Recovery Timeline for Metatarsal Fracture After Surgery - Orthopedics

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Postoperative care for metatarsal fractures?


Hello doctor, I recently had a 1-ton iron plate fall on my right foot, resulting in a closed fracture of the second metatarsal.
I have been resting for 2 months now, but there is still some redness and swelling, and I occasionally experience slight stabbing pain.
I would like to know how long it will take for my foot to heal and for me to walk normally again.
Thank you.

Xiao Wei, 40~49 year old female. Ask Date: 2021/11/30

Dr. Shi Guozheng reply Orthopedics


It is normal for swelling to last up to three months.
If swelling occurs while walking, elevate the foot to help reduce the swelling.

Reply Date: 2021/11/30

More Info


Recovering from a metatarsal fracture, especially after surgical intervention, can vary significantly from person to person based on several factors, including the severity of the fracture, the specific surgical procedure performed, and the individual's overall health and adherence to rehabilitation protocols.
In your case, having sustained a closed metatarsal fracture (specifically of the second metatarsal) and undergoing surgery, it is essential to understand the typical recovery timeline and what you might expect moving forward. Generally, after surgery for a metatarsal fracture, the initial healing phase typically lasts about 6 to 8 weeks. During this period, the bone begins to heal, and you may be advised to keep weight off the affected foot, often using crutches or a walking boot.

The symptoms you are experiencing, such as redness, swelling, and occasional sharp pain, are not uncommon in the recovery process. Swelling can persist for several weeks post-surgery, and it is crucial to manage it effectively. Elevating the foot, applying ice, and following any prescribed anti-inflammatory medications can help reduce swelling.
Once the initial healing phase is complete, your healthcare provider will likely recommend a gradual return to weight-bearing activities. This transition is critical, as putting weight on the healing bone too soon can lead to complications, such as delayed healing or re-injury. Typically, after about 6 to 8 weeks, many patients can begin to bear weight on the affected foot, but this should always be done under the guidance of your orthopedic surgeon or physical therapist.

Rehabilitation plays a vital role in your recovery. Physical therapy may start around the 6-week mark, focusing on restoring range of motion, strength, and function. The rehabilitation process can take anywhere from a few weeks to several months, depending on how well your body responds to therapy and how diligently you participate in your exercises.
In terms of returning to normal walking, many patients find that they can resume regular activities within 3 to 4 months after surgery, but this can vary. Some may experience lingering discomfort or stiffness, which can take additional time to resolve. It's essential to communicate any ongoing symptoms, such as persistent pain or swelling, to your healthcare provider, as these could indicate complications that may require further evaluation.

In summary, while the initial recovery from a metatarsal fracture after surgery typically spans 6 to 8 weeks, complete recovery, including the return to normal walking and activities, may take several months. Adhering to your rehabilitation program and maintaining open communication with your healthcare team will be crucial in ensuring a successful recovery. If you have concerns about your symptoms or recovery timeline, it is advisable to consult your orthopedic surgeon for personalized guidance and potential adjustments to your treatment plan.

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