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Doctor insights on: 5th Metatarsal Base Fracture Swelling Pain At 7 Weeks

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I have none-displaced small fracture in 5th Metatarsal Base of my foot. It was swelling immediately after the incident; I was put into a splint After 18 hours I was put into a cast. I have been in the cast for 10 days now, I do minimal “home” walking. Mos

I have none-displaced small fracture in 5th Metatarsal Base of my foot.
It was swelling immediately after the incident; I was put into a splint
After 18 hours I was put into a cast.
I have been in the cast for 10 days now, I do minimal “home” walking. Mos

Depends: It depends on the specific location of the fracture. An avulsion type fracture at the tip of the metatarsal is little more than a sprain of the foot and does not really require any immobilization at all. A more proximal fracture of the 5 th metatarsal is known as a jones fracture and requires strict non weight bearing in a cast to heal. ...Read more

Dr. James Dukelow
792 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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I am a 43yo male and fractured the fifth metatarsal of my left foot 4 weeks ago. Swelling is still massive and xrays yesterday show no signs of healing. Should i still have massive swelling after 4 weeks, and why has it not started to heal

I am a 43yo male and fractured the fifth metatarsal of my left foot 4 weeks ago. Swelling is still massive and xrays yesterday show no signs of healing. Should i still have massive swelling after 4 weeks, and why has it not started to heal

Rest?: First, where is the fracture? Certain 5th metatarsal fractures are notorious for poor healing. Are you walking on it? Was a cast or boot applied. Swelling and lack of healing after 4 weeks isn't alarming, but it's a sign that you might want to take treatment seriously. Fractures heal best when there isn't constant motion across them. If it isn't healed in 12 weeks, try a bone stimulator. ...Read more

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What causes swelling of fractured 5th metatarsal?

What causes swelling of fractured 5th metatarsal?

Injury: The energy that fractured the bone also injures the tissue around the bone. The first process of repair in the body is inflammation and fractures also bleed form the bone. Both of these processes result in swelling at the site of injury. Swelling should diminish with time. ...Read more

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I broken my right foot 7 weeks ago during an accident. Doctor said it was fracture of 5th metatarsal bone. Why is the pain and swelling still hasn't gone down?

I broken my right foot 7 weeks ago during an accident. Doctor said it was fracture of 5th metatarsal bone. Why is the pain and swelling still hasn't gone down?

5th met fracture: Generally it takes 6-8 weeks for bones to show radio graphic healing (x-ray healing) but reality is that bones take longer to heal completely. If you didn't have surgery, usually 3-4 months of healing and recovery is needed, but because it's the 5th met, you may still need surgery (it's a difficult bone to heal, sorry). Best of luck! ...Read more

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Stress fracture-3rd metatarsal- slow to heal, 14 weeks, boot and crutches. X-rays — no healing since Week 7. Cast? Specialist? Still, pain, swelling.

Stress fracture-3rd metatarsal- slow to heal, 14 weeks, boot and crutches. X-rays — no healing since Week 7. Cast? Specialist? Still, pain, swelling.

You should be: Seeing a foot doctor whether podiatrist or orthopedic foot and ankle doc.
Are you a smoker? Do you happen to know if you have vitamin D deficiency? Have you been exercising or wearing normal shoes during the healing process? At 14 weeks that certainly is delayed healing and you need to discuss a plan with the dr taking care of you. Perhaps a bone stimulator would be in order.... ...Read more

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10 week old stress fracture in 3rd metatarsal is slow to heal- still with pain and swelling. Using moon boot and crutches.

10 week old stress fracture in 3rd metatarsal is slow to heal- still with pain and swelling. Using moon boot and crutches.

This is a statement-: -but I assume you wonder why so long. This is the nature of stress fractures in the foot. Even with a " moon boot" you are still weight bearing, so the less pressure you put on your foot the better. In very recalcitrant ones you may need a bone stimulator. ...Read more

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When I walk the head of metatarsal hurts really bad like a sharp pain. There's no bruising or swelling. Could it be fractured?

When I walk the head of metatarsal hurts really bad like a sharp pain. There's no bruising or swelling. Could it be fractured?

It could be: If you are an active person or you had a misstep while walking recently, it is possible to have a stress fracture. But, it could also be an inflammation related to sprain or arthritis or some kind of soft tissue injury. Examine your shoe first. Apply Ice, use an insert, anti inflammatory and if not improvement, see a doctor. ...Read more

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Swelling and pain from metatarsal stress fracture- how long should it last with non-weight bearing in boot and crutches?

Swelling and pain from metatarsal stress fracture- how long should it last with non-weight bearing in boot and crutches?

To stress a point.: No method can predict exactly how long it will take a stress fracture to heal, under any conditions. Having said that, when you remove or substantially reduce the very stress that over powered the speed of your bone's ability to heal, then the fracture can repair itself. The accepted time frame is between 6-12 weeks or when all signs of fracture are gone. Non and limited weight bearing is best. ...Read more

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If there is still pain and some swelling with a metatarsal stress fracture- after 18 weeks boot, crutches- does it mean still injured? What to do?

If there is still pain and some swelling with a metatarsal stress fracture- after 18 weeks boot, crutches- does it mean still injured? What to do?

No stress to stress.: Look at it this way. Every time you apply weight to a stress fracture, you are re-injuring it. These types of fractures are often underestimated as to their potential healing problems. Probably, it might be best, for all considered, to have a new set of eyes looking at your problem. Four and a half months is entirely too long. ...Read more

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Was told stress fracture (3rd metatarsal) not healed (x-ray) 8 weeks- doctor and physio thought it should have. Still pain and swelling- what now?

Stress fracture: A stress fracture of the metatarsal bone should take anywhere from 4 to 6 weeks to heal. The fracture should be immobilized in a walking boot during the healing time. If the fracture has not healed a bone stimulator maybe needed to induce bone healing. Also, an MRI should be ordered. ...Read more

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With a metatarsal stress fracture, is it normal to have redness and swelling after 9 week (boot, crutches), and for the area to feel warm to touch?

Don't be so stressed: Interesting that you mentioned nothing about pain. Some swelling may be acceptable at this point, but the redness and associated warmth may need to be looked into. Suggest you have the foot evaluated soon to quantify objectively, the degree of heat and redness. Sometimes stress fractures can seem more healed than they really are. This tends to make one not be as strict in following through. ...Read more

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How much swelling, pain is normal with a metatarsal stress fracture, 10 weeks in boot. How to tell if fracture has healed on x-ray- how much callus?

After 10 weeks, : There should be little if any pain. If there is mobility about the fractured bones calluses will increase. If there is little if any movement little to no callus. If there is still pain after 10 weeks, there may have been a non-union in which case further treatment may be needed. You should speak to your doctor and repeat the X-ray. Then you should have a better idea of what is going on ...Read more

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Have stress fracture 3rd metatarsal- been in a boot 10 weeks, using crutches. Still, pain, swelling, x-ray shows only some healing. Need specialist?

Have stress fracture 3rd metatarsal- been in a boot 10 weeks, using crutches. Still, pain, swelling, x-ray shows only some healing. Need specialist?

Possibly: You're developing a delayed union. If you're not seeing a specialist already you should. It may be too early for a bone stimulator for your doctor can look into that for you. ...Read more

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I have swelling and bruising on my instep after a possible stress fracture on my 5th metatarsal; can these be connected? What is causing the swelling?

Yes: Stress fracture, just like any other fracture causes swelling and bruising. The difference is that stress fracture results from over uses and pressure on the bone versus other fractures that are usually caused by trauma. Treatments of most of the foot fractures including stress fracture is immobilization along with compression, rest and elevation. ...Read more

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Slow- to- heal metatarsal stress fracture- so far 17 weeks. Still, pain, swelling- specialist says weight bearing, no boot to help healing. Is that ok?

Slow- to- heal metatarsal stress fracture- so far 17 weeks. Still, pain, swelling- specialist says weight bearing, no boot to help healing. Is that ok?

Specialist In What?: There are a few things to consider here. I'm hoping your "specialist"thought of them but just in case:did you do what was necessary to promote healing?(e.g. following instructions; not doing too much too soon, etc)There may be a "malunion" (delayed or arrested healing) or a small painful "neuroma" that has developed. May be the beginning of a regional pain syndrome. Hopefully, you'll just get better. ...Read more

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I have two 5th metatarsal fractures avulsion and jones on my left foot and was only given cast which only reaches up to my ankle so doesn t really immobilize the foot is it going to heal it has been 5 weeks and the pain swelling hasn t subsided at all?

Discuss with doctor: Discuss your concerns with your doctor. Without examining and reviewing x-rays it is difficult to accurately assess. Jones fractures are often slow to heal and sometimes require surgical management. Are you non-weighbearing. I would hope so since this is usually required for healing. I would also look for pain to be subsiding as time goes on. At best this will take 6 weeks for bone to heal. Ask dr. ...Read more

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Metatarsal stress fracture- 13 weeks in boot, x-ray shows not healed, sore, swelling- stay in boot, alternatives?

Metatarsal stress fracture- 13 weeks in boot, x-ray shows not healed, sore, swelling- stay in boot, alternatives?

Possible nonunion: At 13 weeks, consider fracture nonunion. An MRI scan can determine if any healing has occurred.
Reasons for a nonunion may be motion at the fracture or an underlying metabolic issue, such as osteoporosis, hormonal imbalance, or Vitamin D/calcium/magnesium deficiencies.
Further medical evaluation can help determine why the fracture is not healing.
Surgery may be needed depending on which toe it is. ...Read more

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Metatarsal stress fracture- 16 weeks of boot, crutches- pain, swelling. Some callus evident but healing incomplete on x-ray. What can be done?

Metatarsal stress fracture- 16 weeks of boot, crutches- pain, swelling. Some callus evident but healing incomplete on x-ray. What can be done?

Slow to heal: You may want to ask your doctor if they can prescribe a Bone Growth Stimulator. Sometimes we fix these problems with surgery however it depends on many factors. ...Read more

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What to do about a metatarsal stress fracture that still has pain, redness, is warm, and still swelling into week 10 of treatment (boot, etc.)?

Reconsider diagnosis: If you are still standing and walking on it a lot, you could conceivably still have a stress fracture that has not healed and may need to go to crutches and no weight bearing. But the other possibility is that the initial diagnosis is not correct. There are conditions that have initially been misdiagnosed as a stress fracture before correct diagnosis made. ...Read more

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How can I fix chronic foot and ankle swelling 1 year after metatarsal stress fracture? I wear a 20-30 mm hg knee sock daily and exercise 8 hrs/wk.

How can I fix chronic foot and ankle swelling 1 year after metatarsal stress fracture?  I wear a 20-30 mm hg knee sock daily and exercise 8 hrs/wk.

Swelling: The cause of the swelling needs to be determined. Stress fractures may create some residual swelling, but your local doctor should exam you. The compression rating for the stocking may be too low as well. ...Read more

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The sole of my left foot was punctured/lacerated by a broken table leg during a fall. There is swelling in mid foot and hurts to walk but I can push through with moderate pain. I can push on the metatarsal and don't believe there is a fracture. There was

The sole of my left foot was punctured/lacerated by a broken table leg during a fall. There is swelling in mid foot and hurts to walk but I can push through with moderate pain. I can push on the metatarsal and don't believe there is a fracture. There was

See a doctor!: Falls are notorious for causing MSKL injuries and puncture wounds are high risk for infection. I strongly recommend presenting to a doctor for a thorough history and physical, incl. XRAY, to determine the nature of your pain, evaluate the wound, discuss your tetanus vaccine hx, and provide the appropriate course of care. Home remedies help in some cases, but you need a doctor's expert evaluation. ...Read more

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Fractured 2nd metatasal 3 weeks ago. Rt foot is in a fiberglass cast and now I am having trouble movin my toes and foot keeps swelling. What should I do?

Cast removal: You may need to see your doctor to get the cast removed for inspection and further imaging. Tightness after a cast for 3 weeks is unusual, as swelling usually goes down inside a cast. Is your calf swollen or painful? Again, is advise getting that cast off for inspection and into a cam boot. ...Read more

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Hi, my daughter fractured her.finger at the base. er doc advised its minor. its now buddy strapped & swelling is down. is it necessary to see surgeon?

See Hand Surgeon.: The ED doctor may very well be right, but it’s always good to follow-up the ED visit with a visit to a Hand Surgeon, just to be complete. ...Read more

Dr. Jeffrey Wint
2,321 doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more


Dr. David Schleimer
1,498 doctors shared insights

Swelling (Definition)

Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more