Post-Fracture Care: Essential Tips for Activity and Immobilization

Please inquire about issues related to activity and immobilization after a fracture?

Hello, Doctor.
Three days ago, I suffered a fracture of the fifth metatarsal.
After seeking medical attention the day before yesterday, the doctor advised that if surgery is not necessary, it is best to use a brace for stabilization and protection to prevent further deterioration of the condition.
The X-rays are as follows: [links].
I began wearing an inflatable ankle brace yesterday evening and have a few questions.

1.
Since I work from home and mostly sit, should I wear the brace continuously, or can I take it off while sitting and just wear it when walking or moving around?
2.
With the brace in place, can I attempt to walk a bit, such as five minutes every half hour or hour, or is it better to minimize walking during this period?
3.
I live in a three-story house, and I sometimes need to go up and down the stairs three or four times a day for meals.
Is this acceptable, or would you recommend minimizing stair use as much as possible?
4.
Any other recommendations would be appreciated.
Thank you.

Dylan, 30~39 year old female. Ask Date: 2021/10/13

Dr. Shi Guozheng reply Orthopedics

1.
It's okay.
2.
It's better to walk less because prolonged walking can cause foot swelling.
3.
You can walk a few times, but not too much.
4.
Regularly return to the hospital for follow-up appointments to check if the bones are healing.

Reply Date: 2021/10/13

More Info

Post-fracture care is crucial for ensuring proper healing and minimizing complications. Given your recent fifth metatarsal fracture and the use of an inflatable ankle brace, here are some essential tips and considerations regarding activity and immobilization.

1. Wearing the Brace
It is generally recommended to wear the brace whenever you are moving around, especially when walking or standing. The brace provides essential support and protection to the injured area, preventing further injury and allowing for proper alignment during the healing process. However, when you are sitting and resting, you may remove the brace if you are in a safe environment where you are not at risk of falling or further injuring your foot. Elevating your foot while sitting can help reduce swelling, so placing your foot on a chair or cushion is advisable.

2. Activity Level
While it is important to keep the foot immobilized to some extent, gentle movement can be beneficial. If your doctor has not explicitly restricted movement, you can try to walk for short periods, such as five minutes every half hour. This light activity can help maintain circulation and prevent stiffness in the joints. However, listen to your body; if you experience pain or discomfort, it is best to reduce activity and consult your healthcare provider.

3. Navigating Stairs
Living in a multi-story home can pose challenges during recovery. If you need to go up and down stairs, it is advisable to do so cautiously. Using handrails for support can help maintain balance. If possible, limit the number of trips you take up and down the stairs each day. If you can prepare meals in advance or have someone assist you, it may reduce the need for frequent stair navigation. The goal is to minimize strain on your foot while still allowing for some mobility.

4. Additional Recommendations
- Rest and Elevation: Ensure you are resting your foot as much as possible. Elevating the foot above heart level can help reduce swelling.

- Ice Therapy: Applying ice to the injured area for 15-20 minutes several times a day can help manage swelling and pain.

- Pain Management: If you experience pain, over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be helpful. Always follow the dosage instructions and consult your doctor if you have any concerns.

- Follow-Up Appointments: Keep all follow-up appointments with your healthcare provider. They will monitor your healing progress and may adjust your treatment plan as necessary.

- Physical Therapy: Once your doctor gives you the green light, consider engaging in physical therapy. A physical therapist can guide you through exercises that promote healing and restore strength and mobility to your foot.

Conclusion
In summary, while it is essential to wear your brace during movement and limit activity to prevent further injury, some gentle movement can be beneficial. Be cautious with stair navigation and prioritize rest and elevation to aid in your recovery. Always consult your healthcare provider for personalized advice based on your specific situation. Your recovery is a process, and taking the right steps now will help ensure a successful return to your normal activities.

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