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Doctor insights on: 4th Metatarsal Sprain

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How can I treat a 5th metatarsal sprain?

How can I treat a 5th metatarsal sprain?

If you sprained: Your foot and your fifth metatarsal hurts one would want to make sure there is o fracture to this bone. Avulsion fractures of the base of the fifth metatarsal are common after sprains. There are also a few ligamentous and tendon attachments to the bone that could cause issues like tendonitis etc. If pain present, a surgical shoe or cam walker boot can help rest the foot. ...Read more

Dr. Peter Ihle
1,161 Doctors shared insights

Sprains And Strains (Definition)

-R used interchangeably. They refer 2 injuries 2 mucles & ligaments. 3 degrees: 1=tweaked or hurts but no harm no foul, 2=damage 2 the structure with some bleeding & prolonged pain, but with ice, time, rest, & activity modification they heal over a few weeks, 3=a complete disruption such as an ACL tear. If this happens in a muscle body, there's no repair available, painful, ...Read more


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What can someone do for a sprained/broken fifth metatarsal at home?

Rice: Rest, Ice, Compression, Elevation.; time to heal with appropriate activity restrictions. Ideally would follow up with a doctor. ...Read more

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The dr thought I broke my 5 th metatarsal but the x rays only showed a sprain. But it feels like it's broken. Can I get a 2 nd opinion and new xrays?

Yes: You may want to wait a week or so after the initial injury to get a second set of x-rays. Sometimes small, nondisplaced fractures can be missed on initial x-rays. They can often be seen a week or two later, if present. ...Read more

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I have a sprained left foot, in the area of the third metatarsal. I want to know what I can do and how long should I wait to exercise.

I have a sprained left foot, in the area of the third metatarsal. I want to know what I can do and how long should I wait to exercise.

Rest, ice, compress: The standard treatment for a sprain is to rest from aggravating activity, ice, compress, and elevate to reduce swelling. You should use crutches and keep weight off of it until bearing weight is no longer painful. Ice at least twice/day for 15-20 minutes to help decrease pain & swelling. Compress with a wrap, etc. Elevate it above the level of your heart (i.e. lay flat w/foot up). NSAIDs for pain. ...Read more

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How long can it take for a metatarsal sprain bunion caused by injury and hallux rigidus to heal?

How long can it take for a metatarsal sprain bunion caused by injury and hallux rigidus to heal?

Sprains: Since sprains are injury to ligaments and ligaments do not have direct arterial blood blow, they do heal rather slowly. Going for pt and immobilizing the foot is appropriate. Expect 6 or more weeks of care. ...Read more

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I have been to the GP and have sprain where my metatarsal joins my foot. I go on holiday tomorrow so need to walk around. Should I get crutches?

I have been to the GP and have sprain where my metatarsal joins my foot. I go on holiday tomorrow so need to walk around. Should I get crutches?

If just a sprain.: I am not sure of the sprained area as described. It sounds as though the sprain may involve either the metatarsal phalangeal or the metatarsal tarsal areas. Either way, if you feel you might need some relief from weight-bearing, crutches just may be the ticket. Depending on the severity of the sprain, a cam walking boot may also be appropriate. The best advice is to not over do it. ...Read more

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I stepped off a curb and rolled my ankle 5 days ago. Small amount of swelling and pain when walking in the 5th metatarsal area. Sprain or break????

I stepped off a curb and rolled my ankle 5 days ago. Small amount of swelling and pain when walking in the 5th metatarsal area. Sprain or break????

Ankle swelling: I would obtain an x ray in case there is a fracture in the ankle or fifth metatarsal area. Please follow up with your physician for further evaluation. ...Read more

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Ankle baseball size, blue/purple. Went to er said it was a sprain I think it's more serious. Metatarsals are swollen. Still can't walk. Should I do?

Ankle baseball size, blue/purple. Went to er said it was a sprain I think it's more serious. Metatarsals are swollen. Still can't walk. Should I do?

Get follow-up care: Depending on how significant your ankle sprain is you can have persisted pain and difficulty walking. Not knowing how long ago your injury was its difficult to say if your symptoms are reasonable or concerning. Either way I would seek follow-up care from an Orthopedist or Sports Medicine physician. ...Read more

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I sprained my ankle in july and I still have pain & popping at the base of my 5th metatarsal. Hurts after resting and pain goes away with walking. I got an xray and no broken bones. What's wrong?

See your doctor: Enough time has passed for routine injuries in that area to have healed. There may be an underlying problem, or you may simply have some scar tissue that may need physical therapy. ...Read more

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Fracture of metatarsal base in foot & sprain on 12/16/2012. Put in hard cast until 1/30/2013. Still have bruise on top of foot. Normal?

Fracture of metatarsal base in foot & sprain on 12/16/2012. Put in hard cast until 1/30/2013. Still have bruise on top of foot. Normal?

Yes: Bruising or hematoma from the injury fracture can take several weeks to months to resolve as deep injuries may time to resolve. You may have some residual swelling from the fracture healing with localized discoloration for several months. ...Read more

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Can you sprain the 5th metarsal none in your foot if so what is the treatment?

Can you sprain the 5th metarsal none in your foot if so what is the treatment?

No: You can't sprain a bone. But it might not be fractured even if it hurts. I recommend you see a specialist and get an xray. ...Read more

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I broke my 4th metatarsal 5 years ago, but never got it fixed. What are my treatment options?

Treatment options: Include doing nothing. Does it hurt? Sometimes the bone heals correctly on its own. If you have pain you can see the foot doctor and they can take x-rays. At this point in time if you need it corrected the only way is likely surgical correction. ...Read more

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I broke my 3rd and 4th metatarsal, they were clean breaks right in the middle. How long would it take to heal?

I broke my 3rd and 4th metatarsal, they were clean breaks right in the middle. How long would it take to heal?

6-8 weeks: I would check your vitamin d levels to make sure they are optimal and wear a cam walker boot. ...Read more

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I think I broke 5th, maybe 4th metatarsal. Seeing ortho on Fri. Could not walk on it this am. What to do to improve prognosis until I can see doc?

I think I broke 5th, maybe 4th metatarsal. Seeing ortho on Fri. Could not walk on it this am. What to do to improve prognosis until I can see doc?

Lots of Rice.: The treatment is called RICE. REST, ICE pack or cold pack applied, COMPRESSION (as much as tolerated), and ELEVATION (higher than the heart). To reduce the pressure on the injury, you may want to try using crutches. If pain is a problem, try Tylenol (acetaminophen) or an nsaid such as Motrin. ...Read more

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Was getting these flashes of pain in my 5th metatarsal for a wk. Now I have a constant pain in 4th meta. No injury, swelling but tender. What is this?

Was getting these flashes of pain in my 5th metatarsal for a wk. Now I have a constant pain in 4th meta. No injury, swelling but tender. What is this?

R I C E rest, Ice...: What has changed that you can attribute to the onset of this pain in your foot? Increased activity? Trauma?
New shoes? Was the onset traumatic? You might need a X.ray to identify a fracture. Limit activity to tollerance ...Read more

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I noticed a large bump on my 4th metatarsal of my right foot. Doesn't really cause pain but feels really strange? Don't know where or what caused it.

I noticed a large bump on my 4th metatarsal of my right foot. Doesn't really cause pain but feels really strange? Don't know where or what caused it.

Is it: Hard or soft? Can you move it around? If so its likely a ganglion cyst otherwise could be a number of things. Get it checked to play it safe and good luck! ...Read more

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I fractured my fourth metatarsal over 7 months ago and to this day I still feel pain, soreness and stiffness everyday, is this normal?

I fractured my fourth metatarsal over 7 months ago and to this day I still feel pain, soreness and stiffness everyday, is this normal?

Foot pain: No it is abnormal;so go get a physical exam and possibly an Xray as well as appropriate therapy/advice based on findings ...Read more

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Around the first week of March. 2014, I injured my left ankle. It has been the 4th time doing it. I think it was a high sprain ankle. It still hurts.

Around the first week of March. 2014, I injured my left ankle. It has been the 4th time doing it. I think it was a high sprain ankle. It still hurts.

Need more info: You most likely sprained the ligaments that support your ankle and it has not healed since the first incident. I think it would be wise to see an orthopedic surgeon and have him/her examine you and possibly order an x-ray and suggest some form of rehab. ...Read more

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How do I know if my ankle is healing well? I think a sprained it on 4th of july by landing awkwardly. I can walk on it now but still have mild pain.??

How do I know if my ankle is healing well? I think a sprained it on 4th of july by landing awkwardly. I can walk on it now but still have mild pain.??

Genes, health & luck: Not to put too fine a point on it, but, your ankle appears to be healing. Actually there is very little you can do about it. The question is, just how well it heals and how long will it take. The answer is based on the extent of the initial injury. Less severe sprains can heal without much intervention, and often do. More sever sprains need more aggressive treatment for proper healing. ...Read more

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I had surgery on my 4th and 5th metatarsal two plates and 19 screws and two incision with 25 staples ihow long do those staples need to stay in it has been 3 weeks since surgery and I am scheduled to get them out oct 16th is this too long I have no pain I

I had surgery on my 4th and 5th metatarsal two plates and 19 screws and two incision with 25 staples ihow long do those staples need to stay in it has been 3 weeks since surgery and I am scheduled to get them out oct 16th is this too long I have no pain I

Talk to your doctor: While the soft tissues may appear to have healed, if the deeper tissues were severely traumatized or you have other issues (like diabetes or open injury) the surgeon may have reasons for keeping the staples in. On the other hand if there is skin irritation around the staples (redness, drainage, pus pockets), the doctor needs to know. ...Read more

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Fractured 2nd, 3rd, 4th metatarsal from nasty fall 3wk ago. Plastered foot atm. What treatment do u suggest (2nd and 3rd alignment off).?

Fractured 2nd, 3rd, 4th metatarsal from nasty fall 3wk ago. Plastered foot atm. What treatment do u suggest (2nd and 3rd alignment off).?

Depends: It varies based on a more detailed description of the injury. Displaced metatarsal fractures do not always need surgery, but there is a critical part of the foot where the metatarsal bones meet the tarsal bones and if it is involved it must be perfectly realigned and fixed otherwise you may have a very poor outcome. Make sure you are seeing a specialist. ...Read more

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I sprained my 4th finger and I cant bend it all the way and its crooked. I got an xray and its not broken. Should I go back to MD or wait?

I sprained my 4th finger and I cant bend it all the way and its crooked. I got an xray and its not broken. Should I go back to MD or wait?

If there is a change: Since your finger has changed you need to see your physiciasn or even see a hand surgeon. Early X-rays may not see a fracture. This could be a damaged tendon or a damaged ligament or damaged lumbricals. This needs to be fixed now or it could lead to a permanent change ...Read more

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I recently found out that I partially dislocated my 4th metatarsal from my cuboid bone, what is the general treatment for this? And how long?

I recently found out that I partially dislocated my 4th metatarsal from my cuboid bone, what is the general treatment for this? And how long?

Unusual: This would be an unusual injury. Goals of treatment would be to stabilize the metatarsal in a non dislocated position. If the dislocation is the result of an injury and is severe enough this may require surgery. ...Read more

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I had an accident 4 weeks ago. Dr said I broke the 3rd &4th metatarsals. Using walking boot. What else could cause pain in the ball of my foot still?

I had an accident 4 weeks ago. Dr said I broke the 3rd &4th metatarsals. Using walking boot. What else could cause pain in the ball of my foot still?

Foot Fracture: Bones can take 6-8 weeks to heal, assuming no complications and no medical conditions that would delay the healing process. It is not uncommon to still have some pain during the early healing process specially if you are walking on it too much. However, if the pain seems to be getting worse or not improving then you need to see the doctor to make sure no other injuries are there. May need MRI. ...Read more

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Can I re-fracture my 4th metatarsal in the same spot?

Can I re-fracture my 4th metatarsal in the same spot?

Sure: An injury or misalignment from a previous fracture can result in fracture in the same spot. It's unfortunate but it can happen. ...Read more

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Healing time for displaced spiral fracture of 4th & 5th metatarsal?

Healing time for displaced spiral fracture of 4th & 5th metatarsal?

Fracture: If displaced might need surgical repair. Will take about 6 weeks to heal before you can apply any weight followed by rehab for 4-6 weeks. ...Read more

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Left foot pain intermittently for 2 1/2months in my mid foot around the 4th metatarsal. It's a deep aching feeling, sometimes sharp. Not relieved w RICE?

Left foot pain intermittently for 2 1/2months in my mid foot around the 4th metatarsal. It's a deep aching feeling, sometimes sharp. Not relieved w RICE?

Meet Dr. Morton.: Rice, when used appropriately, can help to minimize the acuteness of an injury and speed the recovery process. It could be that your condition is not one of those conditions. A sometimes deep aching and sometimes sharp pain in the 4th metatarsal region is classic for a neurofibroma. Some more possibilities are also possible. This is easily verified by a foot specialist. Treatment can vary. ...Read more

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X-ray bilateral feet a tiny calcification is present adjacent to the lateral aspect of the 4th metatarsal head, and a small left plantar calcaneal spur. No other abnormality. Could you please tell me what this all mean. Thank you so much.?

X-ray bilateral feet a tiny calcification is present adjacent to the lateral aspect of the 4th metatarsal head, and a small left plantar calcaneal spur. No other abnormality. Could you please tell me what this all mean. Thank you so much.?

Typical findings.: It describes an accessory bone near the metatarsal head, which is almost always of little consequence. The small plantar spur that is found in many patients and may or may not ever be of consequence. The issue is whether or not these symptoms are somehow linked to any symptoms. It would be interesting to know why the x-ray was taken in the first place. ...Read more

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A table fell over on my foot. It is swollen, in severe pain across entire metatarsal area of the forefront. Can't move 4th, 5th toe. What next?

A table fell over on my foot. It is swollen, in severe pain across entire metatarsal area of the forefront. Can't move 4th, 5th toe. What next?

Go to ER: You may have fractured one or more of the bones in the foot. You need an x-Ray to confirm diagnosis followed by appropriate treatment. ...Read more

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On 4th toe, plantar side, toe feels like it is pushing into the floor where the base of the phalanx and metatarsal meet. Very sore. X-ray is normal.

On 4th toe, plantar side, toe feels like it is pushing into the floor where the base of the phalanx and metatarsal meet. Very sore. X-ray is normal.

Varies: There are a number of possibilities, probably the three most common are a synovitis from the adjacent joint capsule, a Morton's neuroma, or a stress reaction/fracture. I would not hesitate to be seen if it is giving you a lot of trouble. ...Read more

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I'm 8wks post metatarsal fracture of 2nd 3rd 4th. Is it ok to be walking on it w boot at only half way healed? Could it cause more damage? Expect pain?

I'm 8wks post metatarsal fracture of 2nd 3rd 4th. Is it ok to be walking on it w boot at only half way healed? Could it cause more damage? Expect pain?

Best bet: Is to ask your Orthopedic specialist as to how often you may walk and if you can walk without crutches/cane for support. CERTAINLY you should NOT CARRY any weight over 5 pounds while walking. ...The boot should PROTECT to allow rest of healing period! (4-6 weeks more) You should have no aftereffects. BTW PAIN means STOP and decrease your activity until it can be checked out again!
Hope helps Z ...Read more

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I fractured my 2nd 3rd and 4th metatarsals 6 wks ago. Dr told me to start bearing weight as tolerated with airboot 2wks ago. I have been getting painful muscle cramps in my calf mostly when I put weight on it. Is this normal? Why? For how long?

I fractured my 2nd 3rd and 4th metatarsals 6 wks ago. Dr told me to start bearing weight as tolerated with airboot 2wks ago. I have been getting painful muscle cramps in my calf mostly when I put weight on it. Is this normal? Why? For how long?

Probably typical: After being in a boot for an extended period of time, calf muscles often become tight and can spasm when "waking up" and contracting more frequently. A physical therapy and home rehab program will very likely help overcome atrophy and inflexibility. Ask your doc about starting a rehab program and these symptoms should fade. If I can help, then join my care team at www. Healthtap. Com/dr-clarkeholmes ...Read more

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I have a small hard lump on fourth metatarsal joint. Base of fourth toe. It doesn't hurt.

I have a small hard lump on fourth metatarsal joint. Base of fourth toe. It doesn't hurt.

Have it checked out: Cancers do not have to be painful.......why not have it checked out? Always better safe than sorry. ...Read more

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I broke 3 bones in my foot the 2nd 3rd & 4th metatarsal bones I wore a boot for 6 weeks, I still have severe swelling at week 7 is this normal?

I broke 3 bones in my foot the 2nd 3rd & 4th metatarsal bones I wore a boot for 6 weeks, I still have severe swelling at week 7 is this normal?

Swelling in foot: Swelling in the foot after a serious fracture is normal during the healing process. Swelling in the foot could last several months. If there is still pain with the swelling in the foot after six weeks, then you should see your doctor for re-evaluation. ...Read more

Dr. Payam Rafat
1,209 Doctors shared insights

Sprain (Definition)

A sprain is a medical term that describes an injury to soft tissue structures in the area. Common examples are a lumbar sprain, in which you might injure muscles in your back; or an ankle sprain in which you could injure ligaments about the ankle. Sprains can be from mild to severe, and so ...Read more