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5th Metatarsal break

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  #1  
Old 23rd October 2008, 04:56 PM
AAflyer AAflyer is offline
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Default 5th Metatarsal break

Hello FootDoc,

I broke my right 5th metatarsal (mid shaft) bone last week (one week today).
I have been surfing the net, looking for healing times and foods etc to help heal my foot quicker. I realize that there are many variables and each person is unique in the way they recover and heal.

I am a very healthy 37 (as of last month) year old. I do not smoke, do not drink, run and work out daily. My diet is also excellent.

I had a couple questions. The Orthopedic surgeon and myself decided NOT to have surgery and allow my foot to heal on its own. He put me in a walking boot, and said I could walk on it whenever there was no pain. As of now I put minimal pressure on it. I started working out a couple days ago, upper body only, however my foot which I could put limited pressure on (with the walking boot) suddenly felt very uncomfortable.

1. I also noticed more discoloration. The discoloration disappeared at night, however reappeared in the morning after putting the boot back on, is this normal?

2. There is a black and blue mark at the bottom of my foot, is this normal?

3. Lastly, I am an airline pilot, while I have been removed from flight status for 6-8 weeks (pending a medical review) I will continue to teach in the simulator. However I need to actually fly the sim one session. Can I put pressure on the rudder pedal with my walking boot without doing damage?


Great forum, looking forward to your insight.

AAflyer aka "clipped wings"

Last edited by AAflyer; 23rd October 2008 at 05:05 PM.
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  #2  
Old 23rd October 2008, 07:27 PM
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Default Re: 5th Metatarsal break

My over-riding thought here is to wonder why, after only a week under the care of a orthopedist with whom you relate that you have discussed the mode of therapy acceptable to both of you, that you are asking question on an Internet forum which surely could be better answered in a manner which reflects direct and intimate knowledge of you and your case by the attending doctor. Would not HE be the one to be asking these questions, and on whose answers you should be relying? How can I or anyone else who has never seen you reasponsibly offer to you the specific instructions/clearance that you want and need? I don't ask this as a criticism of you, but I would really like your response to MY questioning your thoughts in coming here for this information.
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  #3  
Old 23rd October 2008, 07:32 PM
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Default Re: 5th Metatarsal break

Because I am in Texas and he is in New York. I figured by the tone of your statement you will not be much help. I thought this forum was for questions like mine or others I have seen (to which you gave similar condescending answers). I will chock this message board up to a waste of time. Hopefully your bed side manner is not the same as your message board one.

AAflyer
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Old 23rd October 2008, 08:01 PM
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Default Re: 5th Metatarsal break

My how YOUR tone quickly changes when you don't get what you want due to what I've explained to you were unrealistic expectations. You ended your last post with "Great forum, looking forward to your insight," and as I am just about the only professional responder here, and it appears that you must have read my oft-given advice that the best source of information would be one's attending doctor, it is certainly a wonder that you took such a "chance" on getting one of those "condescending" answers. It might have been nice had you taken the time to explain that your doctor was far away from your current location. But why would I think that posters might give such relevant background information? . . Silly ME!

But that really doesn't alter the issue that you are asking questions which can only responsibly be answered by a doctor who has seen you and knows the intimate details of your case. If your doctor in New York was aware that you could not return to him and did not advise you to obtain in-town follow-up care wherever you might be, then he's not a very good doctor. A responsible doctor does not treat a fracture and just release a patient without advising or making follow-up arangements.

Finally, I seriously hope that I am never on an airplane where I am dependent on your judgment for my life and limb, as if your judgment in the air is as cavalier as that just demonstrated by your lack of consideration here for your own health and well being, I would want off of your flight.

Happy landings . . . just not with ME!
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Last edited by FootDoc; 23rd October 2008 at 08:06 PM.
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  #5  
Old 23rd October 2008, 09:18 PM
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Default Re: 5th Metatarsal break

A final thought, to supplement my response (above) to your expression of unrealistic expectations . . . How would a phone call to that doctor in New York, whereby you could have had a REAL discussion of your concerns with someone familiar with your case, not been a far more intelligent choice than posting on an Internet forum? Or are you going to now tell me that they don't have telephones yet in TX?
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Old 3rd April 2009, 04:23 AM
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Default Re: 5th Metatarsal break

I think the problem is that you come here looking for some comfort and support (as I did too many months ago when I had a 5th Metatarsal break). When critiscism is offered instead of support, it leaves you feeling jaded.

From my "layman's" point of view, I would advise much more rest for you. I, like you am a very active person, and the pschycological effects of not being able to exercise as you used to are an important consideration, however not as important as making sure you heal right the FIRST time.

I broke my foot last July, I've just had surgery in February, now I have an infection from the surgery. My aim is to be back to the same level of fitness (I'm a runner) by July, a full year after the break!

Every break is different and frustrating in it's own way. But don't push your body to heal before it's ready. Bone healing takes a considerable amount of time and your body cannot be rushed. I think your Doctor would tell you that putting pressure on your foot in the simulator is not wise. I had a walking boot too, but was advised to put no pressure on my foot for at least 6 weeks.

All the best.
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  #7  
Old 16th September 2009, 03:42 PM
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Default Re: 5th Metatarsal break

Wow! Foot Doc - you are truly an A-hole.
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  #8  
Old 18th September 2009, 08:45 PM
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Default Re: 5th Metatarsal break

Why the hostility Doc? Is this a website that you created so you could get attention and insult people who are looking for help? Why not get a job instead?
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  #9  
Old 1st October 2009, 07:29 PM
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Default Re: 5th Metatarsal break

AAflyer,

I didn't think there was anything odd about your questions. Even if your doctor was local...getting a second opinion or perhaps first hand insights is a reasonable and responsible thing to do. I too just broke my fifth metatarsal and would love to hear about healing times and individual experiences.

BTW your emails seemed reasonable but the responses bothered me quite a bit. I think we clearly need to find a better forum.

Heal well!
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  #10  
Old 4th October 2009, 12:25 AM
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Default Re: 5th Metatarsal break

Quote:
Originally Posted by FootDoc View Post
My how YOUR tone quickly changes when you don't get what you want due to what I've explained to you were unrealistic expectations. You ended your last post with "Great forum, looking forward to your insight," and as I am just about the only professional responder here, and it appears that you must have read my oft-given advice that the best source of information would be one's attending doctor, it is certainly a wonder that you took such a "chance" on getting one of those "condescending" answers. It might have been nice had you taken the time to explain that your doctor was far away from your current location. But why would I think that posters might give such relevant background information? . . Silly ME!

But that really doesn't alter the issue that you are asking questions which can only responsibly be answered by a doctor who has seen you and knows the intimate details of your case. If your doctor in New York was aware that you could not return to him and did not advise you to obtain in-town follow-up care wherever you might be, then he's not a very good doctor. A responsible doctor does not treat a fracture and just release a patient without advising or making follow-up arangements.

Finally, I seriously hope that I am never on an airplane where I am dependent on your judgment for my life and limb, as if your judgment in the air is as cavalier as that just demonstrated by your lack of consideration here for your own health and well being, I would want off of your flight.

Happy landings . . . just not with ME!





You are jaded/bitter and just a plain DICK. Perhaps you spread yourself thin and no longer have the patience to deal with any questions. Either way doctors like you forget that not only are you suppose to save lives, but that you are also a public servant. I can tell you that given a choice I'm sure people would not pick you or your attitude. If you feel like people should ask only their doctors questions then why are you even on here???? Keep having fun messing with people you hypocritical ass.
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  #11  
Old 9th October 2009, 04:04 PM
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Default Re: 5th Metatarsal break

I also broke my 5th metatarsal... been laid up for 10 weeks now... not fun. I'm very active. My dr. says bone broke in a good spot that it should be able to grow back by itself.. but will take a little more time.

I took what the DR. on this site is saying as your own doctor with X-rays and all the information about your foot in hand would be more apt to answer your questions intially. Then as a second opinion, another DR. not knowing your complete info could help give generic advise but you shouldn't take it for "gospel".... only as another DR. opinion. If you hadn't been seen by anyone else, he would probably be helpful to give you a "maybe it would work" answer.

Lighten up!
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  #12  
Old 22nd October 2009, 01:06 PM
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Smile Re: 5th Metatarsal break

hello AAflyer!

i broke my fifth metatarsal on september ninth and have since gone through a cast for three weeks... then a boot for a few more...... and now im back in a cast because i pushed myself Too Hard when i recieved that lovely boot. the black and blue on the bottom of your foot is perfectly normal (at least thats what My doc told me)
although, i would stay off of that foot as much as possible because i found out last night (when i got recasted) that this particular bone doesnt get much blood flow and REALLY needs time to just heal.............. ive gone to my doctor three times, and each time my break got Worse and Only because i just assumed itd heal right up and didnt take it seriously! take it easy mr. pilot man, and i wish you happy healing
this will be a long and frustrating process but it Will eventually end!
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  #13  
Old 22nd October 2009, 02:02 PM
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Default Re: 5th Metatarsal break

AAFlyer asked his question a year ago tomorrow. I'm quite sure your information is both helpful and comforting to him at this time and that he constantly checks back in hopes of such advice.
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  #14  
Old 23rd October 2009, 12:52 PM
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Talking Re: 5th Metatarsal break

good call!
i figured that he'd still be looking for advice a year later
im sure its comforting to him also, im glad you understand fellow unregistered guest!
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  #15  
Old 1st December 2009, 03:48 PM
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Default Re: 5th Metatarsal break

Hello all.

Just wanted to share wit you, I have had broken my 5th metatarsal in June playing soccer, been casted for a week, got walking cast for another 5 weeks and took it easy for 3 months - just regular fitness in the gym, not too much preasure on my foot except careful calfs exercises - no pain or any reaction whatsoever. I did X-rays in the meantime which showed that everything healed OK.

I have decided to go back to the pitch, went for a training session (I play amateur soccer league in The Netherlands), everything was OK, played 20 minutes in the game - perfect start, went for another training - and it snapped at the same spot! I was placed in the cast again for a week - but after a week I was told that, as the spot was the same - I will get only elastic bandage for 2 + 2 weeks (this ends tomorrow and I will do new x-rays) and it might heal better.

Anyway, I don't need any advice (well, you can share your findings and experiences anyway - always welcome), but I would like to hear AAFlyer's one - how did the whole process go - from his simulator, pain etc. So, AAFlyer it would be nice to hear from you after a year.

Cheers,
AK
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  #16  
Old 8th April 2010, 03:00 AM
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Default Re: 5th Metatarsal break

foot doosh,
you are running a sweet forum here. aaflyer asks a legitimate question and you reply as if you wanted your forum to blow up, as it did. i hope you no longer try to help anyone, as if you ever helped anyone in the first place. i would say it takes 3 and a half weeks to be back being extremely active. i skated after 5 days which was too soon and gave it some time. it felt progressively better by 2 and a half weeks and within a month all is good!
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Old 9th April 2010, 02:08 AM
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Default Re: 5th Metatarsal break

Yesterday's X-Rays showed that I have a 5th metatarsal fracture. My doctor advised that I wrap the foot and not walk on it - that's all. It was left to me to work out that I needed crutches and a supportive boot of some sort - so I used the internet to find this site and, hopefully, to learn more about my injury and its treatment.

I have read through all threads to do with metatarsal fractures, and been appalled by the consistently dismissive pomposity of the so-called 'Foot Doctor'. Without exception, he or she is unhelpful to all questioners, and actually ABUSES them for asking this Foot Health Forum for advice or information on foot injuries!

Why have this site at all if it offers NO help, AND insults its users?

Whoever 'Foot Doctor' is, I think they need psychiatric counseling.
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Old 9th April 2010, 06:03 PM
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Default Re: 5th Metatarsal break

I thought I incurred a nastry sprain last week but it didn't get any better so I finally went to the doctor. I broke the 5th metatarsal AND the lateral malleolus (knob on the outside of the ankle). I got an air cast and was advised against walking on it. I go for a recheck in 4 weeks.

My doctor happens to be the only board certified orthopaedic doctor in my area who specializes in the foot alone. He wrote down the names of my fractures and ENCOURAGED me to go online to research and educate myself about these fractures, and that's how I ended up here.

I've learned quite a bit from you fellow posters and I thank you for sharing your experiences. Primarily I've learned that I should not be impatient about the recovery time lest I risk further injury. Sometimes it helps to hear these things from other people and not only your doctor. Glad I didn't come here seeking the advice of this so-called foot doctor though.
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Old 29th April 2010, 09:10 PM
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Wink Re: 5th Metatarsal break

Quote:
Originally Posted by Unregistered View Post
I thought I incurred a nastry sprain last week but it didn't get any better so I finally went to the doctor. I broke the 5th metatarsal AND the lateral malleolus (knob on the outside of the ankle). I got an air cast and was advised against walking on it. I go for a recheck in 4 weeks.

My doctor happens to be the only board certified orthopaedic doctor in my area who specializes in the foot alone. He wrote down the names of my fractures and ENCOURAGED me to go online to research and educate myself about these fractures, and that's how I ended up here.

I've learned quite a bit from you fellow posters and I thank you for sharing your experiences. Primarily I've learned that I should not be impatient about the recovery time lest I risk further injury. Sometimes it helps to hear these things from other people and not only your doctor. Glad I didn't come here seeking the advice of this so-called foot doctor though.
April 2010 stumbled on this site and suffered a 5th metatarsal break . Its now one week old have a supportive boot on which is helpful and the pain has lessened .The boot is on for 3weeks .,so its a wait and see situation . Liked the comments and information . Ithink the foot doctor is "HOUSE"
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Old 30th April 2010, 03:49 AM
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I think the foot doctor is "HOUSE"
I think you got something there. From what I see Foot Doctor doesn't take no crap, doesn't give a flying f*** what anyone thinks and gets his facts, conclusions and advice right just like House. As for me when I'm sick or hurting I and I think most patients would take a Dr House or someone like him over a dozen sweet talking hand holders who usually bring nothing to the table but that.
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Old 2nd May 2010, 03:42 PM
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OMG! I didn't realise there were lots of other people that just could not stand this FD attitude. I am going to start collating these forum's negative responses and get onto the people who fund the website!!!

Oh by the way Doc my name is Stephanie just so you remember, you called me a fool and god knows what else without too much provocation on a different 5th Metatarsal discussion.

I knew working in advertising would help me to do some good in the future at some point! Might as well do something positive while my foot is up!!!!
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Old 3rd May 2010, 07:47 PM
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Default Re: 5th Metatarsal break

Just getting back to the point!

The best advice re any Jones fracture of the 5th metatarsal has to be " take it easy and double the recovery time you've been given". Not great news I know and an absolute pain if you're pretty athletic, but that's how it is.

My own case; Broke the 5th metatarsal Aug 1st 2009 playing Football (that's Soccer to the cousins across the pond!). 5 weeks in a plaster cast followed by another 6 in the air boot. The latter involved exercises on the bike and, if I'm honest a bit too much weight bearing.

When the air boot came off started physio, more bike work, more walking and some running on a flat surface. Eventually stated playing football Feb 2010 - 6 months after the initial injury. Everything was fine - no pain or symptoms - for 7 weeks. Then a re-occurance of the pain in the same part of the foot. After waiting a couple of weeks there was no easing of the pain so went to the hospital to have it examined/Xrayed. Doctors said there was still a hairline fracture in the injury but that everything had healed fine, so I could just 'get on with it'. I did - and broke the foot in the same place 4 days later. Nothing dramatic and no contact; simply turned on it quickly and felt the crack! Ouch!

Now, it's surgery. A screw and a bone graft and a very long recuperation period I expect! Driving me nuts but if I'd listened to what my body was telling me rather than the Doctor I might not be in this position of frustration.

Moral: It's a pain but you've got to give the body time to do its healing job.
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  #23  
Old 9th May 2010, 04:11 AM
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Default Re: 5th Metatarsal break

Hi everyone. I'm not even going to respond to the "DR's" comments, seems everyone has summed it up already! Anyway, I myself have Broken my 5th Met. Just the other day (may 3rd) and received some basic info from my Doc. I was in so much pain that I cannot remember if I was able to walk with the aircast without doing damage. I have my follow-up in another week and a half and I am hoping for good news. So my question is; AM I prolonging the healing process by walking on my foot with the aircast?? I wear this thing all day long and at night, hoping to heal faster. Could I just be backtracking the healing process while walking on it, keeping in mind I am using a crutch for a little support. I would use both crutches, but even with added padding on the arm support, they are painful to use!! Doc I know there has been MUCH criticism, so I was wondering if you could also answer my question. (Great opportunity to redeem yourself!) This is the only forum I can find with honest responses! Please help!
Thanks
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  #24  
Old 9th May 2010, 02:06 PM
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Default Re: 5th Metatarsal break

Quote:
Originally Posted by Unregistered View Post
Hi everyone. I'm not even going to respond to the "DR's" comments, seems everyone has summed it up already! Anyway, I myself have Broken my 5th Met. Just the other day (may 3rd) and received some basic info from my Doc. I was in so much pain that I cannot remember if I was able to walk with the aircast without doing damage. I have my follow-up in another week and a half and I am hoping for good news. So my question is; AM I prolonging the healing process by walking on my foot with the aircast?? I wear this thing all day long and at night, hoping to heal faster. Could I just be backtracking the healing process while walking on it, keeping in mind I am using a crutch for a little support. I would use both crutches, but even with added padding on the arm support, they are painful to use!! Doc I know there has been MUCH criticism, so I was wondering if you could also answer my question. (Great opportunity to redeem yourself!) This is the only forum I can find with honest responses! Please help!
Thanks
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Richmond Hill Canada
Generally, I neither read nor respond to posts in this thread as it the playground of n'er-do wells of the type whose only purpose in surfing forums is to criticize the efforts of others and disrupt. But for some reason, I read your post today and found it so curious that I am responding. Why did I find it curious?? Because you offer your opinion that this is the only forum where you can find honest response . . ostensibly from me, as I provide the vast majority of medical responses. And yet in soliciting my advice for your case you employ the generally intended pejorative connotation to be gleaned from placing quotes around DR and suggest that I am in need of redemption. So, as a preamble to my consideration of your question, I will say that I stand four-square behind my long-ago comments to the original poster in this thread, who should have directed his question, as actually should you, to the provider of his care if indeed he had concern for himself and wished an accurate answer. He alleged that he was a pilot for a major airline. Now, modern day aircraft are marvels of technology which pretty-much fly themselves, with the pilots there most of the time to go along with the ride and to monitor the computers which are actually flying the plane. But every once in a while the pilot is called upon to make judgments which only a human can make, and the passengers on that airplane may have their lives in that pilots hands and judgment. Personally, I would not knowingly want to be flying in an airplane commanded by someone such as the poster who apparently had so little concern for himself that I would question how much concern he had for me as his passenger . . just as you might likely not be very comfortable under the knife of a your surgeon whom you had reason to suspect was careless in his/her general life.

Now, to YOUR question. An air cast is both a generic type of device and a proprietary commercial line of products. You might have seen the generic air cast while watching a football game, where a player has broken or is suspected of having broken a limb, and a plastic sleeve shaped to that limb is placed over the part and inflated, so as to act as a temporary splint. On the other hand the Aircast Company offers a diverse line of products. I don't know which one was used on you or why it was selected instead of other methods of external fixation for a fracture. Accordingly, I will offer you the same sensible and honest advice which I correctly offered to the initial poster in this forum . . Simply call the person who best knows your case . . the doctor who you engaged, who is the only one who is responsible to you, and ask him/her. THAT is the honest response which you have come to expect.

FOOT DOC
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Old 10th May 2010, 07:17 AM
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Default Re: 5th Metatarsal break

I posted this on another page but it may be relevant here. A knee scooter has been my salvation. Me and crutches are not the best match. See if you can rent a knee scooter from a medical supply place. I don't recommend purchasing one because, at least in my case, after 4 to 6 weeks it doesn't work as well and I bring it back for another one.
__________________________________________________ ________________________
I think each person heals differently. I am a 59 year old female. My injury occurred at the end of January. Diagnosed with an acute Jones fracture, with well-delineated breaks, my [board certified] podiatrist immediately ordered a bone stimulator which I use twice daily. He also warned me the limited blood supply probably would impact healing time. I was advised that it was a serious injury.

Each successive x-ray has shown progress with good alignment. Since union has not yet occurred I am still non-weight bearing [therefore can't drive] and am in a soft cast. It's been just over 3 months. I know I don't heal quickly and that my age and the location of the fractures in the bone factor into it.

I get around with a knee scooter which is such a lifesaver. Crutches are not my friend but I have to use them for any steps.

Anyway, there are guidelines for healing but as you can see in my case I've surpassed the time lines. I have the utmost confidence in my doctor and am being an excellent patient so I don't end up with residual problems. Good Luck to you.
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Old 22nd May 2010, 06:23 PM
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Default Re: 5th Metatarsal break

OMG "Foot Doc".... Are you real? I'm sure you or anyone else would survive the simulator.
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  #27  
Old 31st May 2010, 01:19 PM
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Default Re: 5th Metatarsal break

Hi All

I broke my 5th metatarsal about a week and a half ago. I had surgery last friday a screw down the middle. It's quite painful now but getting better (I hope).

I'm getting married in 5 weeks so I have to be walking. Going back for an xray in 2 weeks soI'll know then.
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Old 31st May 2010, 02:42 PM
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Quote:
Originally Posted by Sean View Post
Hi All

I broke my 5th metatarsal about a week and a half ago. I had surgery last friday a screw down the middle. It's quite painful now but getting better (I hope).

I'm getting married in 5 weeks so I have to be walking. Going back for an xray in 2 weeks soI'll know then.
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THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *
A fracture in an optimum location of a 5th metatarsal for healing generally takes about 6 weeks to heal. But with surgery being performed and a "screw down the middle" being placed, it sounds as if it MIGHT be a Jones fracture. If that is the case, it was NOT in a the best of area for healing, and will likely take more than 6 week . . . and possibly much longer. Check with your doctor about the advisability of bearing weight on this type of fracture so soon as such a fracture as MIGHT have occurred can be problematic and generally requires more time and care.

FOOT DOC
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  #29  
Old 7th July 2010, 07:51 PM
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Default Re: 5th Metatarsal break

I broke my 5th metatarsol on april 14 no cast just a ace wrap and a boot it is now 12 weeks later and still no heal I am getting fed up with my dr he is not doing NOTHING for me but I'm afraid to goo to another because of the insurance. Any ideas? I have had alot of bone trouble in the past like a hip repl, knee repl. broken foot on other side, and I have osteo arthritis. Any help willl be appreciated. THANKS.Oh and I am only 47 yrs old too !!
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  #30  
Old 7th July 2010, 09:27 PM
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Default Re: 5th Metatarsal break

The key to fracture healing is:

1. Immobilization and stabilization of the fracture segments
2. Adequate circulation and a healthy repairative system

Most properly cared for metatarsal fractures, other than Jones fractures, heal pretty routinely in about 6 weeks or so. If yours has not healed in 12 weeks as you state, that would indicate a situation which would require a hands-on evaluation. If you have concerns about your doctor's care, YOU are his employer and he owes you an explanation. If you have concerns about your insurance coverage, call your insurance company and determine if your concerns are valid. There is nothing that anyone can responsibly offer to you in a forum which will avoid the need for what I have suggested.
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