Doctor insights on:
Is Bruising Sign Of Healing Of Metatarsal Fracture
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 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
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
I am in a cam walker for a fractured ankle and it is mildly uncomfortable/painful. Is this a sign of improper healing? Is this just normal from bruising
Not necessarily: Depending on the type and severity of the fracture, healing will take several months. Your physician will take serial x-rays to monitor proper healing. ...Read more
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
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
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
Have spiral fracture 5th metatarsal & in 4th week with walking boot. Have swelling & bruising but noticed petechial hemorrhage today. Is this normal?
Yes: Small vessels will burst after injury. Recommend to keep area wrap with ace bandage. ...Read more
Is it possible to have a fifth metatarsal stress fracture for possibly 2 years without knowing or seeking treatment? Or would the pain be unbearable?
Not likely.: I guess anything is possible, but I would think symptoms would develop as the weeks went by. Typically, swelling and pain would limit your ability to function normally. I have had patients continue with their activity, on a reduced scale, and eventually recover, however, in substantially less than 2 years. ...Read more
See doc; get X-ray: It is important that the fracture be diagnosed and evaluated by x-ray. Depending on the location of the fracture as well as the extent of displacement, it will dictate the treatment protocol. Being that it is the 2nd metatarsal and crucial with weight bearing, I suggest you do not delay going to see the doctor. See a podiatrist or orthopedist. ...Read more
I am in my 7 week of healing from 2nd and 3rd Metatarsal fracture. I did not require surgery. When will I be able to wear heels again?
Sunday..: From your brief description of the fractures severity, I would say some time soon. ...Read more
Varies: Protected walking in a CAM boot or no weightbearing at all depending on the location of the injury within the bone. ...Read more
How do you fix an nonhealing first metatarsal? Broken for 4 months, fracture wasn't seen in first xrays, CT showed non-healing.
Injured foot 3 mths ago and just went to dr today. Xray showed fracture healing on 1st metatarsal, dr said it will heal eventually, is this normal?
Follow up: Follow up and relative rest- will be critical. There is probably no significant displacement and natural healing has started. ...Read more
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
Could a healing fracture of 3rd and 4th metatarsal cause intense pain in those toes? I don't remember injuring the foot to cause this.
Neuroma pain.: There could be a very good chance you have a morton's neuroma. It is a nerve between your 3rd and 4th metatarsals that can cause intense pain to the respected toes. It is worse with tight shoes on and relieved by going without shoes. I was suggest having it looked at by a Podiatrist. Probably not a fracture since there is no obvious trauma. Neuromas are a common problem. ...Read more
What is the standard treatment for a toddler with a buckle fracture of the 5th metatarsal? Fracture is on the end closest to the ankle.
Varies: With the degree of buckling and the proximity to the growth plate. There are two types of buckle fractures, one involved just a single segment of the bony cortex and buckles on one side. Another involves the entire circumference or two sides and buckles in in more than one location. There are differing degrees of risk to the growth plate with each with continued mobility. If there is not obvious compromise of the growth plate, treatment can be a short leg walking cast for 3 weeks. Any complications involving the growth plate may require more aggressive treatment including surgical. ...Read more
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
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
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
Metatarsal stress fracture- 16 weeks of boot, crutches- pain, swelling. Some callus evident but healing incomplete on x-ray. What can be done?
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
Did an MRI of the right foot & found out I have a fracture of the third metatarsal on my foot. How long is the healing process, what can I do to help.
I have a 5th metatarsal neck displaced fracture. The podiatrist said that it requires no surgery because I also broke my other foot. What are the chances of it healing correctly? When will the swelling go?
If: Displacement is major it needs to be fixed. If only say 2mm then you should heal being non weight bearing. ...Read more
I have an avulsion fracture of my 5th metatarsal bone in my foot. What will I experience during my treatment?
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
Arnica ointment good for fast healing bruises? Got a week old black eye. Went to the ER on 4th day. No fracture. Just want it to go away already. Help
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
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