Pain and Recovery After a Fifth Metatarsal Fracture: What to Expect

Fracture of the fifth metatarsal bone?

I sustained a fracture of the fifth metatarsal on February 7, and it has been almost five months.
Why do I still feel pain in my ankle and the bone above the base of the fifth metatarsal when walking, especially when turning? My ankle swells, but the swelling goes down by the next morning.
Standing on a narrow board on one foot also causes pain.
Is this a normal phenomenon? Could soft tissue be growing into the fracture gap? Am I recovering too slowly? Thank you for your response, doctor.

Feng Qiu Shuang Qing, 20~29 year old female. Ask Date: 2014/07/02

Dr. Chen Yongxue reply Orthopedics

The vast majority of fifth metatarsal base fractures will heal with short-term weight-bearing.
It is normal to still feel pain when applying pressure, especially in the afternoon.
Swelling in the evening is also a common occurrence and should not be a cause for excessive concern.
However, it is crucial to ensure that the fracture is healing properly, so please make sure to follow up with an orthopedic clinic.

Reply Date: 2014/07/02

More Info

Experiencing pain and discomfort after a fifth metatarsal fracture can be concerning, especially as you approach the five-month mark in your recovery. It is essential to understand the healing process and what to expect during rehabilitation.

A fifth metatarsal fracture is a common injury, often resulting from trauma or stress. The healing time can vary significantly based on several factors, including the type of fracture, the treatment method (conservative vs. surgical), your overall health, and adherence to rehabilitation protocols. Generally, most fractures of the fifth metatarsal can take anywhere from six to twelve weeks to heal, but complete recovery, including regaining strength and function, may take longer.

The pain you are experiencing in the ankle and the area above the base of the fifth metatarsal could be attributed to several factors:
1. Incomplete Healing: If the fracture has not fully healed, it can lead to persistent pain, especially during weight-bearing activities like walking or turning. X-rays or other imaging studies may be necessary to assess the healing status of the bone.

2. Soft Tissue Involvement: The surrounding soft tissues, including ligaments, tendons, and muscles, may also be affected during the injury. Scar tissue or inflammation in these areas can contribute to pain and discomfort, particularly when engaging in activities that stress these structures.

3. Biomechanical Changes: After a fracture, the way you walk (gait) may change to compensate for pain or weakness. This altered gait can place additional stress on the ankle and other parts of the foot, leading to pain. It’s crucial to ensure that your foot mechanics are being properly addressed during rehabilitation.

4. Post-Traumatic Arthritis: In some cases, fractures can lead to joint issues, including post-traumatic arthritis, which can cause pain and swelling in the affected area.

Regarding your question about soft tissue healing into the fracture site, it is possible for scar tissue to form in the area of the fracture, which can lead to stiffness and discomfort. This is a normal part of the healing process, but if it becomes excessive, it may require intervention such as physical therapy or other treatments to improve mobility and reduce pain.

As for the swelling you mentioned, it is common for swelling to fluctuate, especially after activity. The fact that it subsides by the next morning is a good sign, indicating that the swelling may be related to activity levels rather than a severe underlying issue.

To address your concerns and improve your recovery, consider the following steps:
1. Follow-Up with Your Physician: Schedule a follow-up appointment with your orthopedic doctor to discuss your ongoing pain and any concerns about the healing process. They may recommend imaging studies to evaluate the fracture site and assess healing.

2. Physical Therapy: Engaging in a structured physical therapy program can help improve strength, flexibility, and overall function of the foot and ankle. A physical therapist can provide exercises tailored to your specific needs and monitor your progress.

3. Pain Management: Discuss pain management options with your physician. They may suggest medications, modalities like ice or heat, or other interventions to help manage your pain effectively.

4. Activity Modification: Pay attention to your body’s signals. If certain activities exacerbate your pain, consider modifying them or taking breaks to allow for recovery.

5. Gradual Return to Activity: As you progress, gradually increase your activity level while monitoring for pain. Avoid pushing through significant pain, as this can hinder recovery.

In conclusion, while some discomfort can be expected during the recovery process from a fifth metatarsal fracture, persistent pain warrants further evaluation. By working closely with your healthcare team and adhering to a rehabilitation program, you can optimize your recovery and return to your normal activities.

Similar Q&A

Post-Healing Concerns After Fifth Metatarsal Fracture: What to Expect

Hello doctor, I had a fifth metatarsal fracture on July 2, and after being placed in a cast in the emergency department, I had two follow-up visits with the orthopedic doctor until last Monday. The doctor said my fracture has healed and that I do not need to return for follow-up....

Dr. Shi Guozheng reply Orthopedics
Even after a fracture has healed, some individuals may still experience pain. This is a common occurrence during the recovery phase, and there is no need for a follow-up appointment.

Rehabilitation Tips for Recovery After a Fifth Metatarsal Fracture

Description: A fall down the stairs resulted in an oblique fracture of the fifth metatarsal in the left foot, which also exhibited displacement. Following the doctor's recommendation, surgery was performed, and absorbable bone screws were inserted. It has now been five weeks...

Dr. You Dianqi reply Orthopedics
Each person's recovery situation is different. It is recommended to consult your primary physician or seek an evaluation from a rehabilitation specialist. Thank you.

Concerns About Healing After Fifth Metatarsal Fracture Surgery

Hello, doctor! I suffered a fifth metatarsal fracture from a fall on September 10th and underwent surgery to have a plate inserted for stabilization. I had a follow-up appointment a few days ago, and the doctor said it is healing well, but I should avoid running and jumping for n...

Dr. Li Yongheng reply Orthopedics
Hello, it has been two months since your fifth metatarsal fracture surgery. You accidentally exerted yourself yesterday and experienced some pain. I recommend that you return for a follow-up appointment to get an X-ray, as it is generally safer to assess the fracture after three ...

Understanding Fifth Metatarsal Fractures: Recovery, Symptoms, and Care

Hello doctor, I have a fracture at the base of my fifth metatarsal that has been healing for 47 days. Sometimes I experience a sharp pain; is this normal? Previously, I couldn't fully separate my toes, and there are times when I feel soreness and pain whether I move or stay ...

Dr. Wang Shouji reply Orthopedics
Hello: First, it is important to assess the healing status of the fracture. If there are issues with fracture healing, it may not be significant. Having symptoms one and a half months after the fracture is not unusual. It is recommended to continue monitoring the healing process ...