Treatment FAQ

what is the treatment for a break or fracture of the metatarsal in your foot

by Isabelle Rutherford Sr. Published 2 years ago Updated 2 years ago
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A stiff-soled shoe or other form of immobilization may be used to protect the fractured bone while it is healing. Use of a postoperative shoe or bootwalker is also helpful. Surgery. Some traumatic fractures of the metatarsal bones require surgery, especially if the break is badly displaced.

How long does it take to recover from a broken foot?

Jan 01, 2016 · Recovery periods range from four to eight weeks, depending on the severity of the fracture or break. The most commonly injured metatarsals are the second and the fifth—the one that leads up to the pinky toe. Your foot doctor will more than likely prescribe you plenty of rest and immobility. He or she may also advise you to practice the RICE method.

What is the healing time for a broken foot?

Metatarsal fractures usually take six to eight weeks to heal, but sometimes it can take longer. Recovery will include follow-up X-rays to make sure the bone has healed correctly, and your foot may continue to be swollen for a few months. Physiotherapy can help improve mobility and prevent long-term problems.

How to bear weight after a broken foot?

Mar 26, 2018 · This may involve an anaesthetic and some kind of metal pinning or plating to the bones. Acute metatarsal fracture is usually caused by a sudden forceful injury to the foot, such as dropping a heavy object on to the foot, a fall, kicking against a hard object when tripping, or …

What is the treatment for broken foot bone?

A fifth metatarsal fracture is a common injury where the bone connecting your ankle to your little toe breaks. These fractures occur from injury, overuse or high arches. Providers can treat your broken bone with a cast, boot or shoe — or with surgery. Using ice, keeping weight off your foot and elevating your foot can help decrease recovery time.

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Can you walk on a metatarsal break?

A patient with a broken metatarsal may be able to walk, depending on how painful the injury is. Despite this, the patient with a metatarsal fracture is advised to avoid excessive walking, especially on uneven ground, to eliminate the risk of displacement.Feb 26, 2021

How long does a metatarsal foot fracture take to heal?

Your doctor may have put your foot in a cast or splint to keep it stable. You may have been given crutches to use to keep weight off your foot. A metatarsal fracture may take from 6 weeks to several months to heal. It is important to give your foot time to heal completely, so that you do not hurt it again.

Does a broken metatarsal need treatment?

Most nondisplaced metatarsal shaft fractures require only a soft elastic dressing or firm, supportive shoe and progressive weight bearing. Stress fractures of the metatarsal shaft usually heal well without immobilization and typically respond well to cessation of the causative activity for four to eight weeks.Sep 15, 2007

Do you need a cast for a metatarsal fracture?

The the long bones in your foot are called metatarsals. They are numbered from 1 to 5. This fracture is at the base of the 5th metatarsal, which is where the name comes from. The break has occurred in a part of the bone that normally heals without a problem, so you won't need to have a plaster cast.

What is the fastest way to heal a metatarsal fracture?

Immobilization: Keeping bone fragments from moving is an important factor in fast and safe healing. A cast is often used to immobilize the bone, and in some cases, your surgeon may rely on other options including screws, plates or wires to keep the bone in place.

Is it OK to walk with a metatarsal stress fracture?

It is important to rest your foot. Elevate your foot to decrease swelling and pain. Do not do the activity or exercise that caused your fracture. If walking is painful, your doctor may advise you to use crutches to help support your body weight when you walk.

Will walking on a fractured foot make it worse?

This fracture gets worse with time if you keep walking on it, so non-weight bearing is very important. People with this fracture are more likely to develop problems healing that require an operation.Nov 1, 2021

What does a fractured metatarsal feel like?

Acute metatarsal fracture

May make an audible sound at the time of the break and you will usually have immediate pain and tenderness around the area of the fracture. The pain is often called 'pinpoint pain' as it is quite well localised at the site of impact to the bone.
Mar 26, 2018

How long do you wear a boot for a metatarsal fracture?

Your treatment plan

You will be given a removable boot to wear to support your foot; this should be used for two to six weeks to enable you to walk more comfortably whilst the injury heals. You only need to wear this when standing or walking, you can remove it at rest, at night and when bathing or showering.

How do they fix a broken metatarsal?

Most metatarsal fractures can be treated without surgery. A stiff soled shoe, walking boot, or even a cast may be used. The amount of pressure you are able to put on your foot will depend on which bones are broken. Your treating physician will decide this.

How do you fix a broken metatarsal?

Treatment of Metatarsal Fractures
  1. Rest. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone.
  2. Avoid the offending activity. ...
  3. Immobilization, casting or rigid shoe. ...
  4. Surgery. ...
  5. Follow-up care.

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Can you walk on a broken metatarsal?

Depending on the type and severity of your injury, you may be able to walk on a broken metatarsal. Some people find they can’t tolerate any weight at all. Others can still walk, especially if it’s a mild fracture.

How long does it take for a metatarsal fracture to heal?

Metatarsal fractures usually take six to eight weeks to heal, but sometimes it can take longer. Recovery will include follow-up X-rays to make sure the bone has healed correctly, and your foot may continue to be swollen for a few months.

What causes metatarsal fractures?

The main causes of a metatarsal fracture are: 1 Direct blow to the foot. This is a traumatic injury that happens when a heavy object falls on the foot or a person or animal (like a horse) steps on it. It can also result from kicking a solid object. 2 Ankle twisting. When your ankle twists it pulls on the ligament that attaches to the base of your fifth metatarsal. This can result in an avulsion fracture, which is when the tendon pulls away some of the bone. 3 Overuse. Activities like running and jumping can put repetitive stress on your metatarsal bones and can cause them to crack over time. Read more about stress fractures.

What is the metatarsal bone?

The metatarsal bone is the long bone that runs the length of your foot, from the ankle to the toes. There are five metatarsal bones in each foot and when one breaks or cracks, it’s called a metatarsal fracture. Any of the five bones can break but the fifth metatarsal, which runs along the outer part of your foot and connects to your little toe, ...

What causes a fractured foot?

It’s one of the most common foot injuries and can be caused by either a sudden injury or repeated stress over time . Fractures of the metatarsal bones account for 35 percent of all foot fractures [1]. In most cases, surgery isn’t necessary and treatment involves wearing a cast, walking boot or special shoe, and also resting the injury.

What percentage of foot fractures are metatarsal?

Fractures of the metatarsal bones account for 35 percent of all foot fractures [1]. In most cases, surgery isn’t necessary and treatment involves wearing a cast, walking boot or special shoe, and also resting the injury. If left untreated, metatarsal fractures can become more severe and may cause long-term problems, ...

What happens when your ankle twists?

Ankle twisting. When your ankle twists it pulls on the ligament that attaches to the base of your fifth metatarsal. This can result in an avulsion fracture, which is when the tendon pulls away some of the bone. Overuse.

What is metatarsal fracture?

Metatarsal Fractures. A metatarsal fracture occurs when one of the long bones of the midfoot is cracked or broken. This may be due to sudden injury (an acute fracture), or due to repeated stress (stress fracture).

How long does it take for a metatarsal fracture to heal?

Acute metatarsal fractures generally take around six to eight weeks to heal. However, it may be longer than this before a sportsperson is fully back in action. Stress fractures normally heal without any complications and, in time, people are able to return to their previous activities fully.

How many metatarsal bones are there in the foot?

The metatarsal bones are some of the most commonly broken (fractured) bones in the foot. There are five metatarsal bones in each foot. They are the long slim bones which run the length of the foot to the base of the toes. For more information on foot anatomy, see the separate leaflet called Heel and Foot Pain (Plantar Fasciitis).

What is an open fracture?

Open or closed: an open fracture is one where the skin is broken over the fracture so that there is a route of possible infection from the outside into the broken bones. This is a more serious type of fracture, with more damage to the soft tissues around it making treatment and healing more complicated.

What happens when you twist your foot?

Twisting of the foot or the ankle can also cause fractures of the base of the fifth metatarsal. In this injury, the twisting mechanism pulls on a strong ligament that attaches to the base of the fifth metatarsal which then pulls off a fragment of bone.

What causes stress fractures in the foot?

They are also frequently seen in ballet dancers and gymnasts. Abnormalities of the structure of the foot, and abnormalities of the bones and joints, such as rheumatoid arthritis or 'thinning' of the bones ( osteoporosis ), can make stress fractures more likely.

Can you walk on a broken foot?

Surprisingly, however, pain can settle within a few hours. People sometimes say that it isn't possible to walk on a broken foot but this is not correct.

Can you walk with a metatarsal fracture?

Because your foot absorbs all of your weight when you walk or run, it needs to be able to withstand a lot of stress. Fortunately, metatarsal fractures usually heal completely and patients are typically able to resume their pre-injury activities without problems. Sometimes they do not heal and may require surgery, bracing, or modification of activity. Some patients develop painful feet after metatarsal fractures even if the fracture heals completely.

Why does my metatarsal bone break?

Metatarsal bones usually break from a crush injury, from a falling heavy object, a twisting injury, or getting your foot caught in something while the body continues to move . Occasionally the bone can break from a stress injury due to overuse, such as suddenly increasing running distance while training for a marathon.

Where is the Jones fracture?

There is a particular fracture that happens near the base of your fifth metatarsal (the bump on the outside of your foot halfway along your foot) that warrants special attention. It is called a Jones fracture. This fracture occurs where the fifth metatarsal bone decreases in size from its wide base to the narrower shaft.

How many metatarsal bones are there in the foot?

Basic Anatomy. There are five metatarsal bones in a normal foot, numbered 1 through 5, from the one attached to the big toe to the outside of the foot respectively. They are straight in shape with a slightly widened base and a knob-like section (the head) at the end that connects to the toe bones. They start about the midway point ...

How long does it take for a broken foot to heal?

Your treating physician will decide this. As your broken bone (s) heal over 8-12 weeks, your pain will decrease. You may be able to place more pressure on your foot over time. If you are diagnosed with a stress fracture of the metatarsal, you will be advised to stop the activity that caused it.

How long does it take for pins to be removed?

You may also be placed in a cast or hard boot. If pins are placed, they will typically be removed in the office after about 6-8 weeks. Plates and screws may or may not need to be removed. You will see your physician every few weeks or months to make sure the break and wounds are healing well.

What is metatarsal fracture?

A metatarsal fracture is a break to one of the five long metatarsal bones in the foot and is usually caused by a direct impact or trauma. It could also be a stress fracture which comes on gradually from overuse. Seeking medical help is key to recovering from this foot injury to ensure the bones heal. Symptoms.

What causes a fracture in the 5th metatarsal?

Alternatively, a violent twisting or turning motion at the ankle may cause a fracture in the 5th metatarsal in particular. Specific types of metatarsal fracture include an avulsion fracture, where the tendon of the peroneus brevis muscle pulls a piece of the bone away. Or a Jones fracture which occurs at the base of the 5th metatarsal.

How long does it take to recover from a Jones fracture?

Jones fractures require 6-8 weeks of non-weight bearing immobilization. Once the cast has been removed, a thorough rehabilitation program should begin to regain full mobility and strength. A gradual return to sport can then begin.

How long does it take for a fractured foot to heal?

If the bones are not displaced then a short cast or boot will be fitted for the first three weeks. After six weeks the foot should be X-rayed again to ensure it has healed.

How to get rid of stiffness in ankle?

Start by moving the ankle through its full range of motion , you can do this using ankle circles or by writing the alphabet with your toes! Try to practice doing this on a regular basis to help reduce stiffness and also to ease swelling and increase blood flow to the injury.

How to get rid of a swollen toe?

Point your toes up and then down as far as possible. Hold each position for a few seconds and then reverse. Try to spread your toes apart as far as possible and then to scrunch them up as well. Hold for a few seconds, before reversing the movement.

Why do my calf muscles tighten up?

It is common for the calf muscles to tighten up after an injury, especially if a period of immobilization or reduced weight bearing is required. Stretch both calf muscles regularly every day:

How to treat metatarsalgia pain?

To help ease your metatarsalgia pain, try these tips: 1 Rest. Protect your foot from further injury by not stressing it. Elevate your foot after standing or walking. You might need to avoid your favorite sport for a while, but you can stay fit with low-impact exercises, such as swimming or cycling. 2 Ice the affected area. Apply ice packs to the affected area for about 20 minutes at a time several times a day. To protect your skin, wrap the ice packs in a thin towel. 3 Take an over-the-counter pain reliever. Try ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve) or aspirin to reduce pain and inflammation. 4 Wear proper shoes. Avoid too-tight or too-loose shoes and limit your wearing of high heels. Wear shoes appropriate to the sports you play. 5 Use metatarsal pads. These off-the-shelf pads are placed in your shoes just ahead of the metatarsal bone to help deflect stress from the painful area. 6 Consider arch supports. If insoles don't help, your doctor might recommend arch supports to minimize stress on the metatarsal bones and improve foot function. You can buy arch supports over-the-counter, or they can be custom fitted.

How to protect your foot from injury?

Protect your foot from further injury by not stressing it. Elevate your foot after standing or walking. You might need to avoid your favorite sport for a while, but you can stay fit with low-impact exercises, such as swimming or cycling. Ice the affected area.

Why do you put pads in your shoes?

These off-the-shelf pads are placed in your shoes just ahead of the metatarsal bone to help deflect stress from the painful area. Consider arch supports. If insoles don't help, your doctor might recommend arch supports to minimize stress on the metatarsal bones and improve foot function.

Where to get treatment for a broken foot?

You will likely initially seek treatment for a broken foot in an emergency room or urgent care clinic. If the pieces of broken bone aren't lined up properly for healing, you may be referred to a doctor specializing in orthopedic surgery.

What to do after a bone fracture?

After your bone has healed, you'll probably need to loosen up stiff muscles and ligaments in your feet. A physical therapist can teach you exercises to improve your flexibility and strength.

Can stress fractures show up on X-rays?

Stress fractures often don't show up on X-rays until the break actually starts healing. Bone scan. For a bone scan, a technician will inject a small amount of radioactive material into a vein. The radioactive material is attracted to your bones, especially the parts of your bones that have been damaged.

What is the procedure for a bone scan?

For a bone scan, a technician will inject a small amount of radioactive material into a vein. The radioactive material is attracted to your bones, especially the parts of your bones that have been damaged. Damaged areas, including stress fractures, show up as bright spots on the resulting image.

What is the purpose of MRI in ankle?

Magnetic resonance imaging (MRI). MRI uses radio waves and a strong magnetic field to create very detailed images of the ligaments that help hold your foot and ankle together. This imaging helps to show ligaments and bones and can identify fractures not seen on X-rays.

What to do if you have a displaced fracture?

Reduction. If you have a displaced fracture, meaning the two ends of the fracture are not aligned, your doctor may need to manipulate the pieces back into their proper positions — a process called reduction. Depending on the amount of pain and swelling you have, you may need a muscle relaxant, a sedative or even a general anesthetic before this procedure.

What is a bone scan?

Bone scan. For a bone scan, a technician will inject a small amount of radioactive material into a vein. The radioactive material is attracted to your bones, especially the parts of your bones that have been damaged. Damaged areas, including stress fractures, show up as bright spots on the resulting image.

What happens if you break your metatarsal bone?

Breaks in the metatarsal bones may be either stress or traumatic fractures. Certain kinds of fractures of the metatarsal bones present unique challenges. For example, sometimes a fracture of the first metatarsal bone (behind the big toe) can lead to arthritis.

How to treat a fractured toe?

Treatment for traumatic fractures depends on the break itself and may include these options: Rest. Sometimes rest is all that is needed to treat a traumatic fracture of the toe. Splinting.

Can you walk on a broken toe?

Crooked or abnormal appearance of the toe. Bruising and swelling the next day. It is not true that “if you can walk on it, it’s not broken.”. Evaluation by a foot and ankle surgeon is always recommended. Stress fractures are tiny hairline breaks usually caused by repetitive stress.

Can a doctor treat a broken foot?

Some people say that “the doctor can’t do anything for a broken bone in the foot.”. This is usually not true. In fact, if a fractured toe or metatarsal bone is not treated correctly, serious complications may develop. For example:

What are the bones of the foot?

Toe and Metatarsal Fractures (Broken Toes) The structure of the foot is complex, consisting of bones, muscles, tendons and other soft tissues. Of the 28 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones are common and require evaluation by a specialist.

What is a fracture in the bone?

A fracture is a break in the bone. Fractures can be divided into two categories: traumatic fractures and stress fractures. Traumatic fractures (also called acute fractures) are caused by a direct blow or impact, such as seriously stubbing your toe. Traumatic fractures can be displaced or nondisplaced. If the fracture is displaced, the bone is ...

What are the two types of fractures?

Fractures can be divided into two categories: traumatic fractures and stress fractures. Traumatic fractures (also called acute fractures) are caused by a direct blow or impact, such as seriously stubbing your toe. Traumatic fractures can be displaced or nondisplaced.

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Basic Anatomy

Mechanism and Epidemiology

  • Metatarsal bones usually break from a crush injury, from a falling heavy object, a twisting injury, or getting your foot caught in something while the body continues to move. Occasionally the bone can break from a stress injury due to overuse, such as suddenly increasing running distance while training for a marathon.
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Initial Treatment

  • If your metatarsal fracture is the result of a crush or twisting injury, the pain will likely be great enough to make you seek immediate medical attention. You may decide to go to an emergency room or to your primary care doctor. The diagnosis is usually made by taking x-rays. If the bone did not poke through the skin, the emergency room provider will typically put you in a splint (half …
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General Treatment

  • Most metatarsal fractures can be treated without surgery. A stiff soled shoe, walking boot, or even a cast may be used. The amount of pressure you are able to put on your foot will depend on which bones are broken. Your treating physician will decide this. As your broken bone(s) heal over 8-12 weeks, your pain will decrease. You may be able to plac...
See more on ota.org

Postoperative Care

  • If surgery is needed, you will typically need to stay off your foot for at least 6-8 weeks to allow your fracture to heal. You may also be placed in a cast or hard boot. If pins are placed, they will typically be removed in the office after about 6-8 weeks. Plates and screws may or may not need to be removed. You will see your physician every few weeks or months to make sure the break a…
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Long Term

  • Because your foot absorbs all of your weight when you walk or run, it needs to be able to withstand a lot of stress. Fortunately, metatarsal fractures usually heal completely and patients are typically able to resume their pre-injury activities without problems. Sometimes they do not heal and may require surgery, bracing, or modification of activity. Some patients develop painful …
See more on ota.org

More Information

  1. American Academy of Orthopedic Surgeons
  2. American Orthopedic Foot and Ankle Society
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