Fifth Metatarsal Fractures: Recovery and Travel Tips - Orthopedics

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Fifth metatarsal fracture issues?


Hello, Doctor.
On the night of December 9th, I slipped while running in high heels in the rain, and my foot swelled up that evening.
The next day, I went to the emergency room, where the doctor diagnosed a fracture of the fifth metatarsal and applied a cast that same day.
During my follow-up on December 13th, the doctor reviewed the X-ray and said I would need to wear the cast (or a brace) for six weeks before it could be removed.

I have a trip planned to Japan at the end of the year, and I’m wondering if there’s a possibility of recovering well enough to not need to wear a brace before then.
Currently, I use crutches at home, but I don’t feel much pain while wearing the cast, although sitting for too long does cause some tingling.
I would like to know if it’s possible to stop using the crutches.
I have a follow-up appointment scheduled for December 27th to reassess.
Is there a chance I could travel without using crutches or a brace? If I do need to wear a brace while traveling, is it manageable to walk with it?
Here is the link to my X-ray images: https://photos.google.com/album/AF1QipODui0_d8u3wAUMkWmLOPZNkQ4Roh4AAwZU7gay.
I’m not sure how serious the injury is.
Thank you for your help.

Xiao Wu, 20~29 year old female. Ask Date: 2022/12/15

Dr. Shi Guozheng reply Orthopedics


The URL you provided for the X-ray is incorrect; it would be best to ask the physician directly for clarification.

Reply Date: 2022/12/15

More Info


Fifth metatarsal fractures are common injuries, especially among individuals who engage in activities that involve running or wearing high-heeled shoes. From your description, it seems you sustained a fracture while running in the rain, which led to swelling and subsequent medical evaluation. The fact that you were placed in a cast indicates that the fracture was significant enough to require immobilization for proper healing.

Typically, fifth metatarsal fractures can take about 6 to 8 weeks to heal, depending on the severity of the fracture and the individual's overall health. Since your doctor has advised you to wear a cast for six weeks, it is crucial to follow this recommendation to ensure proper healing. The fact that you are experiencing some discomfort, such as a tingling sensation when sitting for extended periods, is not uncommon. This could be due to pressure on the nerves or blood vessels in the foot, especially if the cast is too tight or if you are not elevating your foot adequately.

Regarding your upcoming trip to Japan, it is understandable that you want to be mobile and enjoy your travels. However, it is essential to prioritize your recovery. While you may feel comfortable walking without crutches at home, it is important to remember that the stability and support provided by the crutches are crucial for preventing further injury. If you attempt to walk without them too soon, you risk putting undue stress on the healing bone, which could lead to complications or a prolonged recovery.

When you visit your doctor on December 27, they will likely assess the healing progress through X-rays. If the fracture shows signs of healing and you have been adhering to the treatment plan, your doctor may provide you with guidance on gradually transitioning away from the crutches or cast. However, it is essential to heed their advice, as they will have the most accurate understanding of your specific injury.

If you are still required to wear a cast or use crutches during your trip, there are several tips to make your travel experience more comfortable:
1. Plan for Mobility: Consider using a wheelchair or mobility scooter at the airport and during your travels to minimize the strain on your foot.

2. Footwear: If your doctor allows you to wear a special boot instead of a cast, ensure it is comfortable and provides adequate support. Avoid high heels or any footwear that could jeopardize your recovery.

3. Rest and Elevation: Make sure to take breaks and elevate your foot whenever possible to reduce swelling.

4. Pain Management: Keep any prescribed pain medication handy, especially during travel, to manage discomfort.

5. Stay Hydrated: Drink plenty of fluids, as hydration can aid in recovery.

6. Follow-Up Care: If possible, arrange for a follow-up appointment with a healthcare provider in Japan to ensure your injury is monitored while you are away.

In conclusion, while it is natural to want to enjoy your trip, your health and recovery should come first. Discuss your travel plans with your doctor during your next appointment, and follow their recommendations closely. With proper care and attention, you can ensure a smoother recovery and enjoy your travels without risking further injury.

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