Fifth Metatarsal Fractures: Recovery, Mobility, and Travel Tips

Fifth metatarsal fracture

Hello, Doctor.
On December 12, 2022 (Monday), I injured my foot while playing basketball.
On December 14 (Wednesday), an X-ray confirmed a fracture of the fifth metatarsal, as determined by the physician.
The diagnosis and recommendation were as follows: the doctor said surgery was not necessary, but I needed to immobilize the foot.
Following the doctor's advice, I wore an AIRCAST pneumatic brace.
The orthopedic doctor also informed me that this type of fracture is difficult to heal and usually takes more than three months.
I have some questions: (1) Since it was mentioned that this type of fracture typically takes three months to heal, why is it that one month later (on January 13), I can just wear this brace and be active? Is it because my fracture is relatively mild, allowing me to try walking more and bearing weight (like carrying luggage) after one month? (2) At this stage, does wearing this pneumatic brace mean I cannot walk at all, or is walking allowed? (3) At the moment of the injury, I did not feel much pain and was able to communicate normally with my friends.
I only felt a bit sore the day after the fracture, but it was not painful.
Even after wearing the pneumatic brace, I experienced no significant pain when walking (though it was just very brief walking at home).
Additionally, the swelling and bruising have gradually diminished, and pressing on the swollen area does not cause much pain (just mild soreness at most).

I read some previous posts that mentioned a typical fifth metatarsal fracture requires immobilization for 6-8 weeks.
Given my current condition, does this mean I might be able to remove the pneumatic brace early (after four weeks) and wear regular walking shoes when I go to France? Thank you, Doctor, for helping clarify my doubts.
🙏🙏

An An, 30~39 year old female. Ask Date: 2022/12/19

Dr. Shi Guozheng reply Orthopedics

1.
There is minimal displacement at the fracture site, so conservative treatment is sufficient.

2.
The immobilization should last at least one month before the protective device can be removed; otherwise, there is a risk of displacement.

3.
Around four weeks, the fracture will have just begun to form primary callus.

4.
The physician's advice is correct; if there is still pain while walking, the device should not be removed.

Reply Date: 2022/12/19

More Info

Fifth metatarsal fractures are common injuries, especially among athletes and active individuals. Understanding the recovery process, mobility considerations, and travel tips is essential for a successful rehabilitation and to ensure you can enjoy your planned trip to France.

Recovery Timeline
Typically, fifth metatarsal fractures can take anywhere from 6 to 12 weeks to heal, depending on the severity of the fracture and the individual's overall health. Your orthopedic physician's recommendation to wear an AIRCAST pneumatic brace is standard practice for stabilizing the fracture and allowing it to heal properly. The fact that your doctor mentioned you could still travel and walk with the brace suggests that your fracture may not be severe, or that it is in a stage where some weight-bearing is permissible.

1. Why Can You Walk After a Month?
The ability to walk with a brace after a month does not necessarily mean your fracture is healed. It indicates that your doctor believes you can begin to bear weight safely while still providing support to the injured area. The brace helps to stabilize the foot and reduce the risk of further injury while allowing you to regain mobility.
2. Walking with the Brace:
While wearing the AIRCAST brace, you should be able to walk, but it is crucial to listen to your body. If you experience pain while walking, it may be a sign that you are putting too much stress on the fracture. Generally, the brace allows for some degree of mobility, but you should avoid high-impact activities or excessive weight-bearing until you receive further guidance from your physician.

3. Pain and Swelling:
The absence of significant pain and the reduction of swelling and bruising are positive signs of healing. However, it is essential to continue monitoring your symptoms. If you experience any sudden increase in pain or swelling, it is advisable to consult your doctor.

Travel Considerations
Given your upcoming trip to France, here are some tips to ensure a smooth experience:
- Mobility Aids: Consider using crutches or a walking aid if you anticipate needing more support while navigating airports or sightseeing. This can help reduce strain on your foot.

- Footwear: If your doctor approves, transitioning to supportive walking shoes may be possible. However, ensure that these shoes provide adequate support and cushioning for your foot.

- Rest and Elevation: During your travels, take breaks to rest your foot and elevate it when possible to minimize swelling.

- Pain Management: Bring any prescribed pain medications and over-the-counter options like acetaminophen or ibuprofen to manage discomfort during your trip.

- Consult Your Doctor: Before your trip, have a follow-up appointment to assess your healing progress. Your doctor can provide tailored advice regarding your travel plans and any necessary precautions.

Conclusion
In summary, while your recovery from a fifth metatarsal fracture typically requires several weeks of immobilization, your current progress suggests that you may be on a favorable path. Always prioritize your health and consult your healthcare provider before making any significant changes to your activity level or travel plans. Enjoy your trip to France, and remember to listen to your body as you navigate your recovery!

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