Recovery Time for Walking with AIRCAST After Fifth Metatarsal Fracture - Orthopedics

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Fracture of the fifth metatarsal bone of the right foot?


The fifth metatarsal fracture of the right little toe has been stabilized with an AIRCAST for 12 days, and the affected limb has not borne weight.
I would like to know how long it will take before I can walk with the AIRCAST.

/, 10~19 year old female. Ask Date: 2021/04/26

Dr. Chen Bochen reply Orthopedics


If you need to use crutches for a month and get an X-ray during that time, you can discontinue the crutches if there is initial healing.
You can then wear an Aircast and walk directly.

Reply Date: 2021/04/26

More Info


Recovering from a fifth metatarsal fracture, especially when using an AIRCAST, is a process that requires patience and adherence to medical advice. The fifth metatarsal is located on the outer side of the foot and is commonly injured due to trauma, such as a fall or a sports-related incident. Given that you are currently 12 days post-injury and have not yet placed weight on the affected limb, it's crucial to understand the general timeline and factors influencing your recovery.

Typically, the healing time for a fifth metatarsal fracture can range from 6 to 8 weeks, depending on the severity of the fracture and the individual's overall health. During the initial phase of recovery, which usually lasts about 2 to 4 weeks, the focus is on immobilization and protection of the fracture site. The use of an AIRCAST is beneficial as it provides support while allowing some degree of mobility without risking further injury.

After approximately 2 to 4 weeks, if the fracture is healing well, your doctor may advise you to start gradually introducing weight-bearing activities. This means you might begin to walk with the AIRCAST, but it is essential to do so under the guidance of a healthcare professional. The transition to weight-bearing should be gradual; you may start with partial weight-bearing, using crutches or a walker for support, and then progress to full weight-bearing as tolerated.

Here are some key points to consider for your recovery:
1. Follow-Up Appointments: Regular follow-ups with your healthcare provider are crucial. They will monitor the healing process through physical examinations and possibly imaging studies like X-rays. This will help determine when it is safe to start walking with weight on your foot.

2. Pain Management: It's normal to experience some discomfort as you begin to put weight on the injured foot. However, if you experience significant pain, swelling, or any unusual symptoms, you should consult your doctor immediately.

3. Physical Therapy: Once you are cleared to start walking, engaging in physical therapy can be highly beneficial. A physical therapist can guide you through exercises that will help restore strength, flexibility, and balance to your foot and ankle.

4. Gradual Progression: Start with short distances and gradually increase as tolerated. Listen to your body; if you feel pain or discomfort, it may be a sign to take a step back and allow more time for healing.

5. Footwear: When you begin walking, ensure you wear supportive footwear that accommodates your AIRCAST. This will help provide stability and prevent further injury.

6. Nutrition and Health: Adequate nutrition, particularly calcium and vitamin D intake, is essential for bone healing. Staying hydrated and maintaining a balanced diet can support your recovery.

In summary, while you may be eager to start walking with your AIRCAST, it is essential to follow your healthcare provider's recommendations closely. Generally, you may start to walk with the AIRCAST around the 2 to 4-week mark, depending on your healing progress. Always prioritize your safety and recovery, and do not rush the process. With proper care and rehabilitation, you should be able to return to your normal activities, including walking and eventually running, in due time.

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