Tips for Faster Healing of a Non-Displaced First Metatarsal Fracture - Orthopedics

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Fracture of the first metatarsal bone of the left foot?


Hello, Doctor.
I was in a car accident on October 16 of this year and sustained a fracture of the first metatarsal in my left foot.
The emergency physician determined that since there was no displacement, surgery was not necessary, and I could be treated with a half-cast.
It has been nearly two months, and I have been using crutches to walk, completely avoiding putting weight on my left foot.
At my follow-up appointment, the doctor mentioned that healing is occurring but is somewhat slow, with a slight blurriness near the tip of my big toe.
The doctor also advised that I could start trying to move my toes and that I could remove the cast while bathing, as long as I dry my foot and reapply the cast afterward.
Using crutches has significantly impacted my work, so I would like to ask the doctor what efforts I can make to expedite the healing process.

Yu, 20~29 year old female. Ask Date: 2015/12/08

Dr. Shi Guozheng reply Orthopedics


Bone healing occurs at a certain rate, and there are no alternative methods to speed it up significantly.
Typically, immobilization promotes better healing, and once the pain subsides, joint mobilization exercises can begin.
After healing, mobility can be restored relatively quickly.
Metatarsal fractures in the foot usually take about six to eight weeks to heal.

Reply Date: 2015/12/08

More Info


When dealing with a non-displaced first metatarsal fracture, there are several strategies you can employ to promote faster healing and improve your overall recovery experience. Given your situation, where you have been using crutches and have a cast on your foot, it’s essential to follow your physician's advice while also considering additional supportive measures.

1. Follow Medical Advice: First and foremost, adhere strictly to the recommendations provided by your healthcare provider. If your doctor has advised you to start moving your toes, it’s crucial to do so gently and as instructed. This movement can help maintain flexibility and circulation in the foot, which are vital for healing.

2. Weight Bearing: Although you are currently advised not to put weight on your foot, as healing progresses, your doctor may allow you to gradually start bearing weight. This is typically done under supervision and with the use of assistive devices like crutches or a walking boot. The gradual introduction of weight can stimulate bone healing.

3. Nutrition: A well-balanced diet rich in vitamins and minerals can significantly impact your healing process. Focus on foods high in calcium (like dairy products, leafy greens, and fortified foods) and vitamin D (which helps with calcium absorption). Protein is also essential for tissue repair, so include lean meats, fish, beans, and legumes in your diet. Additionally, consider foods rich in vitamin C (such as citrus fruits and bell peppers) to support collagen formation, which is crucial for bone healing.

4. Hydration: Staying well-hydrated is often overlooked but is vital for overall health and recovery. Adequate hydration supports circulation and helps transport nutrients to the healing tissues.

5. Physical Therapy: Once your doctor gives you the green light, consider engaging in physical therapy. A physical therapist can provide tailored exercises that promote strength, flexibility, and balance, which are essential for a full recovery. They can also guide you on how to safely transition from crutches to walking.

6. Pain Management: If you experience pain, discuss with your doctor about appropriate pain management strategies. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort, but always follow your physician's guidance regarding medication.

7. Rest and Elevation: Ensure you are giving your foot ample rest. Elevating your foot can help reduce swelling and improve blood flow, which is beneficial for healing.
8. Avoid Smoking and Alcohol: Both smoking and excessive alcohol consumption can hinder the healing process. If you smoke, consider seeking help to quit, as smoking is known to impair bone healing.

9. Monitor for Complications: Keep an eye out for any signs of complications, such as increased swelling, redness, or pain that worsens over time. If you notice any concerning symptoms, contact your healthcare provider promptly.

10. Patience and Positive Mindset: Healing takes time, and it’s essential to be patient with your body. Maintaining a positive mindset can also aid in your recovery process. Engage in activities that keep your spirits up while you heal, such as reading, watching movies, or spending time with friends and family.

In summary, while you are on the path to recovery from your non-displaced first metatarsal fracture, focusing on nutrition, following medical advice, engaging in physical therapy when appropriate, and maintaining a positive outlook can all contribute to a faster and more effective healing process. Always consult with your healthcare provider before making any changes to your recovery plan.

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