Metatarsal Fracture Healing Timeline: Comprehensive Guide to Recovery and Care
How long does it take for a metatarsal fracture to heal. What are the different types of metatarsal fractures. How can you manage pain and swelling during recovery. What should you expect during the healing process.
Understanding Metatarsal Fractures: Types and Causes
Metatarsal fractures are common foot injuries that can significantly impact mobility and daily activities. These fractures involve the long bones in the foot that connect the ankle to the toes, playing a crucial role in balance and walking. Understanding the types and causes of metatarsal fractures is essential for proper treatment and recovery.
What are the main types of metatarsal fractures?
- Jones fracture: A break in the fifth metatarsal bone near the ankle
- Avulsion fracture: When a tendon pulls a piece of bone away from the main bone
- Dancer’s fracture: An avulsion fracture specifically on the fifth metatarsal
- Stress fracture: A small crack in the bone caused by repetitive force or overuse
Metatarsal fractures can occur due to sudden impacts, severe twists of the foot, or overuse. Athletes, dancers, and individuals with high-impact activities are particularly susceptible to these injuries.
Diagnosing and Assessing Metatarsal Fractures
Proper diagnosis is crucial for determining the appropriate treatment plan and estimating the healing timeline. Healthcare providers use various methods to assess metatarsal fractures.
How are metatarsal fractures diagnosed?
- Physical examination: Checking for swelling, tenderness, and deformity
- X-rays: To visualize the fracture and determine its location and severity
- CT scans or MRI: For more detailed imaging in complex cases
- Bone scans: To detect stress fractures that may not show up on X-rays
The severity of the fracture and its location play significant roles in determining the treatment approach and expected recovery time.
Treatment Options for Metatarsal Fractures
The treatment for metatarsal fractures varies depending on the type and severity of the injury. Conservative approaches are often sufficient, but some cases may require surgical intervention.
What are the non-surgical treatment options for metatarsal fractures?
- Immobilization: Casting or splinting to keep the bone aligned
- Protected weight-bearing: Using crutches or a special boot
- Rest and elevation: To reduce swelling and promote healing
- Pain management: Over-the-counter or prescribed medications
- Physical therapy: To maintain flexibility and strength
For fractures where the bones are well-aligned, non-surgical treatments are typically recommended. However, more severe or complex fractures may require surgical intervention to ensure proper healing.
When is surgery necessary for metatarsal fractures?
Surgery may be required in cases where:
- The bones are significantly displaced or misaligned
- There are multiple fractures or open wounds
- Conservative treatments have not been effective
- The fracture involves a joint surface
Surgical procedures may involve the use of pins, screws, or plates to stabilize the fractured bone and promote proper healing.
The Metatarsal Fracture Healing Timeline
The healing process for metatarsal fractures can vary significantly depending on several factors, including the type of fracture, treatment method, and individual health conditions.
How long does it typically take for a metatarsal fracture to heal?
The general timeline for metatarsal fracture healing is as follows:
- Initial healing phase: 6 to 8 weeks
- Full bone healing: 3 to 6 months
- Return to normal activities: 3 to 6 months, depending on the individual case
It’s important to note that healing times can vary. Some patients may experience faster recovery, while others may require more time, especially in cases of complex fractures or those involving surgical intervention.
What factors can influence the healing timeline?
- Age and overall health of the patient
- Severity and location of the fracture
- Adherence to treatment plans and follow-up care
- Nutritional status and lifestyle factors
- Presence of underlying medical conditions
Patients should work closely with their healthcare providers to monitor progress and adjust treatment plans as needed throughout the healing process.
Managing Pain and Swelling During Recovery
Effective pain and swelling management is crucial for a comfortable recovery and optimal healing of metatarsal fractures. Various strategies can be employed to alleviate these symptoms.
How can you reduce pain and swelling after a metatarsal fracture?
- Rest and elevation: Keep the affected foot elevated above heart level
- Ice therapy: Apply ice packs for 20 minutes every hour in the first 48 hours, then 2-3 times daily
- Compression: Use elastic bandages as directed by your healthcare provider
- Medications: Take over-the-counter pain relievers as recommended
- Avoid heat: In the initial stages, heat can increase swelling
It’s essential to follow your healthcare provider’s instructions regarding pain management and to report any unusual or severe pain, as it may indicate complications.
Rehabilitation and Physical Therapy for Metatarsal Fractures
Rehabilitation plays a crucial role in regaining strength, flexibility, and function after a metatarsal fracture. Physical therapy is often an integral part of the recovery process.
What exercises are beneficial during metatarsal fracture recovery?
As healing progresses, your physical therapist may recommend exercises such as:
- Ankle pumps: To improve circulation and reduce swelling
- Toe curls and spreads: To maintain flexibility in the foot
- Gentle stretching: To prevent stiffness in the ankle and foot
- Strengthening exercises: To rebuild muscle strength in the lower leg and foot
- Balance and proprioception exercises: To improve stability and prevent future injuries
It’s crucial to follow the guidance of your physical therapist and not to rush the rehabilitation process, as this could lead to re-injury or delayed healing.
Long-Term Outlook and Preventing Future Metatarsal Fractures
While most metatarsal fractures heal well with proper treatment, understanding the long-term outlook and taking preventive measures is important for overall foot health.
Can metatarsal fractures lead to long-term complications?
In most cases, metatarsal fractures heal without significant long-term issues. However, potential complications may include:
- Chronic pain or stiffness in the affected area
- Arthritis in nearby joints
- Altered gait or walking pattern
- Increased risk of re-injury
Regular follow-up with your healthcare provider and adherence to rehabilitation programs can help minimize these risks.
How can you prevent future metatarsal fractures?
To reduce the risk of future metatarsal fractures, consider the following preventive measures:
- Wear appropriate, well-fitting footwear for your activities
- Gradually increase the intensity and duration of physical activities
- Maintain good bone health through proper nutrition and exercise
- Use protective gear when participating in high-impact sports
- Address any underlying foot conditions or biomechanical issues
By taking these precautions and maintaining overall foot health, you can significantly reduce the risk of experiencing another metatarsal fracture in the future.
When to Seek Medical Attention During Recovery
While the healing process for metatarsal fractures is generally straightforward, it’s important to be aware of potential complications and know when to seek medical attention.
What signs indicate a need for immediate medical evaluation?
Contact your healthcare provider if you experience any of the following during your recovery:
- Increased pain or swelling that doesn’t respond to usual management techniques
- Signs of infection, such as fever, redness, or warmth around the injury site
- Numbness or tingling in the toes or foot
- Discoloration of the toes or foot
- Foul odor or discharge from the cast or surgical site
- Loosening or cracking of the cast
Prompt attention to these symptoms can prevent potential complications and ensure optimal healing of your metatarsal fracture.
Recovery from a metatarsal fracture requires patience, adherence to treatment plans, and a proactive approach to rehabilitation. By understanding the healing timeline, managing symptoms effectively, and following through with recommended care, most individuals can expect a full recovery and return to their normal activities. Remember to consult with your healthcare provider for personalized advice and guidance throughout your healing journey.
Metatarsal fracture (acute) – aftercare Information | Mount Sinai
Broken foot – metatarsal; Jones fracture; Dancer’s fracture; Foot fracture
You were treated for a broken bone in your foot. The bone that was broken is called the metatarsal.
At home, be sure to follow your doctor’s instructions on how to take care of your broken foot so that it heals well.
What is a Metatarsal Fracture?
The metatarsal bones are the long bones in your foot that connect your ankle to your toes. They also help you balance when you stand and walk.
A sudden blow or severe twist of your foot, or overuse, can cause a break, or acute (sudden) fracture, in one of the bones.
More About Your Injury
There are five metatarsal bones in your foot. The fifth metatarsal is the outer bone that connects to your little toe. It is the most commonly fractured metatarsal bone.
A common type of break in the part of your fifth metatarsal bone closest to the ankle is called a Jones fracture. This area of the bone has low blood flow. This makes healing difficult.
An avulsion fracture occurs when a tendon pulls a piece of bone away from the rest of the bone. An avulsion fracture on the fifth metatarsal bone is sometimes called a “dancer’s fracture.”
What to Expect
If your bones are still aligned (meaning that the broken ends meet), you will probably wear a cast or splint for 6 to 8 weeks.
- You may be told to not put weight on your foot. You will need crutches or other support to help you get around.
- You may also be fitted for a special shoe or boot that may allow you to bear weight.
If the bones are not aligned, you may need surgery. A bone doctor (orthopedic surgeon) will do your surgery. After surgery you will wear a cast for 6 to 8 weeks.
Relieving Your Symptoms
You can decrease swelling by:
- Resting and not putting weight on your foot
- Elevating your foot
Make an ice pack by putting ice in a plastic bag and wrapping a cloth around it.
- Do not put the bag of ice directly on your skin. Cold from the ice could damage your skin.
- Ice your foot for about 20 minutes every hour while awake for the first 48 hours, then 2 to 3 times a day.
For pain, you can use ibuprofen (Advil, Motrin, and others) or naproxen (Aleve, Naprosyn, and others).
- Talk with your health care provider before using these medicines if you have heart disease, high blood pressure, kidney disease, liver disease, or have had stomach ulcers or internal bleeding in the past.
- Do not take more than the amount recommended on the bottle or more than your provider tells you to take.
Activity
As you recover, your provider will instruct you to begin moving your foot. This may be as soon as 3 weeks or as long 8 weeks after your injury.
When you restart an activity after a fracture, build up slowly. If your foot begins to hurt, stop and rest.
Some exercises you can do to help increase your foot mobility and strength are:
- Write the alphabet in the air or on the floor with your toes.
- Point your toes up and down, then spread them out and curl them up. Hold each position for a few seconds.
- Put a cloth on the floor. Use your toes to slowly pull the cloth toward you while you keep your heel on the floor.
Follow-up
As you recover, your provider will check how well your foot is healing. You will be told when you can:
- Stop using crutches
- Have your cast removed
- Start doing your normal activities again
When to Call the Doctor
Contact your provider if you have any of these symptoms:
- Swelling, pain, numbness, or tingling in your leg, ankle, or foot that becomes worse
- Your leg or foot turns purple
- Fever
Bettin CC. Fractures and dislocations of the foot. In: Azar FM, Beaty JH, eds. Campbell’s Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 89.
Kwon JY, Gitajn IL, Richter M,. Foot injuries. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 67.
Last reviewed on: 10/6/2022
Reviewed by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Foot fracture – 3 weeks in a boot · Virtual Fracture Clinic
This information will guide you through the next 6 weeks of your rehabilitation. Use the video or information below to gain a better understanding of your injury and what can be done to maximise your recovery.
Healing: | This injury normally takes 6 weeks to heal.![]() |
Pain and Swelling: | The swelling is often worse at the end of the day and elevating your foot will help. Take pain killers as prescribed. |
Walking:
| You may walk on the foot as comfort allows but you may find it easier to walk on your heel in the early stages. The boot you have been given is for your comfort only and is not needed to aid fracture healing but will help to settle your symptoms. |
Follow up:
| We do not routinely follow up patients with this type of injury. If after six weeks you are: Please do not hesitate to contact us for a further consultation. |
Picture of bones in the foot
If you are worried that you are unable to follow this rehabilitation plan, or have any questions, then please phone the Fracture Care Team for advice.
Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter.
What to expect
Weeks since injury | Rehabilitation plan |
0-3 | If supplied, wear the boot for comfort and use crutches when walking. It is ok to take the boot off at night and when resting at home and to wash. Start your exercises straight away to maintain and improve your movement. |
3-6 | X Try to stop using the boot and to walk without crutches. Start around your house first, then try outside. You may want to wear the boot if you go on a longer walk. Continue your exercises to regain the flexibility of your foot. |
6 -12 | Your injury is healed. You may have mild symptoms for 3-6 months. You can begin to resume normal, day-to-day activities but be guided by any pain you experience. X Heavy tasks or long walks may still cause some discomfort and swelling. |
12 | If you are still experiencing significant pain and swelling then please contact the Fracture Care Team for advice.![]() |
Advice for a new injury
Cold packs: A cold pack (ice pack or frozen peas wrapped in a damp towel) can provide short term pain relief. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin.
Rest and Elevation: Try to rest the foot for the first 24-72 hours to allow the early stage of healing to begin. Raise your ankle above the level of your hips to reduce swelling. You can use pillows or a stool to keep your foot up
Early movement and exercise: Early movement of the ankle and foot is important to promote circulation and reduce the risk of developing a DVT (blood clot). Follow the exercises below without causing too much pain. This will ensure your ankle and foot do not become too stiff. These exercises will help the healing process.
Early weight bearing (putting weight through your injured foot) helps increase the speed of healing. Try to walk as normally as possible as this will help with your recovery.
Smoking advice
Medical evidence suggests that smoking prolongs fracture healing time. In extreme cases it can stop healing altogether. It is important that you consider this information with relation to your recent injury. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury.
For advice on smoking cessation and local support available, please refer to the following website: http://smokefree.nhs.uk or discuss this with your GP.
Boot advice
Diabetic patients: If you are diabetic please contact us to discuss your boot. This is particularly important if you have problems with your skin. We can provide you with a specialist diabetic boot if required.
Footwear for your uninjured foot: We would recommend choosing a supportive shoe or trainer with a firm sole for your uninjured foot. You will notice that the boot you have been given has a thicker sole, by matching this height on the uninjured side you will reduce any stress on your other joints.
Exercises
Initial exercises to do 3-4 times a day
Ankle and foot range of movement exercises. Repeat these 10 times each.
- Point your foot up and down within a comfortable range of movement.
- With your heels together, move your toes apart, as shown in the picture.
- Make circles with your foot in one direction and then change direction.
Fractures of the fifth metatarsal – Russian Football Union
14:55, 01 August 2019
Today I would like to tell you about the unique experience of treating one of the most unpleasant problems that football players and doctors face – fractures of the fifth metatarsal.
Their treatment is very complex and these injuries often recur (as with Neymar and Manuel Neuer, for example).
Together with colleagues from FC Zenit Vladimir Khaitin and FC Lokomotiv Gleb Chernov, I wrote a short article on this topic with relevant references that simply must be taken into account by both doctors and physical training and rehabilitation coaches so as not to further multiply the myths and legends of deep antiquity))
“Our experience in the treatment of fractures of the fifth metatarsal in professional football players using platelet rich plasma”
Injuries to the metatarsal bones in football are relatively uncommon and most commonly occur in the fifth metatarsal.
The main method of diagnosing fractures of this localization can be called radiography, which in most cases allows you to verify the diagnosis.
Treatment depends on the location of the fracture according to the Lawrence and Botte’s classification, according to which there are three zones of their localization.
Fractures located in 2-3 zones are at high risk for delayed consolidation and nonunion and therefore in athletes are most often treated with osteosynthesis using intramedullary screws.
The average recovery time with this type of treatment is at least 8 weeks.
This report describes five cases of fractures of the fifth metatarsal located in 2-3 zones in professional football players treated with immobilization boots, cryotherapy, calcium and vitamin D supplements, and local injections of platelet-rich plasma containing multiple growth factors.
The period of return to regular training activities was 43-50 days, and no recurrence of damage was detected during 6 months of follow-up.
Introduction
The treatment of fractures of the fifth metatarsal bone among athletes is an urgent problem due to long treatment periods (8 weeks or more) and a large number of relapses [1].
In football, they account for 0.5% of all injuries sustained by elite European football players with an average treatment time of about 80 days, regardless of the type of treatment chosen [2]
This type of fracture is one of the few diagnostics based on radiography, which in most cases allows to verify the diagnosis.
This type of fracture is one of the few diagnoses that are based on X-ray, which in most cases allows the diagnosis to be verified.
In a population of athletes, the tactics of treating such injuries depends on their localization according to the Lawrence and Botte’s classification, in which three zones are distinguished [3].
Fractures of the first zone are most often treated conservatively with good functional results in any of the categories of the population.
Fractures of the second and third zones with conservative treatment tend to slow consolidation and nonunion, therefore, the most common method of their treatment, especially in the population of athletes, is osteosynthesis using intramedullary screws [4].
The development of new methods of conservative treatment of such fractures with minimal treatment time and the number of recurrences is an urgent task for modern professional football.
One such technique may be the use of PRP, which contains multiple growth factors.
BTP is actively used in the treatment of acute and chronic injuries of the musculoskeletal system, in particular muscle injuries, tendinopathies and arthrosis with positive results [5,6].
Animal experiments have shown a favorable effect of BTP on the healing of both traumatic and osteoporotic fractures [7,8].
However, we could not find any data on the use of BTP in the treatment of metatarsal fractures.
Description of cases
The results of treatment of fifth metatarsal fractures in five young football players are presented.
The players were aged 19-21, height 178 cm, weight 71-75 kg.
All injuries occurred between November 2016 and June 2018 during matches during the competitive season. In all cases, the game was played on artificial turf.
There was no discomfort or pain in the area of the fifth metatarsal before the injury.
The mechanism of injury in three cases was contact, in two non-contact – during the run with acceleration, a sharp local pain appeared in the projection of the fifth metatarsal bone.
All football players immediately stopped sports activities and were immobilized with an orthosis.
In all cases, the X-ray performed confirmed the diagnosis (Figure 1).
In the first three days, initial therapy was carried out according to the POLICE protocol, including the use of cyclic compression therapy (7-8 times a day for 20 minutes), wearing compression stockings, as well as the mediROM Walker immobilization orthosis.
Non-steroidal anti-inflammatory drugs were not used in any case.
Calcium 1000 mg daily and vitamin D 5000 IU were started on the first day of treatment for 60 days.
3 days after injury, the first injection of platelet rich plasma (4-5 ml) was performed.
Three such injections were performed 7-10 days apart.
From the 3rd day after the first injection of BTP, low-intensity training on a bicycle ergometer began at 30-40
On the 7th day of treatment, rehabilitation training began, aimed at improving blood circulation using exercises without axial load on the foot.
In all cases, 5-7 days after the second injection of BTP, the pain syndrome with normal walking stopped, but the use of the orthosis continued for 30 days from the moment of injury.
Three days after the disappearance of the pain syndrome, low-intensity running work (10-15 minutes) began with subsequent progression.
Starting from the 30th day, all football players started individual work with the ball in boots.
The return to regular training activities ranged from 43-50 days.
Control radiography was performed 3-5 days before the start of RTD.
There were no allergic reactions or other adverse reactions during treatment.
Discussion
Fractures of zones 2-3 of the fifth metatarsal are at high risk for delayed consolidation and nonunion.
Current data on conservative treatment report long return to RTD and a high number of relapses.
For example, Japjec et al. the average treatment time for most fractures of zones 2–3 after osteosynthesis was 8 weeks, and with conservative treatment, even after 6 months, more than half of the patients had no signs of consolidation and pain persisted [9].
In this regard, in most cases in the group of professional athletes, surgical treatment is currently considered the method of choice for the treatment of such fractures.
Hunt KJ, et al. reported 21 operated athletes with a mean recovery time of 12.3 weeks with intramedullary screw fixation and only one re-fracture.
O’Malley et al. analyzed the results of surgical treatment of 10 basketball players from the NBA, whose average recovery time was 9.8 weeks. At the same time, repeated fractures occurred in three cases [10].
Thus, the currently available data show that even surgical treatment of fractures of the 2-3 zone of the fifth metatarsal bone is characterized by a long rehabilitation period and frequent repeated fractures.
In this regard, our data on the conservative treatment of such lesions using local injections of PRP may be of interest for further research.
References
1. Chi Nok Cheung1 and Tun Hing Lui1,*. Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications Arch Trauma Res. Dec 2016; 5(4): e33298. Published online 2016 Jun 13. doi: 10.5812/atr.33298
2. Ekstrand J1, van Dijk CN. Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. Br J Sports Med. 2013 Aug;47(12):754-8. doi:10.1136/bjsports-2012-092096. Epub 2013 Apr 9.
3. Lawrence SJ1, Botte MJ. Jones’ fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 1993 Jul-Aug;14(6):358-65.
4. Hunt KJ1, Anderson RB. Treatment of Jones fracture nonunions and refractures in the elite athlete: outcomes of intramedullary screw fixation with bone grafting. Am J Sports Med. 2011 Sep;39(9):1948-54. doi: 10.1177/0363546511408868. Epub 2011 Jun 1.
5. Grambart ST1. Sports medicine and platelet-rich plasma: nonsurgical therapy. Clin Podiatr Med Surg. 2015 Jan;32(1):99-107. doi: 10.1016/j.cpm.2014.09. 006.
6. Laudy AB1, Bakker EW2, Rekers M3, Moen Mh5. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: a systematic review and meta-analysis. Br J Sports Med. 2015 May;49(10):657-72. doi: 10.1136/bjsports-2014-094036. Epub 2014 Nov 21.
7. Simman R1, Hoffmann A, Bohinc RJ, Peterson WC, Russ AJ. Role of platelet-rich plasma in acceleration of bone fracture healing. Ann Plast Surg. 2008 Sep;61(3):337-44. doi: 10.1097/SAP.0b013e318157a185.
8. Chen L1, Yang X, Huang G, Song D, Ye XS, Xu H, Li W. Platelet-rich plasma promotes healing of osteoporotic fractures. Orthopedics. 2013 Jun;36(6):e687-94. doi: 10.3928/01477447-20130523-10.
9. Japjec M1, Starešinić M2, Starjački M2, Žgaljardić I3, Štivičić J2, Šebečić B2. Treatment of proximal fifth metatarsal bone fractures in athletes. injury. 2015 Nov;46 Suppl 6:S134-6. doi: 10.1016/j.injury.2015.10.052. Epub 2015 Nov 10.
10. O’Malley M1, DeSandis B2, Allen A1, Levitsky M1, O’Malley Q1, Williams R1. Operative Treatment of Fifth Metatarsal Jones Fractures (Zones II and III) in the NBA. Foot Ankle Int. 2016 May;37(5):488-500. doi: 10.1177/1071100715625290. Epub 2016 Jan 18.
Foot fracture: symptoms, treatment, rehabilitation
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Content
- 1 Foot fracture: symptoms, treatment and rehabilitation
- 1.1 broken foot bones: symptoms, treatment, rehabilitation
- 1.1.1 Definition of a foot fracture
- 1.2 Types of foot fractures
- 1.3 Foot fractures: symptoms, treatment, rehabilitation
- 1.3.1 Symptoms of foot fractures
- 1.4 Diagnosis of foot fractures
- 1.5 Treatment of foot fractures
- 1.6 Surgical treatment of foot fractures
- 1.7 Non-surgical treatment of foot fractures
- 1.8 Treatment of side effects of foot fractures
- 1.8.1 Weakening of muscles and supporting ligaments
- 1.8.2 Swelling and tenderness
- 1.
8.3 Gait changes and bone hypermobility
- 1.8.4 Post-traumatic stress syndrome
- 1.9 Rehabilitation after a broken foot
- 1.10.1 Infections
- 1.10.2 Neurological complications
- 1.10.3 Parenchymal complications
- 1.10.4 Thromboembolic complications
90 151 1.10 Possible complications of foot fractures
90 157
- 1.1 broken foot bones: symptoms, treatment, rehabilitation
- 1.11 Prevention of foot fractures
- 1.12 Q&A:
- 1.12.0.1 What are the symptoms of a foot fracture?
- 1.12.0.2 How quickly to start treatment for a broken foot?
- 1.12.0.3 I have been ordered to wear a cast for a broken foot bone, how long do I need to wear it?
- 1.12.0.4 How is rehabilitation after a foot fracture?
- 1.12.0.5 Is it necessary to have surgery for broken bones in the foot?
- 1.12.0.6 What drugs are prescribed for the treatment of foot fractures?
- 1.13 Related videos:
Foot fractures – symptoms, treatment and prevention. Learn how to avoid foot injuries and, if so, how to get back on your feet quickly.
A broken foot is a serious injury that often results from falls, car accidents, sports injuries, or other severe impacts. This disease can lead to impaired mobility of the foot and concomitant disease.
The treatment of this injury involves several aspects, including diagnosis, reduction of inflammation and pain, normalization of blood circulation and restoration of normal foot mobility. It should be under close medical supervision to prevent possible complications.
In this article we will look at the main manifestations of this injury, diagnostic methods, proposed treatment methods, as well as some rehabilitation tips for a quick and complete recovery.
Foot fracture: symptoms, treatment, rehabilitation
Definition of a foot fracture
A foot fracture is a bone injury that can occur in any of the bones of the foot or even in several bones at the same time. Foot fractures can be open or closed, unilateral or bilateral, and can be displaced or non-displaced.
Usually, a foot fracture occurs as a result of an injury, such as a fall from a height or a sports injury. In addition, a foot fracture can be caused by a sudden load on the foot, such as when jumping.
The main symptoms of a foot fracture are severe pain and swelling, impaired function of the foot, difficulty in moving, and a deterioration in the patient’s quality of life. For the most accurate determination of a foot fracture, it is necessary to conduct x-rays and computed tomography of the foot.
Types of foot fractures
Foot fractures come in different types and are classified according to the location and nature of the injury. The following types of fractures are distinguished:
- Transverse fracture – characterized by damage to the bone in the transverse direction. Usually occurs as a result of a directed impact or strong compression of the foot.
In most cases, it is accompanied by a violation of the integrity of the skin.
- Longitudinal fracture – occurs when the foot is severely stretched or compressed. It is characterized by damage to the bone in the longitudinal direction.
- Joint damage – characterized by damage to the foot joint. Occurs with a significant impact on the foot and may be accompanied by a bone fracture.
- Isolated metatarsal fracture is the most common type of fracture. It is characterized by damage to the metatarsal bone. It can be both transverse and longitudinal.
An x-ray is required to determine the type of fracture.
Fracture of the bones of the foot: symptoms, treatment, rehabilitation
Symptoms of fractures of the foot
Fracture of the bones of the foot is a fairly common injury that can occur as a result of a fall or injury. One of the main symptoms is acute pain in the area of injury. Most often, the pain increases with movement or with the load on the foot.
Additional symptoms of foot fractures may include swelling, bruising, poor mobility and deformity of the foot. It is especially dangerous if the victim cannot normally step on a sore foot and loses balance. In this case, you should consult a doctor as soon as possible.
If you notice at least one of the listed symptoms, you should immediately contact a specialist who will conduct a comprehensive diagnosis and prescribe the necessary treatment.
- Soreness in the area of injury;
- Foot edema;
- Bruising;
- Impaired foot mobility;
- Foot deformity.
Foot fracture diagnosis
A foot fracture is a serious injury that requires mandatory diagnosis to determine the nature and extent of the injury.
To start the diagnosis, it is necessary to conduct a visual examination and assess the condition of the skin and soft tissues of the leg. Next, you should make an x-ray of the foot, which allows you to establish an accurate diagnosis and determine the type of fracture.
In addition to x-rays, a CT scan, magnetic resonance imaging or ultrasound may be ordered.
For additional evaluation of the condition of the leg, an emgraphy can be performed, which allows you to determine the presence of circulatory disorders in the injured area.
It is important to diagnose a foot fracture as soon as possible in order to prevent possible complications and prescribe the necessary treatment.
Treatment of foot fractures
First aid
If a broken foot is suspected, rest and call an ambulance immediately. Before it arrives, a cold compress can be applied to limit movement of the injured limb.
- Rest: when applying a cold compress, the limb should not move, so as not to aggravate the injury.
- Cold compress: As a rule, an ice compress can be applied to a broken foot, securing it with a tissue surface and not exceeding a time of thirty minutes.
Such a compress helps to reduce swelling, does not worsen the condition and does not negate the effect of analgesic medications.
Treatment
Treatment of foot fractures directly depends on the type of fracture and trauma surgery on the codetal and lateral plates, as well as the introduction of chains of the bones of the fingers. After the operation, rehabilitation treatment is required.
Rehabilitation
Restoration of mobility and removal of swelling of the foot is achieved through exercises for a while every day. Professional massage is of great importance. After the weakening of the inflammatory process, the foot can be loaded. The rehabilitation period lasts from several months to six months; it allows you to put in order the tissue, joints and muscles, as well as increase immunity and improve blood circulation.
Foot fracture surgery
Complex or severe foot fractures may require surgery. This may be necessary in cases where conservative treatment does not lead to an improvement in the patient’s condition, or in the presence of bone displacement, violation of the integrity of bone tissues and damage to blood vessels and nerves.
The operation can be performed under general anesthesia or local anesthesia and consists in restoring the tight connection of damaged bone elements. To do this, the surgeon can use special plates, fasteners and frames that fix the bones and ensure the correct position of the limb.
After the operation, it is necessary to carry out rehabilitation measures, which include physiotherapy, massage, therapeutic exercises and other methods aimed at restoring the functionality of the foot. The duration of rehabilitation depends on the nature and severity of the fracture, the patient’s age and general health.
- Foot surgery is a serious intervention and requires true professionals.
- Before surgery, it is necessary to carry out all the necessary diagnostic measures and prepare the patient for the procedure.
- After the operation, the foot should not be loaded and the medical prescriptions of the doctor should be followed in order to prevent the recurrence of the fracture or other complications.
Non-surgical treatment of foot fractures
Foot fractures can be treated both surgically and non-surgically. In some cases where the fracture is not too severe, non-surgical treatment may be a more appropriate option.
Non-surgical treatment of foot fractures may include wearing a cast or arch bandage. The cast will hold the foot in place, allowing it to heal and strengthen, while the arch cast will keep the foot in its natural position.
Patients may also be referred for physical therapy to restore foot function and strengthen leg muscles. Physical exercise helps to restore the natural movement of the foot, preventing muscle compression and the development of pain.
In general, non-surgical treatment of foot fractures can take a long time, but this treatment is usually safer and less invasive than surgery. More severe fractures, however, may require surgery.
Treating the side effects of foot fractures
Weakening of the muscles and supporting ligaments
Following a fracture of the bones of the foot, weakening of the muscles and supporting ligaments can occur, resulting in dysfunction of the foot. To restore muscle tone and strengthen the ligaments, special exercises and massage are prescribed.
Swelling and tenderness
Swelling and tenderness are natural side effects of foot fractures and can cause discomfort and difficulty in movement. To reduce swelling, drugs may be prescribed, to avoid overload. Analgesics and medications to relieve inflammation are used to reduce pain.
Gait changes and bone hypermobility
Often after a foot fracture, gait changes and bone hypermobility occur, resulting in additional pain. To solve this problem, orthopedic insoles are prescribed and physiotherapy exercises are carried out to strengthen muscles and ligaments.
Post Traumatic Stress Syndrome
People who have suffered a broken foot may develop emotional PTSD. To treat this condition, therapeutic sessions, complex breathing exercises and meditation can be prescribed.
Rehabilitation after a broken foot
Rehabilitation after a broken foot plays a key role in restoring the patient’s health and fulfilling life. In the first days after the fracture, a set of measures is prescribed to reduce swelling and pain in the area of injury. In addition, to speed up recovery, special orthopedic products are selected that provide maximum comfort and support for the injured foot.
The following stages of rehabilitation are aimed at restoring the motor functions of the foot. Physical rehabilitation specialists are involved with the patient, who select the optimal exercises and treatment methods to achieve the best results. In the process of training, the patient learns the correct walking technique and strengthens the muscles of the foot, which helps to eliminate pain and restore foot mobility.
An important component of rehabilitation after a broken foot is nutrition. The patient requires a complete diet rich in proteins, calcium and other vitamins and minerals necessary for bone healing and tissue renewal.
The rehabilitation process after a broken foot can take a long time, but a properly selected set of measures helps to return to a full life and forget about past injuries.
Possible complications of foot fractures
Infections
In case of a fracture of the foot bones, an infectious process may develop, which may occur as a result of injury and contact of the wound with bacteria of the internal or external environment, as well as as a result of surgical intervention.
Infectious complications can lead to an increase in body temperature, deterioration of the condition, and even threaten the life of the patient.
Neurological complications
Fracture of the bones of the foot can be accompanied by damage to the nerve structures, which can lead to impaired sensation, swelling of tissues and even paralysis of the limb. Significant nerve damage can lead to loss of limb function and disability.
Parenchymal complications
Fracture of the bones of the foot can damage internal organs such as the carotid gland and liver, which can lead to impaired function. Also, strong blows can cause damage to the kidneys, which can lead to acute kidney failure.
Thromboembolic complications
Prolonged physical inactivity and some drug treatments may be accompanied by the development of thromboembolic complications such as large vein thrombosis and pulmonary embolism, which threatens the patient’s life.
Prevention of foot fractures
To prevent foot fractures, a number of measures must be taken. One of the main factors contributing to fractures is the wrong footwear. Avoid wearing high heels and non-supportive soft shoes. Buy shoes with a comfortable fit, stiff soles, and good foot support.
In addition, it is important to keep your bones and joints healthy. Regular leg strengthening and coordination exercises will help keep your feet healthy and prevent injury. Do not get carried away with too intense workouts and do not overload your legs.
For those who work on their feet, it is important to choose the right shoes and take breaks to warm up the feet and prevent overwork. It is also worth avoiding an increased load on one specific area of the foot, for which you can use orthopedic inserts in shoes.
- Choose comfortable shoes with hard soles and good support.
- Keep your bones and joints healthy.
- Exercise regularly to strengthen your legs and maintain coordination.
- Do not overload your legs and take breaks at work.
- Use orthopedic inserts in shoes to avoid stress on a specific area of the foot.
Q&A:
What are the symptoms of a foot fracture?
Symptoms of a foot fracture may include swelling, severe pain, impaired function of the foot, changes in the shape of the foot, and cracking, clicking, or difficulty moving.
How quickly to start treatment for foot fractures?
Treatment of a foot fracture should begin immediately after the injury, preferably within the first few hours. Therefore, it is important to seek medical help as soon as possible.
I have been ordered to wear a cast for a broken foot, how long do I need to wear it?
The length of time a cast is worn for foot fractures depends on the severity of the fracture and can vary from several weeks to several months.