Foot Fractures Fifth Metatarsal -Talking with Docs
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- เผยแพร่เมื่อ 10 ก.ค. 2016
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Foot injuries involving metatarsal fractures are reviewed in this video. Mechanism of injury and treatment are discussed.
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Who else is watching this with a broken 5th metatarsal?
Jodiee, you should watch this dancer's video about recovering from a metatarsal fracture, if you haven't. th-cam.com/video/YeGgklnRdG4/w-d-xo.html
Me
just_ jodiee I am on week 8 without surgery and it still hurts although I have been able to take a couple of steps here and there as long as it's on my heel
meee
i am watching...having twisted my left foot while walking last night...i heard a cracking sound at the time of incident ..now it is swelled horribly and i cant weigh on it at all
If you come here wondering how long it’s gonna take for you to heal:
I snapped my 5th metatarsal in half, right in the middle of the bone in my left foot. The bone was still aligned properly though. I was back running a little over 2 months later!
I know everyone heals differently but just wanted to share my experience with this injury.
Did you go to doc? What treatment you followed? I think I ve got the same with you, but I don t know what to do
@@brakasaka3376 I just had surgery and my doctor said it will take 2 months to be able to go back to where i was
Villaneve What kind of surgery? How was your recovery? I’m getting surgery on my displaced 5th metatarsal fracture. It’s been nearly 8 weeks & hasn’t healed
@@lecyvee3619 I fractured my 5th metatarsal last week and the doctor said that i should get surgery immediatly. And in two weeks I am having my stiches removed. I hope everything works well with your operation.
@@brakasaka3376 Yeah I went to the ER when it happend. Got a cast and then later went to a specialist. I stayed of the foot and kept it elevated when resting.
May God bless you both. Finally, some decent info and not, call the ambulance.
Hi L B. So glad you like our videos. It is difficult to give specific advice but we feel strongly that information is power. Thanks so much for your encouraging words.
@Talking With Docs Thank you for a very informative video. I'm 3 days in with a short cast and you have answered many of my concerning questions. Questions I would have otherwise needed to go back to my DR to ask, costing me more money, time and hassle.
Hi KustomSigns. Thanks for your positive feedback. Glad we could help!
I broke my 5th metatarsal 2 weeks ago- avulsion fracture, I wore a tall air boot cast for a week, short boot cast for 4 days while at work and nothing at home and now a tight stiff shoe when out but able to totally weight bear and almost back fully functioning! Proper rest and immediate integration of physio and strengthening exercises helped immensely- defiantly only do what your doctor recommends, I’m glad I’ve been lucky enough to keep pain to a minimum and still maintain a somewhat normal life!
Glad to hear you are well on the road to recovery Vanessa. Thanks for sharing your story. Thanks for watching and subscribing if you did.
Have your bones moved together?
@@AVYONE I’m not sure what you mean- but my foot has been fully healed for several months now.
How long would it say it took for your foot to fully heal?
@@Angel-jt2pl it took about 12 weeks to fully heal, but it had most function and no pain after about 4-5 weeks
Fractured my 3rd, 4th, and 5th metatarsal several months ago falling off a ladder at work. Starting swelling pretty much instantly! Orthopedic Doc reccomended and performed the pin surgery with a pin going down each of the messed up toes. Put it in a cast and it healed up in no time. (Getting those pins removed felt really uncomfortable and weird though lol!) Cheers for the informative vid!
Hi JMP. Glad you like the video and great to hear that you are doing well. Keep up the good work.
Thanks guys. Fractured my 5th metatarsal 8 weeks ago. Decided to “walk it off” in a short CAM boot for 7 weeks. Feels like it never happened.
Nice work Malacan1!
@@TalkingWithDocs Thank you for a very informative video. I'm 3 days in with a short cast and you have answered many of my concerning questions. Questions I would have otherwise needed to go back to my DR to ask, costing me more money, time and hassle.
So glad we could help!
I got Hit during very light sparring in kickboxing, actually I was hitting with some strange kick and guy blocked the kick with elbow. I did not feel like it hurt much, but when I got home, it was red a bit .... days later bruised and I could walk but was limping a bit and there was decent amount of pain but nothing too bad.
Compressed it with gaze.... and did not do anything about it. Now it has been 2 months later, most of the time feels like nothing ever happened, and that it was not fractured, but there is slight discoloration around area, very mild, however bone on that side now seems a tiny bit thicker than the other one, also at times slight pain comes up for a second so i guess it was not harmless as I tought at the beggining.
I'm in 8 week, still can't walk, it hurts to put all my weight on my foot.
THANK YOU so much for this video. I'm a RN & I wk in a ortho rehab facility(5⭐). I rolled my ankle yesterday going downstairs but I couldn't figure out why my metatarsal hurts so much--it hurts to walk at all! This info is perfect for people like me who avoid the dr visits unless absolutely necessary.
Hi FlyAlphaRN. You are very welcome! Glad to hear that we can help in any way. We are doing our best to allow people to make informed decisions about their own health. Thanks for watching!
best youtubers ever!! congrats docs!
Marc vallejo cervera yes, very clear explanation!
Thanks so much mark v. Thanks for watching and subscribing if you did
Great information. I am at the 3 month point following a 5th metatarsal fracture. I am still working on muscle strength it felt like I was learning to walk again. Did anyone see Victoria Beckham’s latest(2018) fracture? Hashtag tag no big deal and like a week later she was in Kenya and a week after that in heels. I guess compared to all of David Beckham’s injuries it pales in comparison. Felt very debilitating for me. My tip is keep your strength in the rest of your body it will be easier to get walking again if you only need to exercise your foot once healed. Plus the fear of re-injury cannot be ignored it is tough but there is way worse. I feel grateful so much info available. Cheers!
Hi JenuineAirbrushTan. Thanks for the positive feedback. It is important to recognize that every injury is different so recovery will also be very different. Good luck in your recovery.
I noticed that. Celebrities get the best care for who they are and because they can afford it. Have been feeling a bit of celebrity envy for this reason as they seem to bounce back in a few weeks while the rest of us have to do detective work on our lack of progress.
Hi Louise. There is some potential for celebrities to have access to better care however the majority of orthopedic surgeons are treating patients who are just normal people. And for this injury celebrities would get the same care - aircast. They may consider a bone stimulator which is expensive that can speed up healing but usually is not necessary. Don't be envious - can you imagine if someone was ready to take a picture every time you took a bite of foot at a restaurant?
I got more information from these two than the Dr in A&E. thank you👍🏼
Glad it was helpful Darleny! Thanks for watching and subscribing if you did.
Just shy of 3 months since my fracture, I'm doing well (probably at 80-85% of normal) and back to riding horses for the last month. It's really helped me that I bought a wide heavier New Balance shoe to help me transition from the boot. There is light at the end of the tunnel!
Hi lbarbados38. Glad to hear you are on the mend! Keep it up and thanks for watching!
Finally a decent explanation...🙏😣 Thank you!
Hi Dalia. Thanks so much! Thanks for watching and subscribing if you did.
You guys are the Bomb ! Thankyou ! I busted my 5th metatarsal an hour ago and although I'm in a tonne of pain, you've made me feel alot better. X ray tomorrow will tell me just how well I've done it .
Thanks so much Richard! Best of luck with your xray. Let us know what happened. Thanks for watching, subscribing and sharing if you did.
How is your foot now?
@@petems3283 4 weeks on. Pain just stopped (not that it was that bad) still in a boot and will play it safe for another 2 weeks given it was a reasonably displaced fracture but not quite a jones.
@@richardb9017 right. I broke my 4th meta, 2 yrs ago. Pain and swelling for 4 weeks. After that got the temporary boot on for short periods. Back to work around the 10 week period but confined to ground floor. I think 4 months until all ok. 2 years on its still sensitive but I'm 58, so. Keep me updated and good luck. It sucks but it passes.
@@petems3283 im a chiro and have been lifting 150kg in the air back to back patients from day 2. Should be ok I think. Man you had a long recovery ! I'm 42
Your videos have been so helpful, thank you!
Very welcome Heather! Glad we could help. Thanks for watching, subscribing and sharing with someone if you did.
Hello talking Docs! I just wanted to say thank you for your video. I got rid of my walking shoe two days ago, which marked the magic number of exactly six weeks. I was told to slowly ramp up and let my foot tell me how much is possible. So far I'm already walking quite comfortably with only small occasional annoyances. Your video has calmed me down on my decision to take conservative treatment (1 doctor suggested surgery, 2 were against it). Thank you again and please keep up the informative and humorous content!
Hi Felix! Glad that you found our video helpful and humorous. We do our best to keep it light but useful. Usually the foot fractures do very well but it is a long process which is often annoying and makes people anxious once they are out of the boot. Good luck with getting back to normal and playing those guitar covers!
So with a fracture and displacement of the fifth metarsal avulsion, this is still good not to operate and let the natural healing process takes it course…. I am not an athlete so a little longer time to heal is fne without the need for surgery. As always, your videos always helps and teach us to be more aware of the options , thank you so much. Steve
thank you for that information , i have a question , should i keep icing or heating or both ? i have been icing it for two days , how long should i do it for or should i stop ?
Hi Dancersdiary. Heat will commonly make an injury feel better by bringing more blood supply to the area. Ice aids in recovery by reducing swelling and providing a local numbing effect to reduce pain. Both are a good idea depending on the scenario. You can continue to do this until you recover. Hope that helps.
you are funny, very colloquial, thank you!
Doing our best Josefa. Thanks for watching and subscribing if you did
Good video. Thank you for posting
Thanks Alex
I broke the 5 metatarsal 3 different times in 4 years, and this is the 1st video I've seen about it. I've also always been in a boot. The first was was a stress and the rest I knew exactly what I did. (I was a gymnast)
Hopefully it was helpful.
Hi, i fractured my fifth metatarsal a few days ago.. however, i'm getting more pain from the inside of my foot on the ( i think) cuneiform navicular. Is this common? thanks.
Hi Jack. When you break any bone in your foot, you will often change your gait and the way you load your foot so some of the pain can be compensatory. Whether or not some of the other bones of your foot are involved in your injury would require a physical examination, review of your imaging and possibly further imaging if there is ongoing suspicion. Good luck.
I had this fracture 5 weeks ago, today my doctor remove my cast (no surgery) and im literally crying because i cant walk, i was so holpfull it wouldnt be this hard BUT IT HURTS and im so afraid to break my foot or just falling again into the flor. Thanks docs, this is an amazing video, its helping me lear more about my injury and giving me a bit of patience. Greatings from Perú!
How is it going? It’s been a month and I cannot walk without crutches and I’m still in boot although my doc told me that I have to put weight from day 20. Will you do physical therapy?
Hi Silvana. It should get better. Gradually increasing your weight bearing. Use ice. Elevation. Best of luck to you in Peru! Thanks for watching and subscribing
I’m 5 weeks now and I get it off tommorow I’m so scared I need to get back to hockey this stupid break is holding me back
Hey docs! I fractured my foot 8 years ago going down stairs accidentally took stairs at once, ouch 😣 thanks for the video! You guys are the best!
Oh man be careful Alida. Thanks for watching and subscribing
Thank you from both of you.
Hi Maryam. You are very welcome. Thanks for watching.
Just ended up with a Jones fracture a few weeks ago, clean and non displaced, you literally can barely see it on X ray, stopped hurting as soon as the swelling went down but it's there. It's scary and frustrating, and my doctor really pushed for conservative treatment (CAM boot with NWB) which is also scary and frustrating for an active person like I am worried about getting back on both feet and about rebreaks. Thanks for your video, it's done a lot more to reassure me than the actual doctor who treated me. Any advice? I know just be patient, but it's tough. First available surgery date for a screw wasn't until almost six weeks out from the break anyway so I think I'm going to ride this out. I kid you not, your video is probably the most encouraging thing anyone on the internet says about Jones fractures treated conservatively.
Hi Robert. Thanks for the positive comments. We have always tried to be open and honest about treatment risks and complications and in our practice, the vast majority of these fractures go on to heal without surgery. So glad we could be of assistance. Good luck and keep healing!
Thought I'd give an update. At 7.5 weeks the xrays showed enough healing to walk in a CAM walker and with weight bearing the healing really accelerated. At 12.5 weeks from fracture (last week) I was cleared to return to shoes and to full activities slowly. Right now I'm still walking with a limp and the foot gets a little sore at the end of the day but normal life is that much closer. Thank you guys for your video, it really helped.
Hi Robert. That is really great news. Sometimes these fractures can take a long time but thankfully they do heal most of the time. You are very welcome. And good luck with the rest of your recovery
Hi Docs!
Thank you for this very informative video. 7 weeks ago, I fell over a step. I have a closed displaced fracture of the neck of the 5th metatarsal (left foot). I've been in a tall CAM walker boot for 7 weeks - one more week to go. I don't have much pain at this point but I'm apparently healing kind of slowly, so I was told to wear the boot for 8 weeks instead of 6. I only wear the boot when I'm standing and/or walking (not when I'm sitting or laying down).
Here's my question: When the boot is off and I'm laying down, is it a good idea for me to move my foot around to help re-strengthen my foot and prevent atrophy? I've been doing circles with my ankle, pivoting my foot up and down from the ankle, and slowly closing and opening my toes. Sports Medicine doctor said yes I should - Podiatrist said no I shouldn't. What do you think? Thank you VERY much.
Best regards, K
Hi Kara. With respect to physio, you are able to start moving your foot and ankle as the bone starts to heal. The degree to which you do this should be discussed with your treating surgeon. Good luck.
Very helpful.
This information has been very informative! Thank you!
Glad we could help LORRAINE. Thanks for watching and subscribing
i fractured my fifth metatarsal on vacation in virginia beach. i was playing in the waves and i tripped because of the strength of the waves and i apparently broke my foot. it hurt so i just sat on the beach icing it with my family. but after that we came to the conclusion that it probably wasn’t anything serious so for the rest of the vacation i was limping on it and trying to just get over it! 😂😂 it didn’t end up getting better so when i finally went to the doctor they said if i tried to walk on it any longer i would’ve needed surgery. 😂
Hi rileyyy p. Wow, that must have been some wave! Glad to hear you are being treated and getting better. Good luck on the road to recovery and thanks for watching!
@@TalkingWithDocs I've read that it is safe to weight bear with base of 5th metatarsal fracture as soon as pain allows. I have a non displaced fracture and feel ok to put some weight on it 4 days in. Is this ok?
Hey thanks for making this video... I've been suffering for years with pain, on and off and looking for answers...Your video was the 1st one to pop up! If you push on the nub of the 5th bone & I go through the roof. It seems to hurt even when i'm off my feet. It literally comes & goes in waves and even feels like the pain goes up that side a little bit....Like right now i have my feet up, no pain, but 2 minutes ago, it was killing me, still with feet up...uggh I FINALLY went to a doctor last week, told me i need orthotics. Never did an x-ray or anything, but this has been happening for years...SO frustrating.... I don't walk right anymore, the only time i walk right is when i have so much padding on my foot so the pain isn't so bad....I'm thinking he should of ordered an x-ray, but then i think what could they really do anyway if they did do an xray since i've had this for years?? I mean not to put you out of a job, but foot surgery is scary shit...lol
Did you go to the doctor?
What part of your 5th bone did you hurt?
How are you now??
@@AVYONE with the right padding, it's better. Yes, went to doctor. There was really nothing they could do. Stress fractures, I believe it was. It comes & goes. I have NO idea what causes it or why it comes & goes! Weird! Thanks for asking!
@@aliecaruso you might be able to get cortisol shots for pain if it’s consistent / affecting your life?? My mother used to get those in her foot every month or so. Maybe something worth looking into? Best of luck to you 🖤
@@Angel-jt2pl Thanks for the info!
Hi Alison. Sorry for delay. Love your profile pic. Hope it all worked out! Thanks for watching and subscribing
Hi Docs, I have an oblique fracture of my 5th Metatarsal shaft. The distal fracture shows about 3mm of medial displacement. I was put in a cast yesterday. Any idea the timeline to when I might be able to weight bear or moved to a boot?
Great guys right here. Thanks a bunch
Hi Justin. Thanks so much for the positive words and for watching our channel. All the best to you!
how. long do I have to wait till I can skateboard again after breaking fifth metatarsal? will I be able to do tricks and jump? and also will my bone be strong enough again? like after 5 months?
How soon a patient can return to sport or other activities is a very individualized decision based on the severity of the initial injury, the healing to date, the age and health of the patient as well as the activity that they want to return to. Often more aggressive activities like skateboarding cannot be resumed for longer periods of time but would continue to carry the risk of repeat injury. That decision would be based on your physician's physical examination and other investigations like serial xrays.
Exactly the same happened to me... how did it turn out for you ?
Never had xrays but about 2 and 1/2 months ago i landed on my ankle trying to ollie a 4 stair, something i had done before but got complacent with. Over committed and destroyed what i believe is my fifth meta tarsal. Had severe bruising on both sides of the foot and all the way up into the toes. After about 6 weeks i could ride again but no flip tricks, they would cause server pain on the injury and felt like they were setting it back. Skated today with some flip tricks and still minor pain from time to time. Best bet is to probably wait 3 months before doing any skating, i wish i had fought the temptations to get back on the board
Hey thanks for this, my orthopedic foot specialist gave me zero info.
Hi lbarbados38. You are very welcome. Hopefully it helps you during the process. Thanks for watching!
Thank you guys so much helped me out more than you can imagine
Well that is awesome Gavin and you are very welcome! Thanks for watching and subscribing if you did
Hey Docs! Thank you for this great content. I have a screw in my fifth metatarsil and I am wondering what recovery would look like if I wanted to have it removed. I've started working out barefoot more frequently and the stronger my foot feels and the more it gets aligned properly, the more the screw feels like it should not be there. Any opinion or insight as to the removal of the screw would be much appreciated. Thanks again.
Hi Kern. Very welcome for the video. So after removal recovery would typically be 4-6 weeks. Usually much faster than the initial fracture. Hope that helps. Thanks for watching.
I'm only finding videos about 5th metatarsal. I broke the 4th & 5th, & I've got a Karate/Kickboxing/Eskrima-Kali-Arnis event in 4 weeks. My wife thinks that I should cancel, but I'm hoping it will be fine in a month
Hi Renshi. Never say never but usually they won’t be healed enough for karate at 4 weeks. Thanks for watching and subscribing
Hi docs
I need some advice I have a avulsion fracture to the cuboid my whole foot is bruised and swelling is going down I have a boot I wear however I took it off and can semi walk (still limping with foot turning in ) if I walk without the boot will this make it worse it’s been 1 week today since I did it and am already over the boot got fracture clinic this coming Monday hopefully it has healed!
Hi aleesha. So every case is different but typically with an avulsion fracture we treat them like a severe sprain and that means an aircast boot for 4-6 weeks. The main reason is that you want the ligaments to heal short rather than long to reduce the risk of having an ankle that is chronically unstable. And after the 4-6 weeks, lots of physiotherapy. The swelling and bruising will gradually subside. Good luck to you! And thanks for watching.
Thanks! Very helpful. Walking down the street tripped fell and voila! avulsion fracture to 5th Metatarsal.
Thanks Susan
Thanks for the great video guys! I have a 5th metatarsal avulsion fracture. I’ve been walking in an air boot for 3 weeks and have no swelling or pain anymore. Next X-ray is in 3 weeks, I’m praying it’s healed so I can get back to work. How important will physio therapy be? Budget is a bit tight right now so trying to avoid it if I can but will if it’s crucial. Thanks fellas
Hi Cody. The muscles of balance get weak and tired so doing something is important. There may be something on youtube. We don't have one of this yet. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Was just walking in my backyard on old tennis shoes doing some work and all of a sudden felt pain. Went to Podiatrist three days later and after a set of X-Rays, the Doc said yes, you broke it. Whaaaaat... Ok, It's an Avulsion Fracture and was given a Walking Boot.
One week removed and it feels better. A follow up in three weeks and hopefully the new X-rays will show improvement.
Nice easy2120. Thanks for watching and subscribing if you did
3-6 months? I cannot wait that long before returning to gym - sure I can do some other stuff. I fractured my foot January 20th. Flying to South Africa on Feb 28th. Boot or no boot, I gotta travel.
Ilse De Beer how was your trip and your lucky i want to go to africa but my mom doesn't
I been like this since november 28 is january 25 ans still at home. Recovery its sucks
I landed on a shell while running, rolled my foot and broke my fifth metatarsal (classic!). I was back in the gym the following week. realizing I had a foot injury, I went directly to a foot and ankle specialist who put by on crutches in a boot. I was back in the gym with his blessing the following week doing one-legged rowing and the hand cycle. I was on crutches for five weeks, but I continued on weight machines where I could sit and eventually when I could bear weight I took on more at the gym. When I graduated to a surgical shoe I was told I can deadlift and squat - anything that didn't involve impact. I'm an olympic weightlifter and I run for cardio, so staying out of the gym drives me insane. The doctor told me that so long as I didn't put any pressure on the injured foot at first I could go to the gym and that getting your heart pumping, and eventually weight training all help the bone heal. I also took zinc, copper, 5,000 IU vitamin D3, calcium, Lysine, Taurine, K2, magnesium, Omega-3, ate a ton of sardines and greens and used an exogen device. So, you don't have to wait that long to return to the gym, you just have to really tailor your workout to accommodate your injury.
Hi I just fractured my fifth metatarsal last Wednesday on vacation. For the past three years I have been going to the gym really intensely. So far I know that my fracture was "minimally displaced" and mid shaft. I am trying to figure out when I can go back. I was able to do little things today at home that are easy like donkey kicks but i don't want to move backwards. Do you have any ideas for workouts with this injury? I just don't want to lose the muscle I have built in my legs.
I did to walking to the corner store 😃 same day
@TalkingWithDocs , I dropped a heavy jar on my foot that shattered. The X-ray showed I have a small fracture in my foot. I've been taking antibiotics. I can walk on the foot with hardly any pain. It's been 2 days since the injury. I do have to limp still. What is your advice on this situation?
Extremely helpful as always, thank you.
One question. Do you agree that on these foot injuries the xrays don’t always match up with the actual healing. In my case I”m doing fine and about to finally lose the BOOT at week 8 but I’m curious why doctors all note that the digital pix in these type of injuries can be misleading. AKA my pics don’t look great but my foot feels fine and seems to be healing on schedule. I wonder if you can explain how that is?
Yes Cynthia. Often the X-ray lags behind what is happening clinically because the bones are held together with soft tissue that you can’t see on X-ray that later becomes bone. Good question.
Very welcome Cynthia. Thanks for watching and subscribing if you did
All this talk about sports with this injury and my dumbass broke mine falling down two steps. 😂
Hi Sara. That's hilarious. You are not a dumbass. Sorry to hear you broke your foot but falling down the stairs is actually a common way to do it. Hope you have a speedy recovery. Thanks for watching!
3rd bottle of wine?! This dr knows how to party hahaha
Hi Christina. Like a rock star. Thanks for watching and subscribing if you did.
Fractured my 5th metatarsal last night, luckily my moms a formal nursing assistant. I'm glad to have some more information. :)
Hi Allyson. Sorry to hear about the fracture. Best of luck going forward and be safe. Thanks for watching.
Did you get surgery for it?
@@stevethai2836 Nope, but I wore a boot for a few weeks.
I found this video very informative. I got 3 fractures in my 5th Metatarsal. This is my 3rd month. This week my doctor told me the fractured have healed so I'm going so start therapy next week. Honestly that was the worst pain I have experience. My doctor said I could start wearing my sneakers but I tried to walk but is very painful so I still trying but with the help of the crutches cause the pain is so strong that I can't do it without crutches for now so I just want to start my therapy asap.
Hi yeya163. At first walking in the shoe will be painful. Gradually increase your weight bearing and your activity and it will get better with time. And yes, physio. Good luck to you and thanks for watching.
Lmao I broke my 5th metatarsal yesterday playing rugby
Hi Dylan. Glad you enjoyed the video. Hopefully you can get back to sports before the season ends.
I broke mine on December 2 2018 and it's February 26 2019 and it's still not 💯 percent.... what should I do????
Hi THATBOICUDDY. The length of time it takes for a fracture to heal varies and depends on many factors. The best thing to do is see your treating physician, consider further immobilization and be patient. If this fails, occasionally surgery has to be considered. Hopefully that helps. Thanks for watching.
Same here! Very frustrating! Had surgery on it 2.months ago and it is hardly healing. Just got a bone stimulator today. Hopefully that works.
Hows your foot now bro?
Thanks guys. Lol I needed this just was coming off a broken big toe and literally missed a step, twisted my foot and broke my 5th metatarsal . So now I gotta finish doing exercises for my big toe and keep the boot on more and then make time to do my stretches and exercises for my 5th metatarsal too. All on the same foot 😓
Yikes! Be careful. Good luck during your recovery. Thanks for watching and subscribing
This was very helpful. Thank you. I am trying to decide surgery or not ahead of a long-planned trip. I'm leaning towards the conservative route and staying off of it (I ordered a iwalk 3.0 that the doc recommended) and just rethinking how my vacation looks. And when I return...changing how I get exercise... likely just upper body for now! Thanks again.
Nice Gabriel. Depending on the fracture, we weight bear many foot fractures. Always confirm with your surgeon. Thanks for watching and subscribing
Mine brusied within 5 minutes... 😭😭
Hi food4444lyfe. Wow that is fast bruising! Hopefully you are on the mend. Thanks for watching.
Mine swelled up over night got so fat & the pain was in the back of my foot hurt so bad I cried almost every night the medicine still didn’t work
Well.... mine was bruised seconds after I broke the metatarsal. It was terrible pain and I couldn't even walk at all at that time
@@tikaaulia8803 I'm in my 8th week atm... I can start to weight-bare. But can't still walk properly... 🤬🤬
food4444lyfe ᑫueen βɪsh hey, how have you healed 4 months on? I’m at 11 weeks and minimal healing, lots of swelling ☹️
Who's here because of neymar?
Hi Aumed. What does that mean?
Neymar de Silva, a soccer player for PSG, broke his fifth metatarsal this weekend.
OK got it. Hopefully he comes and checks out our channel!
Aumed Ramadhan me
Very nice explanation all times!
Hi MihaelaV68., Thanks so much. And thanks for watching. Best of luck to you.
Talking With Docs thank you so much !
I had sprain four weeks ago.. my foot slammed on the foor in an inverted position. I had bruising and swelling especially on the side of the foot.. But my foot improved everyday and i could walk normally after two weeks.. But now i feel there is a slightly bony part below the fifth toe. I dont know if I should worry about it or wait a few more days/ weeks maybe it will fully heal.
Hi kginmyheart. It is hard to say exactly what your injury is. It may be related to some bruising or soft tissue injury and less likely related to a fracture. If the pain persists or gets worse, you should likely see a health care professional about it. Good luck.
Hello docs! I have been diagnosed with an avulsion fracture today and my question is will the swelling disappear and would you recommend a short or tall boot? And can I use the boot without crutches? Watching this video has made me understand the words the doctor was using. Thanks!
Hi Oralys. All very good questions. Every case is a little different but generally speaking a short boot is sufficient for foot fractures. Using crutches is okay but not necessary. We tell our patients that if you can weight bear, you can use crutches for balance but that they are not necessary. Good luck and thanks for watching.
This was incredibly informative and I loved your sense of humor. I went to L.A. Live for dinner and I rolled my left foot again. This happened about a week ago. I had rolled it back in February but I never received instructions to strengthen my ankle. I tore the tendons so I was out for 8 weeks. Most of the pain was on my ankle. This time around it's slightly tender around the ankle but I can put slight weight on the heel. But that Jones fracture... I can feel the pain and if I accidentally hurt it I can feel a sort of wiggle to the bone. It's pretty gross. I got an X-ray today and a follow up with a podiatrist. I'm 47 and I guess I want to know -- is this going to keep happening to me. I can't wear heels anymore. Anyway, sorry for the ramble. You did great with this video.
Thanks for the kind words Elise - we do our best to try and keep it a bit light. With respect to your problem, it is always difficult without an examination or reviewing your films but it is reasonable to say it may happen again but there are some things you can do to help yourself. After your injury has healed, physiotherapy is critical. Strengthening the muscles around your ankle to stabilize it is very important. If however you did have a severe sprain of your ankle some of the ligaments can have irreversible damage that can cause ongoing issues and in some cases require surgery. Physio is a great place to start especially if wearing heels is the goal. Take a minute to watch the "ankle sprain" video and that should help. Good luck.
Thank you for this:) way more info than I received from my ortho. I just went back in for my follow up (7 weeks) after complete non weight bearing (Jones fracture) and was told it was still broken. I was told I could weight bear as tolerated and just started doing that now. Is this typical that the fracture hasn’t healed. It’s non displaced. What is a realistic timeline? I am healthy and active and this has been brutal. Will walking with the boot if it’s still broken risk re-injury ? What could cause my bone to not be healing ? Thank you so much !
Hi Sonya. This is not uncommon and is related to the blood supply of this bone. Often it takes 12 weeks. Hope you are healed by now. All the best. Thanks for watching and subscribing if you did.
Thank you for all the great information. Now I have an idea what the process of healing this Jones fracture will be.
Glad we could help Rebecca. Thanks for watching and subscribing
awesome vid!!!
Hi DaeWon Kim. Thanks!
Hey! Thanks for the video! I have a question. With a 5th metatarsal jones fracture can you roll your ankle and bend and flex your broken foot or does this slow down recovery and healing?? thank you!
Hi Sasha. Ideally you should stay immobilized for 6 weeks or until the fracture is united as the activities you mentioned could pull the fracture site apart and delay healing. Good luck and thanks for watching.
Excellent video!
So glad you like it aonkar. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Actually, I am recovering from a 5th metatarsal fracture.. I searched TH-cam for information about recovery.. this video, I found to be the most comprehensive.. I was in a cast for 6 weeks.. now they have removed cast.. still I cannot bear weight on the foot for 2 more weeks.. the bone has got joined so just a matter of time.. so checking ways with which I can gain strength again and start walking like normal..
Seem like great doctors!
Thanks so much Candie. And thanks for watching!
LOL that was super funny! Thanks for the good info docs!
Glad you liked it Salsa! Thanks for watching and subscribing if you did
I had a Jones fracture about 11 years ago now. I stubbed my pinky toe two days ago on the same foot and am experiencing the same dull ache that I had when I fractured my 5th way back when. For now, I'm assuming that it is just from the stubbing; however, when should I be concerned? There is currently no bruising and a small bit of swelling where my pinky toe meets the 5th head. Is it possible I have re fractured my foot?
I fractured my 5th metatarsal on Sept. 16, 2017. Today is 05/17/2018. The fracture now is a noticeable complete break with large gap space. I have been using a bone growth stimulator as of today for 102 treatments(30 minutes every morning). Its painful as he'll, I have to pause when I'm out shopping etc. Meaning it hurts so bad for instance when I go to Wal-Mart or any other place that requires a lot of walking. I have to stop and rest, because of the pain. So, it started as a fracture on 09/16/2017 and last xray taken on May 09, 2018 shows a complete break and total separation in area of the initial fracture. The gap is about a half inch. I go back to see the Orthopaedic sports doctor July 9, 2018. I am a Disabled Veteran, but allowed to see outside doctors. I have all the xrays dating back to 09/16/2017-05/09/2018. They clearly show the initial fracture to the point of actual break and separation gap now. What should I do. Its very painful, my doctor and I viewed his latest xray together in his office, and I voiced to him my concerns and limitations of mobility. Its been 8 months. Should I call doctor and insist that we go ahead and schedule corrective surgery or???????????? genehall1952@gmail.com
Hi Gene. By definition your fracture has gone on to be what is considered a delayed union and possibly a non union. The longer the fracture goes without healing the higher the chance that it would not heal without doing something further - like surgery. Your symptoms should guide your treatment decisions with the guidance of your surgeon. Good luck.
Thank you for this great explanation. My question is that...after the pain dramatically decreased I did not wear my boot at night - so that I could sleep. When I went in for xrays after two weeks the bones were still in alignment - but had not begun to heal. My question is - Do I need to wear my boot at night? Also, if I walk on my heal I do not have pain - so for short distances at night I take the boot off and do this sort of walking.
Hi Terri. We typically tell our patients to wear the boot at night during the early phase of healing. Once you are reasonably comfortable you can stop wearing the boot at night and gradually transition to a firm comfortable shoe. We even encourage people to wear shoes in the house for the first while before walking in bare feet. Hope that helps.
I somehow hurt my foot in March. I think it is from the foot massage g machine my husband bought me. I have done ice/heat, physical therapy, taping my foot, xray, pain gel, referred to podiatrist who did MRI of peroneal area that showed nothing but he gave me an injection for fluid behind bone. That didn't do anything. Went back to primary and got referred to a sports medicine doc. He thinks it is a fracture on 5th metatarsal (right where it juts out). Oh my gosh! The boot is almost like heaven. I almost feel like doing a footectomy. Tonight (morning) can't sleep from all this burning, stinging, tearing feeling. I am thankful I get an MRI of the corre t area today and follow-up next week.
Thanks for your video. 10 months of pain is too long!
Good luck Jeanne and we hope they find the cause! Thanks for watching and subscribing if you did
Thank you...
Very welcome hylda. Thanks for watching.
Thank you for this video and the time you’ve taken to reply to everyone as reading them helped.
I’m 2.5 weeks into a ‘moderately displaced’ fracture. I had a cast for 2.5 weeks and yesterday the cast was removed & I was given an orthopaedic heel wedge shoe, told not to weight bare yet and continue on crutches..... I’m concerned as researching I have not found one person given this shoe (they all have boots) and don’t want to cause further damage or delay healing. I tried to sleep in it last night which was impossible and I’m not sure if I should have this shoe on 24/7. Thoughts?!?
Hi Cher. You are very welcome. There are many different strategies to help this fracture heal. Some surgeons even just use a rigid soled shoe to treat it. You can discuss your concerns with your doctor for sure. Most of these will heal. Best of luck to you. Thanks for watching and subscribing if you did.
Talking With Docs thankyou so much! I did contact the hospital as on further research I saw they had given me the wrong type of wedge anyhow distributing weight via the front of my foot not the heel, they had me back in and decided for fit me in a boot, it feels a lot better and secure :) see where I am in 4 weeks 👍🏽
Have a fantastic day
Thanks for an informative video. I broke my fifth metatarsal on March 1st. I had surgery on break in mid shaft with a plate and 8 screws attached on March 10th. I wore a splint until the 27th, got the sutures out, and now am in a short leg cast for 4 weeks. I noticed that neither of you seem to do many surgeries on these things, though you mention that some do. My question is on the hardware that was placed in my foot. I know my dr wanted me in a cast to make sure that the foot and able is safe and immobilized so that it heals. I guess my question is how stable is this hardware and how easily can it move and screw up my healing process. Before I had my cast I did slip on crutch and stamp foot in splint down for a tap on ground that hurt when i did it, Would it take a lot to move that hardware?
Typically the hardware is quite stable but every fracture is different depending on the quality of the bone, the degree of comminution (the number of pieces) and the degree of displacement. It would usually take a significant fall to move the hardware but the only way to be certain of its status would be to repeat an xray.
Very helpful.thank u
You are very welcome Gururaj. Thanks for watching, subscribing and sharing with someone if you did
I have a nondisplaced zone 3 fracture, doc told me 95% effective with a screw. I opted for that success option vs. watch/wait and see if it heals and take a 15-20% chance for malunion. Thank you for the information docs!
Very helpful!!
Glad it was Ray! Thanks for watching and subscribing
How does a fracture in multiple places effect the healing time? I'm assuming it only adds to it.
I fractured my metatarsal 3 days ago, The ER doctor really didn't talk much about the fracture itself, but I have to see the podiatrist next week.
I'm a vet tech, so I'm pretty good at reading x-rays, and it seems like the proximal aspect of my 5th metatarsal is broken into two pieces.
It's only been 3 days and I'm already going stircrazy at home.
Hi Megan. You are correct. Comminuted (or multiple place) fractures can take longer to heal. The healing time of any fracture is determined by the bone, its location, the degree of comminution, the amount of displacement at the fracture site, as well as host properties. 5th metatarsal fractures typically take about 6 weeks to heal. Fingers crossed you are a fast healer! Good luck
Doctors. I'm close to surgury(Friday, the 12th), and frankly my foot FEELS and LOOKS FINE! No Swelling, NO pain on palpation whatsoever. I can even put it in my regular loafers. But (she's not that aggressive) she is of the opinoin that now, nearly 8 weeks later, both radiographs are almost identical. From March 15 to April 26th. The break occurred on the 1st of March. She's not aggressive, but believes I'm wasting precious recovery time.
she is adamant: "This is NOT going to make Union, Paul-" " I wish it were otherwise-"
Hi Paul. Your situation is somewhat unique in that you sound like you had an open wound in the area of the fracture site. If this happened at the time of the initial injury, many patients would go on to have surgery from the beginning to deal with the soft tissue and subsequently with the bone. Open fractures do have a higher incidence of infection and non union. It is not unreasonable that you are having second thoughts if you have no symptoms related to your foot however. The best recommendation is to discuss it with your surgeon before the day of surgery. Hopefully that helps
Hey Dr. Weening
Just wanted to let you know that after 8 months and an intramedullary screw fixation by your buddy Danny my super annoying Jones Fracture has finally HEALED!!! Whoot Whoot! I do think this video needs an update though now 😜
Keep up the great work on all these informative videos - you two are a fabulous pairing!!
That is awesome news Bianca! Thanks for the update. Dr Arora is going to join us some day
I’m sure he’ll make a great guest!
Thank you!
Welcome Jake
Thanks for the info. I will start taking a Vit D supplement immediately.
Very welcome Bryan. It is a very common problem. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for the beneficial video...I have a broken 5th metatarsal bone near the base of the foot..I can send x ray if required...what do you recommend for fast healing and when can I use my foot again..as I will travel after 3 weeks ..thanks a lot for your advice
Hi hossam. We are unable to review your films or provide specific advice for many reasons however generally speaking full weight bearing in an aircast boot if often the treatment for 4-6 weeks and then transitioning to a firm soled shoe as pain permits. This is often accompanied by a course of physiotherapy. Hope that helps. Good luck.
Hi Docs. I experienced an avulsion fracture a couple of months ago when I rolled my foot playing basketball. My doctor said the fracture is healing properly. Since I've been out of my boot cast, I've noticed some mild to moderate pain when I walk around on the ball of my foot/toe area. Since this is not near the fracture site, I was wondering if this is due to my being inactive for so long, or possibly due to a little bit of remaining swelling. What are your thoughts on the cause? Thanks.
I fractured my fifth metatarsal while playing basketball. The doctor characterized it as an avulsion fracture. What is the best way to heal it? I was given a large boot that covers my calf. Approx recovery is 3 months he said. Are you healed up?
hi! thanks for the super informative video! I have a base fifth metatarsal fracture - there are 2 cracks... My doctor put me in a boot and said 2 weeks non-weight bearing at all - have been using crutches - and then for 4-7 weeks I can just use the boot. Am I supposed to walk with the boot normally? Like can I go to small social gatherings and walk freely? Also, does alcohol hinder the healing? Thanks for your help in advance!!
Hi daylightttttt! Sorry for the delayed response. So yes you can typically walk as far as you want in the boot. Sometimes the height difference can be awkward so some patients will use over the counter insoles in the normal foot to make up for the difference. Small social gatherings are encouraged! As for alcohol, there is no evidence that alcohol affects bone healing so everything in moderation! Best of luck to you and keep us posted. Thanks for watching and subscribing if you did.
I'm an athlete, and I play basketball quite often. I had a fractured 4th and 5th metatarsal a year ago, and it had healed up nicely. After a few months I went back into playing, but managed to refractur it while shuffling sideways. It has now been 9 months since then, what is the best way to prevent it from happening again, as I am quite paranoid that it will break again if I exercise like how i used to...
I fractured my fifth metatarsal while playing basketball. Was jumping up for the ball, got bumped mid air and landed directly on my foot hearing the bone break immediately. The doctor characterized it as an avulsion fracture. What is the best way to heal it? I was given a large boot that covers my calf. Approx recovery is 3 months he said.
I actually enjoy hearing them.
Thanks so much Natasha. Thanks for watching and subscribing
This video helped alot thanks Docs!
Fractured my 5th metatarsal (avulsion) running (shoe landed, ankle twisted, landed on it) and i feel like supplements help because i know my diet is good but isn't perfect and was actively running/lifting weights at least 4 days out of the week when this occured.
After two and half weeks, the pain was down to the point ive stopped taking and weaning myself off the ipubrofen and i was actually able to bear some weight, but not enough to test my foot bearing all my weight off the crutches, I'm definitely not pushing it since i'm not in physical therapy. I couldn't even sit in the shower or toilet bearing weight the first few days, but after two and a half weeks i was actually able to get my shoe on and stand on it with minimal weight bearing pain, i only did this for a few seconds because i didnt wanna push it and def felt the fracture site with minimal pain.
Not much pain, I was in the bed for two weeks (no work because i was supposed to be on vacation) with my foot wrapped elevated majority of this time and icing at least twice a day the first week. The first couple of days was pain and inflammation, but the 2nd week was weird because the inflammation was gone...but the fracture site and bone was very stiff and i felt ALOT of small pulses and tremors in both areas while my foot was elevated and resting. and now im in week 3 only wearing the air cast/moon boot traveling at work (still using the crutches) and though its slow, its healing. The boot actually brings me pain (due to thr weight of it and being a bit too small), but i threw a dr scholls foot cushion in it and definitely helped.
I'm sticking to these supplements everyday. Calcium, vitamin D, Fish Oil, Osteo Bi Flex Triple Strength, GNC mega mens energy and metabolism. Every morning, whey protein shake with yogurt and whole almonds, sometimes a apple as well. Kinda flying blind here since i wasn't given much info besides given the name of the fracture and told i wouldnt be able to walk for another 6-8 weeks and def not running for 3-4 months.
Hi james. So that is a lot of information. Balanced diet is the best approach. Typically our patients start weightbearing as soon as pain permits and get off crutches as soon as pain permits. Usually no running for 3-4 months sounds about right. Good luck and keep us posted. Thanks for watching.
@@TalkingWithDocs sorry to talk a hole in ya head doc, but most of that was for people similar going thru what i am to put them at ease. My er doctor definitely didnt give me much direction, but ur video did! Thanks again for the reply!!
Very welcome james. Good luck!
Update for the docs and those wondering about heal time. So at 6 weeks, i forced myself to start walking on two crutches for a week, it hurt the tendons and ligaments in my foot from soreness and minimal fracture pain, foot was swollen and inflammed. At 7 weeks i went to one crutch, and felt the same amount of pain like i was in 6 weeks because im putting more weight on it, minimal to no fracture site pain, foot was partly inflammed most of it returning to regular color. Im two days into 8 weeks and i began walking with no crutches without the medical shoe and wow. I put a dr Scholl's athletic insole in one of my slip on arkk shoes and there was very minimal pain. I walked about 2 or 3 miles and my foot and leg was very sore,.my ankle was very wobbly too. I slept for a very long time when i came home (14 hours) and when i woke up a few hours later i went out again, i was definitely stronger but still soreness at the bottom of my foot. Little to no pain at fracture site. I wore compression socks and have been using the exogen 4000 since week 4. I use a roller on the bottom my foot every morning And it helps tremendously.
I fractured my 5th metatarsal. I was in a cast for 6 weeks. Now I’m in a boot for 4 weeks. I feel pain, which seems to be nerve pain. I hope I heal completely and fast. Thanks for the video.
You can do it!
Thx so much for this video. I suffered an oblique fifth metatarsal fracture at the shaft that was displaced. This was April 15, 2016. I was put in an Aircast for 8 mos (yes, eight months) and at 5 mos, after no healing seen, an Exogen bone stimulator was begun at 20m daily for 3 mos. I was told after that it looked "ok" and I could continue the stimulator "if I wanted to". Imagine my shock that it felt the same but I was told it was fine so I plugged on.
Saw a podiatrist 2 weeks ago and he did an MRI and the same fx was seen with displacement, nonunion, etc. now we are trying 6 weeks more of bone stim, vitamin D, and I'm going to try to "go easy" on it myself as I'm a relatively poor surgical candidate. I'm just very angry that surgery will be required thereafter and will be much more extensive than I would've needed last year. I'm told this will require bone grafting. Anyone who has had this surgery or can provide any info, will u please contact me? Thx!
Glad you enjoyed the video. It sounds like you are doing all of the right things - immobilization, vitamin D (you should watch the video) and the bone stimulator. There is some evidence that use of bone stimulators can overcome non unions in certain situations - let's hope you are such a case. Good luck.
Talking With Docs I'm praying I'm one of these patients but am a little hesitant since I used the bone stim last year for 3 mos, with no success. But I'm hoping in the next 6 weeks I see improvement! Thx for the reply! Oh and I'll def check out the vitamin D video!
You are very welcome.
I think there comes a time in the "post-injury phase" that a "displaced break-" Not a fracture, anymore-- should be addressed quicker than that. One CANNOT continue to use Crutches and Knee Scooters for 6-8 months.
It's psychologically crazy.
I am not a doctor, but one is simply putting off the inevitible.
If there's NO UNION after 6 weeks, I would Opt for the Surgery. The Surgery is relatively simply for podiatric surgeons or orthopedic surgeons. The 5th Metatarsal is a Common Break.
I have that right now. It happened in March. I felt nothing. No Pain, no swelling, but I felt the weakness and the Bone Bruising. a "Bump" appeared on the dorsal(top) part of the foot. Then the more I walked, the more Pinching and burning sensations I felt. And finally, I said, "Hey, I have to have this looked at." Lo and behold, I had a rotated(because I continued to walk on it, not knowing I had a broken bone) and it has become displaced. It's not going to Join, and if it does, it's not going to be correct.
Solution? Listen to the Surgeon. I'm having my surgery Next Friday, the 12th. It's out patient.
I'll be home, in some pain and must stay off, NWB for 6 to 8 weeks. Best get started on the healing process.
Don't procrastinate. You're putting off the inevitible, AND frankly, you don't want to run the risk of an infection; do you?
That can lead to some really serious issues. Especially with an Open Fracture for several months? If the Infection gets into the Open ended bone, it can potentially get into your entire bloodstream. And then you'll have to have a PIC Line of Dripping Anti-Biotics.,
Get the surgery. Start the healing process as soon as you can
Paul Anthony First, before I forget, it's not an open fracture. I definitely haven't had bone hanging out of my skin at any point. Like u, I didn't have a lot of pain but noticed swelling and bruising and a lump on the side and top of my foot, along with crooked toes. Then I went in and the X-ray showed a fifth metatarsal fracture at the shaft, displaced. As I was a relatively poor surgical candidate, the doctor tried the aircast for 8 mos and started the Exogen bone stimulator at 6 mos. I was told then that it worked and things were fine but that I could continue the bone stimulator if I "wanted". When at a routine podiatry appt last month my doctor saw the toe abnormalities and did an X-ray, which was abnormal, then ordered an MRI, which showed the fracture looked the same, displaced fifth metatarsal, with floating bone fragments, as before. Because I'm a relatively poor surgical candidate, he wants to avoid surgery so we are trying increased vitamin D and a bone stimulator. If I have to have surgery at this point, unfortunately it wouldn't be typical fifth metatarsal surgery. It'll be more extensive with bone grafting from my hip, which I'm very leery of. So I'm praying this six weeks brings healing. But I would've definitely chosen surgery last year when it wasn't healing had the doctor made it clear it hadn't healed in August. I have no clue why he told me it was healed. Good luck to u!
For some strange reason, I thoroughly enjoyed this! Yes, I broke my 5th metatarsal!
Glad you liked it De De. Thanks for watching, subscribing and sharing with someone if you did.
Thank you doctors to this precious advice.
Note: The back noise in the video makes the audio unclear.
Hi Khalid. You are very welcome. Yes this was early in the development of the channel so the technology was not the best. We have much better mics now. Thanks for sharing your thoughts. Thanks for watching and subscribing if you did.
Dr. zal zal ,( on your right) did the sergery on my foot, I broke 4 metatarcel from my motorcycle accident and my toe... I'm still healing and hope I can recover smoothly . Lol I did not no he had TH-cam channel, he's a cool doctor, very down to earth.
Thanks. We will do our best to make sure you recover smoothly.
Hello docs! Thank you both for such an informative video! I am one week in to my 5th metatarsal oblique fracture which is 3 mm displaced through the mid to distal shaft. The first Ortho said no surgery, and I could walk on it in a boot, so I did that, but was concerned I was causing further injury. Second Ortho opinion was to get surgery and no weight bearing so I’ve been staying off of it mostly. Your video made me feel better about holding off on surgery but now I’m worried walking on it with a boot for 5 days harmed me. How common is it to damage the fracture further by boot walking? Should I continue to stay off of it, or is some walking with boot okay? Thank you both so much for such a great video. Really informative and fun!
Hi Molly we would say weight bearing as tolerated is ok. The boot helps protect you. Best of luck! Thanks for watching and subscribing
Wow! Thank you so much for such a fast response! You guys are the best! I’m off to Spain for 8 days with this break! 😅 At least it will be a beautiful place to heal! Thanks again gentlemen, keep being awesome!
Just found on Friday through x ray that I had Fifth Metatarsal fracture. On a boot waiting to see a orth. Question is do you have your patients walking as soon as soon as they get the boot non weight bearing? Thank-you, you are delightful and informative!
Hi Ann! Yes we usually would let patients walk as soon as pain permits for most fractures. Confirm this with your surgeon if you can and best of luck to you! Thanks for watching, subscribing and sharing with someone if you did.
for a non discplaced 4th metarsal fracture what would you guys think? Ive been wearing inflatable tall leg CAM boot. my doc says for 4-5 weeks. I feel like I could almost get away with Hoka or stiff shoes. But ive been wearing the CAM boot
We usually say the same. 4-6 weeks boot then firm shoe. Good luck! Thanks for watching and subscribing
Hi Doctors! I have a jones fracture (2 weeks old) in zone 2 clean break. I have been in an air cast and have been doing great with minimal pain. Elevate and ice every day and limit my mobility. The doctor I saw today wanted to put me in a plaster or fiber glass cast and I really would prefer to stay with the air cast. Is this basically a doctors preference? Do I have a choice to say no to a plaster or fiber glass cast? I have to be able to drive and it’s my right foot.
Hi Jill. So whether it is cast or boot is dependent on many factors including the type of fracture and the surgeon. Driving with this fracture can be difficult in that if you got in an accident you may be exposed legally to some responsibility as an opposing lawyer may argue that your foot pain prevented you from braking quick enough or being able to drive safely. Ultimately the patient always has the right to say no - but they are then accepting the risk of a possible adverse outcome. Maybe just ask why your surgeon wants the cast. Thanks for watching and good luck.
Thanks docs.
I just removed my fibre glass pop cast on my right foot 5th metatarsal after 7 weeks. Now my ankle hurts and surrounding areas hurts so much and standing on it hurts so much too.
My doc hasn't referred me to physiotherapy as he told me to start walking on it and come for checkup after 1 week.
But, I scared, why would my entire feet hurt so much?
Hi Joycey. It is not uncommon to have soft tissue pain after immobilization. Walking is a good idea as is physiotherapy. Be sure to mention your concerns to your doctor at your next visit. Good luck and thanks for watching.
Hello this was a very informative video. Loved how you described it in so much deatil. I subscribed instantly! I have a dancer's fracture and the doctor at emergency told me to wear hard sole shoes. My question is today is the 4thday and i dont feel much of a pain its manageable, can i start walking gradually or should i still stick to crutches?
Hi M.O.S. Thanks for the positive feedback. It is difficult to give specific advice without examining you or reviewing your xrays but typically if you are in an aircast or a firm soled shoe and there is not significant displacement of the fracture, patients can weight bear as tolerated without crutches once the pain is controlled. Hope that helps!
Talking With Docs thank you so much. They didnt put cast or anything because they said we don't put it in this fracture. I haven't been able to wear hard sole shoes due to swelling. I think i will start wearing it with in a weeks time. Pain is totally gone now today is the 8th day. Thank you so much for taking out your precious time and replying.
10 weeks out from 5th metatarsal fracture. I haven’t been told whether Jones or Avulsion. Looks like avulsion on the X-ray but due to no signs of healing a CT was done and it shows it’s comminuted (looks like a Jones/avulsion combo), minimally displaced. Is this typical to be extra slow to heal? Or would this typically be a surgical case?
Hi Jenifer. Comminuted fractures may take longer to unite. The vast majority of these will heal without surgery but it can take a little longer. We will often immobilize for a longer period. Hope that helps. Good luck. Thanks for watching and for subscribing if you did.
Hi docs,
I have a transverse facture of the proximal end of the proximal phalanx of the 5th toe on my right foot with minor varus deformity. So it is completely snapped and turned outwards I was just wondering if there is a video or advice on what surgery I need? Thankyou.
Hi Leah. Often fractures of the toe do not require surgery. They sometimes can be reduced (or manipulated) back into place to make them more straight. Even if the bone heals slightly crooked this is often well tolerated with minimal functional impact. These are good questions to discuss with your treating doctor. Hope that helps. And thanks for watching.
Hi guys, thanks for this informative video. I fractured my 5th metatarsal avulsion 2,5 weeks ago. I do not have any pain in that area right now. May I put weight on it or do I still have to wait? Greetings from Turkey.
Hi Cihat and greetings back to Turkey! So we would typically let our patients weight bear in an aircast boot for this type of injury however it is probably best to discuss this with your treating healthcare worker. Hope that helps. Thanks for watching and best of luck.