Recovery Timeline for Non-Displaced Metatarsal Fractures: What to Expect - Orthopedics

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Recovery status of metatarsal fractures?


Hello Doctor: I fell on February 14, and during a follow-up visit to the orthopedic department on February 16, it was discovered that I had non-displaced fractures of the second, third, and fourth metatarsals.
The doctor recommended a cast for natural healing.
During a follow-up on March 5, the doctor mentioned that the X-ray did not show significant bone growth.
During this period, I used crutches and did not put weight on the injured foot.
I kept the cast on during the day and only removed it at night or when at home for a short rest.
I have been taking calcium supplements, collagen, and vitamin D daily.
I have no chronic illnesses.
Attached are the X-rays: the left one is from February 16, and the right one is from March 5.
Based on my age and the fracture condition, how long will it take before I can put weight on my foot and practice walking normally? Thank you.

T, 40~49 year old female. Ask Date: 2022/03/13

Dr. Shi Guozheng reply Orthopedics


It takes approximately six weeks before you can start practicing walking.
Typically, it takes two to three weeks for the bones to heal to a point that cannot be seen on an X-ray.
Full bone healing usually takes about six to twelve weeks.
Normal walking is expected to resume in about three months.

Reply Date: 2022/03/13

More Info


When dealing with non-displaced metatarsal fractures, recovery timelines can vary significantly based on several factors, including the specific bones involved, the patient's age, overall health, and adherence to treatment protocols. Generally, non-displaced fractures tend to heal faster than displaced fractures, as the bone fragments remain in their proper alignment.
In your case, since you sustained fractures to the 2nd, 3rd, and 4th metatarsals on February 14 and were placed in a cast shortly thereafter, the typical healing time for such fractures is approximately 6 to 8 weeks. This means that by late March to early April, you should start to see signs of healing. However, the fact that your doctor noted on March 5 that the X-ray did not show significant bone growth is not uncommon at this stage. Bone healing can sometimes take longer than expected, especially if the fractures are in areas that experience a lot of stress or movement.

Regarding your specific questions about when you can start putting weight on the injured foot and when you can expect to walk normally again, here are some insights:
1. Weight Bearing: Most patients with non-displaced metatarsal fractures are advised to avoid putting weight on the affected foot for at least 4 to 6 weeks. Since your injury occurred on February 14, you may be able to start partial weight-bearing activities around late March, depending on your pain levels and the guidance of your orthopedic specialist. It’s crucial to follow your doctor's advice on this, as they will assess your healing progress through follow-up X-rays.

2. Walking Normally: Full recovery to the point where you can walk normally without any pain or discomfort typically takes about 8 to 12 weeks post-injury. This means that if everything goes well, you could expect to return to normal walking by late April to early May. However, this timeline can vary based on individual healing rates and any complications that may arise.

3. Rehabilitation: Once your doctor gives you the green light to start weight-bearing activities, physical therapy may be recommended to help regain strength and mobility in your foot. Rehabilitation exercises will focus on improving range of motion, strength, and balance, which are essential for a full recovery.
4. Monitoring Symptoms: It’s important to monitor your symptoms during the recovery process. If you experience increased pain, swelling, or any other concerning symptoms, you should contact your healthcare provider. These could be signs of complications such as delayed healing or issues with the alignment of the bones.

5. Nutritional Support: You mentioned taking calcium, collagen, and vitamin D supplements, which are beneficial for bone health and healing. Ensuring you have a well-balanced diet rich in these nutrients can support your recovery. Additionally, staying hydrated and maintaining a healthy lifestyle can contribute positively to the healing process.

In conclusion, while the healing process for non-displaced metatarsal fractures generally takes about 6 to 8 weeks, individual recovery can vary. It’s essential to follow your doctor's recommendations closely, attend all follow-up appointments, and engage in any prescribed rehabilitation exercises to ensure a smooth recovery. If you have any concerns or questions about your progress, don’t hesitate to reach out to your healthcare provider for personalized advice.

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