Pain After Fifth Metatarsal Fracture: Is It Normal? - Orthopedics

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Pain while walking after a fracture of the fifth metatarsal?


Hello Doctor, I am here for a follow-up one month after a fracture of the fifth metatarsal.
The doctor said that my recovery is going well and that I can start walking slowly.
I did not experience any pain in my foot during the month when I was not walking, but now that I have started walking, it has been two days and I am experiencing pain at the fracture site, even when I am not moving.
Is this situation normal, or could walking have worsened the fracture? If the pain is normal, how long can I expect it to last? Thank you.

Zhen, 40~49 year old female. Ask Date: 2022/11/08

Dr. You Dianqi reply Orthopedics


Hello! It is recommended that you discuss your rehabilitation status and methods with your attending physician during your follow-up visit.
Thank you.

Reply Date: 2022/11/08

More Info


After a fifth metatarsal fracture, experiencing pain during the healing process can be a common occurrence, especially as you begin to increase your activity level. The fifth metatarsal, located on the outer side of the foot, is particularly susceptible to stress fractures due to its weight-bearing role and the mechanics of walking.
In your case, since you mentioned that you had a fracture and have recently started walking again, it is not unusual to feel pain in the area of the fracture. This pain can be attributed to several factors:
1. Healing Process: Bone healing is a complex biological process that typically takes several weeks to months. During this time, it is normal to experience some discomfort as the bone repairs itself. The pain may fluctuate based on your activity level, and it can be more pronounced when you start to put weight on the foot.

2. Increased Activity: When you begin to walk again after a period of immobilization, your foot may not be fully accustomed to the stress of weight-bearing. This can lead to pain as the muscles, ligaments, and tendons adapt to the new demands placed on them.
3. Inflammation: After a fracture, inflammation can persist even after the initial healing phase. This inflammation can contribute to pain, especially when you start using the foot more actively.

4. Potential Complications: While it is common to experience pain during the recovery process, it is essential to monitor the nature of the pain. If the pain worsens significantly or if you experience swelling, bruising, or difficulty bearing weight, it may indicate complications such as improper healing or even a new injury.

Regarding your concern about whether the fracture has worsened due to walking, it is crucial to listen to your body. If the pain is manageable and does not significantly impede your ability to walk, it may simply be a part of the healing process. However, if the pain becomes severe or persistent, it would be wise to consult your physician for further evaluation. They may recommend imaging studies, such as an X-ray, to ensure that the fracture is healing correctly and to rule out any complications.

As for the duration of pain, it varies from person to person. Generally, mild discomfort may persist for several weeks to a few months after a fracture, especially during the transition back to normal activities. It is essential to follow your doctor's advice regarding rehabilitation and gradually increase your activity level to avoid overloading the healing bone.

In summary, while experiencing pain after a fifth metatarsal fracture can be normal, it is crucial to monitor the pain's characteristics and consult your healthcare provider if you have concerns about your recovery. They can provide personalized guidance based on your specific situation and ensure that you are on the right track to full recovery.

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