Cast or boot & rest. Most mildly displaced to nondisplaced traumatic or stress fractures of the metatarsals heal well without the need for surgery. There are a few exceptions, including a specific fracture of the 5th metatarsal called a jones fracture. A boot walker or a cast are often used for treatment, and typical healing occurs in approximately 6 weeks. Crutches may also be used with the cast or boot.
Metatarsal Fracture. Depending on the type of fracture, the mechanism of injury and the stability of the fracture treatment will vary. Some respond to being allowed to ambulate in a surgical shoe or boot (stress fractures), casting (non displaced fractures) and others require surgery to stabilize them. The latter two requiring 4-6 weeks of non-weightbearing.