Fifth Metatarsal Treatment Question
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Hi,
My daughter broke her fifth metatarsal four weeks ago today. She was put in in an air cast (walking boot) for four weeks. We were originally told 6 weeks - and when we went to the doctor's yesterday he said come back in four weeks - when I asked why it was now 8 weeks over 6 he said because it didn't heal the way he expected and then said ......no more boot....just regular walking shoe.....only walking. Should we be concerned? If it hasn't healed should she not still be in the cast?
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Flowergirl339 trish74992
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trish74992 Flowergirl339
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jo_penny trish74992
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Not necessarily! In 2015 I fractured my 5th metatarsal. It was a bad one - displaced. I was put in a cast for 6 weeks & at the 6 week checkup there was no sign of healing so the consultant wanted me in a cast for another 4 weeks. I panicked & paid for a private consultation. The new consultant told me bones don’t tend to start growing until 6 weeks anyway. He also tested my calcium & Vit D levels & put me on high doses as this helps with bone healing. He also took the cast off & put me in an aircast boot telling me to walk as much as I could for 2 weeks then transitioned me into a shoe. The walking can stimulate bone growth & indeed it did work for me. I’ve recently had to have foot surgery (other foot!) which included breaking my heel bone & realigning it along with doing the same to my 1st & 4th metatarsals & an ankle ligament reconstruction. My consultant said the same thing & I was told to start partial weight bearing in an aircast boot at 4 weeks post op & full weight bearing in the boot 6 weeks post op, again transitioning into a shoe at 8 weeks post op. So what your doctor is saying sounds right & it may also be worth checking your daughters Vit d & calcium levels. She’ll need more than usual probably anyway to help her bones heal. Hope this helps. Best wishes.
trish74992 jo_penny
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braginskayas trish74992
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From what I've heard, fifth metatarsal fractures take a bit longer to heal than other bones because there's less blood circulating to that part of the foot, so that might explain why the doctor added another two weeks to the recovery time (I'm currently three and a half weeks into recovering from a 2nd/3rd/4th metatarsal fracture and the doctors told me I was lucky it was only the middle three, as the fifth is the most common and also the most complicated). Broken feet are awful - wishing your daughter all the best in her recovery!
trish74992 braginskayas
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Thank you! He seems surprised that part of the fracture didn't heal. It is more the removal of the walking cast that I was concerned about. She seems to be managing okay - and the physiotherapist told me that walking on it can bring the blood flow to the injury and help with healing.
braginskayas trish74992
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Yes, I was told to try walking in the boot/walking cast as pain allows for that reason but I'm not game enough to try putting much weight on it yet, so I've mostly just been resting it gently on the floor so far! Maybe next week if I'm feeling brave.
trish74992
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trish74992
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