full weight-bearing activities. Always prioritize your recovery to ensure the best possible outcome.

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