Rehabilitation Exercises for Fifth Metatarsal Fracture Recovery - Rehabilitation

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Rehabilitation after a fifth metatarsal fracture is crucial for restoring function and strength to the foot. Given that your fracture is healing well (85% recovery) and the cast has been removed, you are at a pivotal point in your rehabilitation journey. However, it is important to approach this phase with caution, especially since you are still experiencing swelling and stiffness in your toes, foot, and ankle.


Rehabilitation Exercises
1. Range of Motion Exercises: Start with gentle range of motion exercises to improve flexibility and reduce stiffness. You can perform the following:
- Toe Flexion and Extension: While seated, try to curl your toes downwards (flexion) and then straighten them out (extension). Repeat this 10-15 times.

- Ankle Circles: While seated or lying down, lift your foot slightly off the ground and make circular motions with your ankle, first clockwise and then counterclockwise. This helps improve ankle mobility.

- Towel Stretch: Sit with your legs extended in front of you. Use a towel around the ball of your foot and gently pull towards you to stretch the calf and Achilles tendon.

2. Strengthening Exercises: Once you have regained some range of motion and the swelling has decreased, you can begin strengthening exercises:
- Marble Pick-Up: Place marbles or small objects on the floor and use your toes to pick them up and place them in a bowl. This helps strengthen the intrinsic muscles of the foot.

- Resistance Band Exercises: Use a resistance band to perform ankle dorsiflexion (pulling the toes towards you), plantarflexion (pointing the toes away), inversion (turning the sole inward), and eversion (turning the sole outward). This will help strengthen the muscles around the ankle.

3. Weight-Bearing Activities: As you progress, you can gradually start to bear weight on your foot. Begin with partial weight-bearing, using crutches or a walker for support. As tolerated, transition to full weight-bearing activities.


Hot Water Soaks
Soaking your foot in warm water can be beneficial for reducing stiffness and promoting circulation. However, ensure that the water is not too hot, as this can exacerbate swelling. A warm soak for about 10-15 minutes can help relax the muscles and joints. After soaking, gently dry your foot and perform some range of motion exercises while it is still warm.


Monitoring Progress
Keep an eye on your symptoms. If you experience increased pain, swelling, or any unusual symptoms during or after exercises, it is important to stop and consult with your healthcare provider. They may recommend modifications to your rehabilitation plan or further evaluation.


Conclusion
In summary, focus on gentle range of motion exercises initially, followed by strengthening activities as tolerated. Soaking your foot in warm water can aid in recovery, but always listen to your body and consult with your physician or physical therapist for personalized guidance. Rehabilitation is a gradual process, and patience is key to achieving a full recovery. With consistent effort and the right approach, you can regain strength and function in your foot, allowing you to return to your normal activities.