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A 45-year-old female asked:

i have had a stress fracture in my left foot (3rd metatarsal) for 10 weeks. treatment includes moon boot, crutches and physio. x-rays show slight healing but physio says more healing should have occurred by now. what should i do?

4 doctor answers5 doctors weighed in
Dr. William Schroeder
Internal Medicine 32 years experience
Vitamin D may help: You should start vitamin d supplementation and/or have your levels measured since this hormone and vitamin k are critical for bone healing . 25 hydroxyvitamin d levels should be over forty and for people living north of albuquerque typically 4000 iu/day are required. If your baseline levels are below this take 1000 IU for every 10 points below this level for 2 months and remeasure levels.
Dr. Merrill Reuter
Orthopedic Spine Surgery 35 years experience
Bone graft: consider bone graft to the area of non-union with craft harvested and then prepared from your own iliac crest bone marrow
Dr. Mark Weston
Orthopedic Spine Surgery 31 years experience
More time and rest: Switch to cast and non wieght bearing be patient how was strss fracture diagnosed bone scan? Hard to see metatarsal stress fractures on xray until reactive healing bone appears they heal slowly and become pain free with activies even slower.
Dr. Scott Keith
Podiatry 44 years experience
More Stimulation.: On what basis was the conclusion made that more healing should have occurred. The main criteria is the amount of pain you are having after 10 weeks. The problem with stress fractures is that many times patients just don't take them serious until too late. If you are still having pain, a bone stimulator may boost your healing potential. This is an easily applied device that may help significantly.

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Last updated Aug 1, 2015

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