Post-Surgery Rehabilitation for Fifth Metatarsal Fracture: Key Questions Answered - Orthopedics

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Post-surgery rehabilitation for a fifth metatarsal fracture is crucial for ensuring proper healing and regaining function. Here are detailed answers to your questions based on medical knowledge and rehabilitation practices.

1. Impact of Using the Heel While Climbing Stairs: When climbing stairs, if you use your heel to touch the step without applying weight, it generally should not cause significant harm. However, it's essential to be cautious. The fifth metatarsal is a weight-bearing bone, and any undue stress can potentially affect healing. If you experience pain or discomfort, it’s advisable to consult your physician or physical therapist for personalized guidance.

2. Removing the Cast for Ankle Mobility: If your cast is only partial, gently removing it to perform ankle mobility exercises can be beneficial, provided your surgeon has approved this. Gentle range-of-motion exercises can help maintain flexibility and prevent stiffness. However, ensure that you do not put weight on the foot until cleared by your doctor, as this could jeopardize the healing process.

3. Pain and Involuntary Movements in the Little Toe: Experiencing pain and involuntary movements in the little toe post-surgery can be common, especially if there is swelling or nerve irritation. It’s essential to monitor these symptoms. If the pain persists or worsens, or if you notice significant changes in sensation, you should contact your healthcare provider to rule out complications such as nerve damage or complex regional pain syndrome (CRPS).

4. Timing for Rehabilitation: Generally, rehabilitation can begin shortly after surgery, often within a few days, focusing initially on non-weight-bearing exercises. It is crucial to follow your surgeon's recommendations regarding the timing of rehabilitation. Physical therapy may be necessary to guide you through exercises that promote healing while preventing stiffness and muscle atrophy.

5. Ultrasound Therapy for Bone Healing: Ultrasound therapy has been shown to promote bone healing in some cases. It can enhance blood flow and stimulate cellular activity, which may accelerate the healing process. Discuss with your healthcare provider whether this treatment is appropriate for your specific situation.

6. Nutritional Supplements for Bone Healing: Supplements like calcium and vitamin D (often found in products like "維骨力") can support bone health and healing. However, they should complement a balanced diet rather than replace it. Always consult your physician before starting any new supplements, especially post-surgery, to ensure they are safe and appropriate for your recovery.

7. Weight Bearing and Resuming Activities: The timeline for returning to full weight-bearing activities varies based on the severity of the fracture and your healing progress. Typically, patients are advised to avoid putting full weight on the foot for at least 6 weeks. After this period, your doctor will assess your healing through physical examination and possibly imaging studies before allowing you to engage in activities like running or dancing. It’s crucial to follow your physician's advice to avoid re-injury.

In summary, your rehabilitation journey following a fifth metatarsal fracture involves careful monitoring of symptoms, gradual reintroduction of movement, and adherence to medical advice. Regular follow-ups with your healthcare provider and possibly a physical therapist will be essential in ensuring a successful recovery. Always prioritize safety and listen to your body throughout the rehabilitation process.