Preventing Muscle Loss During Recovery from Metatarsal Fractures - Orthopedics

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Prevention of Muscle Atrophy Following Metatarsal Fractures


Hello, Dr.
Wang.
On February 6, 2021, I twisted my ankle while walking down the stairs.
I had an X-ray in the emergency room, which showed a transverse fracture of the fifth metatarsal, and I am currently in a cast.
I would like to ask: 1.
What kind of exercises can I do during the casting period to prevent muscle atrophy in my leg? 2.
Should I keep my injured foot elevated during the day? Thank you.
(I was too anxious at the time to ask about post-discharge care.)

Fang Yuan, 70~79 year old female. Ask Date: 2021/02/10

Dr. Wang Shouji reply Orthopedics


Hello, for foot fractures, elevating the leg and flexing the ankle joint can help reduce muscle weakness and atrophy.
Raising the lower limb can also decrease swelling in the foot.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2021/02/10

More Info


When recovering from a metatarsal fracture, particularly while in a cast, it is crucial to take steps to prevent muscle loss and maintain overall leg health. Here are some strategies to consider:
1. Isometric Exercises: While in a cast, you may not be able to perform traditional exercises that involve movement of the ankle or foot. However, isometric exercises can be beneficial. These involve contracting your muscles without moving the joint. For example, you can try to tighten your calf muscles or quadriceps while keeping your leg still. Hold the contraction for about 5-10 seconds and repeat several times throughout the day. This can help maintain muscle tone and strength in the affected leg.

2. Upper Body and Core Workouts: Since your lower leg is immobilized, focus on upper body and core exercises. Activities such as seated arm raises, shoulder presses, and core stability exercises can help maintain overall fitness. Resistance bands can be particularly useful for upper body workouts, allowing you to engage your muscles without putting weight on your injured foot.

3. Range of Motion Exercises: If your doctor approves, you can perform gentle range of motion exercises for your toes and ankle (if allowed). This can help maintain flexibility and circulation in the area. Always consult your healthcare provider before starting any new exercises to ensure they are safe for your specific situation.

4. Nutrition: Proper nutrition plays a vital role in muscle maintenance and recovery. Ensure you are consuming enough protein, as it is essential for muscle repair and growth. Foods rich in vitamins and minerals, particularly calcium and vitamin D, are also important for bone health. Consider consulting a nutritionist for personalized advice.

5. Elevation and Rest: Elevating your injured foot during the day can help reduce swelling and promote healing. Aim to keep your foot elevated above the level of your heart whenever possible, especially during the first few days after the injury. This can also help with circulation and reduce discomfort.

6. Physical Therapy: Once your doctor gives you the green light, consider starting physical therapy. A physical therapist can design a rehabilitation program tailored to your needs, focusing on regaining strength, flexibility, and function in your foot and leg.

7. Gradual Return to Activity: After your cast is removed, it is essential to gradually return to weight-bearing activities. Start with gentle movements and progress to more challenging exercises as your strength and mobility improve. Listen to your body and avoid pushing through pain.

In summary, while you are in a cast for your metatarsal fracture, focus on isometric exercises, maintain upper body strength, ensure proper nutrition, and elevate your foot to reduce swelling. Once cleared by your healthcare provider, engage in physical therapy to aid in your recovery. Always consult with your doctor or physical therapist before starting any new exercise regimen to ensure it aligns with your recovery plan.

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