Fractured Metatarsals

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I am 63 yrs old and whilstI in Greece  went over on my ankle racing for a train.  They xrayed it and said my ankle was fine and it was a sprain.  I bought crutches, strapped it and crutched my way around Greece.  When I got back to the UK I went to get it checked at the Doctor.  The Greek Xray only covered my ankle so she sent me off to the hospital immediately to get another xray.  Unfortunately I had five metatarsal fractures in 3 bones, one in the 5th, 3 in the 4th and one in the 3rd.  Fortunately they were not displaced, but I am in an ankle plaster cast non weight bearing, so crutches so far for two weeks, with another four to go.  When I was first on non weight bearing crutches I could make about half dozen steps and would have to rest.  My shoulders are getting stronger so now can bus and tube around and rest after about every 15-20 steps.  I have got stairs into my flat, but have got the knack of - very carefully - going up and down.  I live on a fairly busy street and if it is wet I wait until someone goes past and get them to give me a hand.  I work as a contractor so can do some at home, but initially caught taxi's to the office until I could manage public transport.

I go back to the hospital in 4 weeks, but am worried because the muscle in my left leg is quite noticeably wasting.  The rest of my body is fine as racing around on crutches is a pretty good workout.  I also get some pain in my groin of the leg with the cast and wonder if this is because I am straining it with holding the leg up.

I have not been given any physio, am doing some leg exercises, but wondered if anyone had any good ideas for exercises.  Have been told I can move my ankle, but not my toes.

This accident has made me appreciate how difficult it must be for people trying to get around London with a physical disability.  You try crutching from the Victoria Line to the Jubilee Line at Green Park - it is a hang of a long way!!!

0 likes, 8 replies

8 Replies

  • Posted

    Like you only my ankle was x-rayed, but I'd broken my fibula at the ankle, next day my foot was x-rayed to find I'd also broken the 5th metatarsal which subsequently needed an ORIF screw putting in. Eight weeks in a cast up to my knee non weight bearing, four weeks in a weight bearing boot.

    I was advised to just keep moving my leg up and down and bending the knee and told not to do much else as I could cause more damage. Once you transfer to weight bearing you'll feel like your leg has done a big workout everyday, mine ached all the time for the first ten days or so. I go back Tuesday, can't put my full weight on the bad leg, even in the boot, but I am getting there.

    • Posted

      Thanks Susan - light at the end if the tunnel. I was planning a hiking holiday in Romania in August, now am not sure I will be able to do it - 4 more weeks in plaster then if I am similar to you could be another 4 weeks in a boot then all the rehab to get the full use back again. Lots of the comments here talk about 3 months and more!!
    • Posted

      I'm told if everything is OK Tuesday I'll go to a solid shoe, mine won't fit yet, then they'll see about physio. I've also got to have the screw taken out at some time, nice thing to look forward to.

      My husband wanted to go to Lesbos, hotel is set on a hillside with lots of steps to the rooms, and a mile walk to the nearest restaurants. Told him perhaps at the end of the summer, but he'll have to wait and see. Normally I look after my Grandchildren whilst my daughters work, thankfully they've been on maternity leave so it's not been too bad, the four year old and two babies are OK but just turned two Ethan is a cross between Taz and animal from the muppets does everything at full speed.

    • Posted

      I have Morton's Neuroma as well and find fit flop trainers are great as they are flat on ground (I had running shoes on when I had my accident which meant the sprain was worse when I went over) and the cushioning is good. They are also wider. I will be interested to hear if they do let you out of the boot on Tuesday.

      Did you keep in getting swelling in your toes when in plaster - I still have to have my leg raised as much as possible because my toes swell - it is 4 weeks since the injury 2 of which in plaster.

    • Posted

      I still have to raise my foot to take the swelling down, I've just taken the boot off and the foot is swollen from the ankle to the toes, I'm told this will continue for quite some time.
  • Posted

    Crutches are ordered blithely and nonchalantly, frequently without the necessary instruction in crutch walking and fitting the crutches. This is the orthopaedic surgeon’s job (although legitimately delegated often to the physiotherapist.)
    • Posted

      I purchased underarm crutches in Greece. When I went to A &E in London they said those crutches were not good and gave me the arm ones. I then got a quick adjustment and set of instructions from the Triage Nurse which were actually ok, but then went online to make sure I was doing the right thing as I was getting sore elbows - the adjustment was not right. Since I adjusted elbow pain has gone. My shoulders get a bit sore but each day is better. The Orthopaedic surgeon took no notice of my crutches nor the swelling in my foot - it was the guy who did the plaster who told me I was not elevating my leg enough
  • Posted

    My very personal view is that the orthopaedic surgeon should apply the cast and be responsible for it. However, when I tried to do that in the NHS there were ructions from the "plaster technician’s trade union",

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