Non-Displaced 3rd and 4th Metatarsal Fractures: Care Tips - Orthopedics

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Regarding fractures of the third and fourth metatarsals?


Regarding the 3rd and 4th metatarsal fractures, which are non-displaced and have been two weeks since the injury, the patient is currently using an ankle brace for stabilization.
Due to discomfort from heat, the brace is sometimes removed for bathing, washing the foot, and slightly loosened during sleep for ventilation.
After the consultation, the injured foot has not been bearing weight.
Will removing the brace in this manner slow down the healing process or cause further injury? Is it permissible to perform gentle massage or similar rehabilitation exercises? Thank you, doctor.

Xiansheng, 20~29 year old female. Ask Date: 2015/07/04

Dr. Shi Guozheng reply Orthopedics


It is okay to temporarily remove the brace.
A fracture typically stabilizes in about four weeks and heals in approximately six to eight weeks.
During this period, it is best to avoid putting weight on it.
You can apply gentle heat, but massage is not necessary.
The bone will not heal slower or be at risk of re-injury.

Reply Date: 2015/07/04

More Info


Understanding non-displaced fractures of the 3rd and 4th metatarsals is crucial for effective care and recovery. A non-displaced fracture means that the bone has cracked but has not moved out of its normal alignment. This type of fracture typically heals well with appropriate care, but it is essential to follow specific guidelines to ensure proper healing.


Care Tips for Non-Displaced 3rd and 4th Metatarsal Fractures
1. Immobilization: The use of an ankle brace or walking boot is common in managing non-displaced metatarsal fractures. This immobilization helps to keep the foot stable and prevents further injury. It is important to wear the brace as directed by your healthcare provider, especially during the initial healing phase.

2. Weight Bearing: Since you mentioned that you have not been putting weight on the injured foot, this is a good practice. Avoiding weight-bearing activities allows the fracture to heal without additional stress on the bone. Your healthcare provider will guide you on when it is safe to start bearing weight again.

3. Hygiene: It is understandable that the brace can feel hot and uncomfortable. However, it is crucial to keep the brace on as much as possible, especially during the initial weeks of healing. When you remove the brace for bathing or cleaning, be cautious not to put weight on the injured foot. If you feel the need to remove the brace for ventilation, try to limit this to short periods.

4. Monitoring for Complications: Keep an eye out for any signs of complications, such as increased swelling, redness, or pain. If you notice any of these symptoms, it is essential to contact your healthcare provider.

5. Rehabilitation: While it is generally not advisable to massage the fracture site during the early healing phase, gentle range-of-motion exercises for the toes and ankle can be beneficial once your doctor approves. These exercises can help maintain mobility and prevent stiffness. Always consult your healthcare provider before starting any rehabilitation exercises.

6. Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone healing. Foods like dairy products, leafy greens, and fortified foods can support your recovery.

7. Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are crucial to monitor the healing process. They may perform X-rays to ensure that the fracture is healing correctly and to determine when you can gradually return to normal activities.


Conclusion
In summary, while it is tempting to remove the brace for comfort, it is vital to keep it on as much as possible to promote healing. Avoiding weight-bearing activities and following your healthcare provider's recommendations will significantly contribute to a successful recovery. If you have any concerns or questions about your healing process, do not hesitate to reach out to your healthcare provider for personalized advice. Remember, patience is key in the healing process, and adhering to these care tips will help ensure a smooth recovery.

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