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weight bearing post Jones fracture

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  #1  
Old 7th August 2010, 03:57 AM
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Default weight bearing post Jones fracture

Hello,
I was just released by my doctor to start bearing weight as tolerated after four weeks of crutches only. When lightly applying weight to my booted foot, I have a fairly severe "pins and needles" sensation to the sole of my foot. I have not noticed any pain to the fracture site. My guess is this sensation is my nerves waking up after four weeks of sleep. Anyone else have this or know if it is normal? I hate to bother my doc on the weekend.... Thanks!
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  #2  
Old 7th August 2010, 04:44 AM
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Default Re: weight bearing post Jones fracture

Lest you are unaware, your doctor is paid, and I suspect rather well, to be "bothered" by a patient for whom he/she has responsibility when that patient encounters troubling symptoms for which he/she had not been properly prepared. I can't say what might be causing your complaint or whether it portends a problem which might require time-sensitive action, but if you were MY patient, I certainly wouldn't consider it a bother to receive a phone call from a troubled patient under my care. . . weekend or not. In fact, I would be mortified to discover that I had not made that clear to my patient and that he/she had to resort to posting on the Internet for an answer. I suspect it all pivots on whether or not you consider your peace of mind as important as your doctor's leisure time. I consider myself on call at any reasonable hour to handle most patient concerns and 24/7 to handle emergencies. I think that the folks who provide me with a damn good life style deserve no less.
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  #3  
Old 7th August 2010, 05:09 PM
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Default Re: weight bearing post Jones fracture

I have yet to have any doctor agree to give me his home phone number on a weekend. i don't know what country the foot doc lives in, but in the USA, that just is such a rarity . Or, maybe the foot doc lives is a very small town.
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  #4  
Old 7th August 2010, 05:30 PM
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Default Re: weight bearing post Jones fracture

Doesn't your doctor have an answering service? I know that all of my doctors can be reached 24/7 by calling their office number and following the prompts for contacting the doctor for an emergency.
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  #5  
Old 7th August 2010, 11:55 PM
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Default Re: weight bearing post Jones fracture

Quote:
Originally Posted by Unregistered View Post
I have yet to have any doctor agree to give me his home phone number on a weekend. i don't know what country the foot doc lives in, but in the USA, that just is such a rarity . Or, maybe the foot doc lives is a very small town.
The Foot Doc lives in a major metropolitan area in the U.S. It is the responsibility of a doctor to be accessible to his/her patients, either by direct phone contact, an answering service which can contact him/her or an alternate on-call doctor. It borders on malpractice to do otherwise.
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  #6  
Old 9th August 2010, 05:46 AM
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Default Re: weight bearing post Jones fracture

First of all, I agree physicians are responsible for care and should be available for serious issues after hours. However, people need to use some judgement on what is a valid reason to call. Just because physicians make good money does not give people the right to call on a whim without thinking about how important it is. Physicians make great sacrifices in school and at work, which is why they are paid well.

Let me restate my question so I don't upset the "expert". I am 4 weeks post jones fracture and have been released to bear weight as tolerated. I have noticed some pins and needles on the heel and ball of my foot with pressure. Using common sense and judgement, I realize this is not an emergency and can wait until Monday. I will stay off the foot until then, and will contact my doctor's office. No big deal. However, this fracture is a big event and I am curious. I was not looking for a diagnosis. I was just asking a general question and was not planning on dancing if someone here said it was fine.

I really don't understand the "doc" moderator. Almost all questions are answered with "ask your doctor" or "go see a doctor". I agree people should, but think general questions like mine seem perfect for a message board. If not, what is the point of this?
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  #7  
Old 9th August 2010, 11:59 AM
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Default Re: weight bearing post Jones fracture

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Originally Posted by Unregistered View Post
I really don't understand the "doc" moderator. Almost all questions are answered with "ask your doctor" or "go see a doctor". I agree people should, but think general questions like mine seem perfect for a message board. If not, what is the point of this?
Insolence as demonstrated by placing quotes around the words "doc" and "expert" is hardly the way to ingratiate yourself into a further response from that "expert doc," albeit the fact that you are apparently unable to understand that the answer that I already offered was the one which would have had the greatest chance of helping you and either allaying your concerns or precipitating prompt treatment. Of COURSE you were asking for a diagnosis, as that is the necessary starting point for offering any meaningful answer to your question. I am not the moderator here, but simply a poster just as you . . Well . . maybe not JUST as you, but a poster. The purpose of my participation in this forum is to attempt to share my special expertise for free with those whom I feel I can help. That help often comes in the form of advising questioners as to the most appropriate and reliable method of obtaining the help they have requested. General questions are not those which assert case-sensitive facts and ask for an assessment of their individual problem. Once again . . if you want the best chance of a reliable answer and if you have chosen a good doctor, then go "bother" him/her or someone else other than ME. If your question is no big deal to YOU, it's even less of a deal to me.
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Last edited by FootDoc; 9th August 2010 at 12:03 PM.
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  #8  
Old 26th August 2010, 11:58 PM
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Default Re: weight bearing post Jones fracture

Foot Doc-
I just found this thread and would like to thank you on behalf of MANY confused people out there for volunteering so much of your time and knowledge! Apparently Jones Fractures are very confusing and scary for people- I'll bet the rude people are just crabby and sick of this whole thing.
I have found your answers to be very helpful- thank you!

Lee Ann
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  #9  
Old 27th August 2010, 04:00 AM
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Default Re: weight bearing post Jones fracture

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Originally Posted by Unregistered View Post
Foot Doc-
I just found this thread and would like to thank you on behalf of MANY confused people out there for volunteering so much of your time and knowledge! Apparently Jones Fractures are very confusing and scary for people- I'll bet the rude people are just crabby and sick of this whole thing.
I have found your answers to be very helpful- thank you!

Lee Ann
Thank you, Lee Ann, for your kind words and support for my efforts here. I am well aware that those who post nasty, rude and unseemly comments regarding those effort are not only in the extreme minority, but are on many if not most occasions obviously the same folk or folks who repeatedly return here looking for new ways to cause ill-will and distraction. I do not agree that the majority of detractors are that way because of their frustration with their conditions. It is far more likely that they are basically unhappy people of low self-esteem who find fault with almost everyone and everything in their lives to somehow place the blame on others for their unhappiness.

Much of my efforts here is targeted toward attempting to educate the forum readers to have greater expectations of their doctors and to take at least some personal responsibility for their acting as enablers of less than adequate treatment from their doctors by actually expecting and accepting such treatment without a word of disapproval regarding the casual manner in which their doctors treat them and their medical problems. Invariably, these same folks who bow quietly to the inappropriate treatment from their paid doctors have no problem in their anonymity here giving me guff when I attempt to advise them for free.

Then, I suppose that there are some who are intimidated by authoritative, no-nonsense answers devoid of glad-handing and fatherly pats on the head, having for so long confused the expressions of what seem like caring from their own doctors for actual technically good care of their medical problems. Unfortunately, most patients rate their doctors not on how good they are medically, but how good they make them feel about themselves and how affable they are.

Then there are those who simply do not understand that giving advice on case-specific issues entails having the details necessary to do so, and that general answers are often not appropriate for specific problems.

Finally, some folks are just nasty and live their lives trying to ruin the good thing for others.

So, thanks again for your support and keep an mind that I pay such persons as I have spoken of above very very little mind.

FOOT DOC
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  #10  
Old 28th August 2010, 02:26 AM
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Default Re: weight bearing post Jones fracture

Quote:
Originally Posted by Foot Doc View Post
I am well aware that those who post nasty, rude and unseemly comments regarding those effort are not only in the extreme minority, but are on many if not most occasions obviously the same folk or folks who repeatedly return here looking for new ways to cause ill-will and distraction.
Yeah. I've notice that they sound like the same person over and over again myself especially since a lot of times when someone like me writes in on your side they accuse the person of being you. I guess they have that in their minds because thats what they do. Watch how long it takes the nut to claim that I'm disguising myself as you. I bet he lives in his mothers dark basement and never gets out.
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  #11  
Old 8th March 2011, 04:41 AM
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Smile Re: weight bearing post Jones fracture

I was just dx with a Jones Fx after over two weeks and several doctors misdiagnosing me telling me to walk on it, which of course I did, much to my dismay and AGONY. Now I'm looking forward to surgery like another snow storm after losing three weeks of healing at least. I also have a fx fibula to add to my joy. WHEN is this pain going to back off? Should I be wearing some protective thing? Who in heavens is the arrogant person attacking the person who had a simple question about tingling? I wonder about it also only I haven't had surgery yet. It's most unpleasant, like sticking your finger in a light bulb socket with bare feet standing in water. Dear writer, I hope you didn't experience very much of that unpleasantness. Having a great deal of experience with the electrifying feeling, mine, so far, all are caused by compressed nerves related to DDD of my entire spinal cord. I've been getting ablation therapy for it and it really helps if you get an experienced doctor.You have my sympathy writer for your suffering and for being bullied here. The only stupid question is the unasked one, in medicine it's a crap shoot of guesswork. Some physicians are better guessers than others and have pleasant bedside manners.
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  #12  
Old 25th March 2011, 08:26 PM
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Default Re: weight bearing post Jones fracture

Hi Foot Doc,

I suffered what appeared to be a Jones fracture in my right foot, with no bone displacement but a clear break through the bone. I was placed in a cast for three weeks and told to weight bare, letting pain be a guidance. I managed to do very little on the foot, only really resting it while standing. I returned for a check-up after the three weeks (two days ago) expecting another x-ray and, after reading many posts about the injury, a cast for a further three weeks. However, despite pain, and inability to walk and heavy swelling (I have pictures but cannot upload them here, there is a very distinct line of purple and red across the bone) I was not given another x-ray or a cast. The doctor simply told me to go away and start heal-walking and to build my confidence. Even so, he said the bone would take a further eight weeks to heal!

Considering that most people are told not to weight bare for at least six weeks and are in plaster or a boot for that time, is my treatment correct?

At the moment I am unable to use the foot, which, to reiterate, is now completely free of protection. I am starting to feel pain in my shin bone even from simply resting the foot whilst sitting down. Is any physiotherapy, which I wasn't offered, advisable?

I realise every injury is personal and specific to the sufferer but I'm hoping I have provided you with the information you require.

Thanks for your time.
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  #13  
Old 25th March 2011, 09:07 PM
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Default Re: weight bearing post Jones fracture

If you indeed have a jones fracture (a break at the narrow part of the "bulb" at the ankle end of the 5th met), I would get another opinion. However, some doctors call any break at that end of the 5th met a "Jones fracture", when they're not really. If it is a base fracture (through the thicker part of the "bulb" at the ankle end of the 5th met), then often there is no cast, but you could wear a surgical shoe. I had a cast as mine went straight through into the joint, and was displaced.

I would get another opinion if that's an option for you, from an orthopedic specialist, not just a GP.
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  #14  
Old 25th March 2011, 09:30 PM
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Default Re: weight bearing post Jones fracture

Thanks for the reply smokey.

It was indeed a fracture at the place you've described. It was an orthopedic specialist I saw, describing it as a 'notorious fracture.' I was reluctant to have a cast at first as I know the problems they can and have caused but the specialist advised me the muscle and ligament could pull the bone apart without the cast.

It just seems strange to me that I have only had a cast for three weeks and no follow-up x-ray was given, even though I was told it would take eight more weeks.

I may seek a second opinion like you say.

Thanks again!
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  #15  
Old 30th April 2011, 04:32 AM
Tired of Jones Tired of Jones is offline
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Default Re: weight bearing post Jones fracture

Definitely get a second opinion!!

If you do have a Jones Fracture, I find you're treatment to be very peculiar.

I'm currently recovering (or trying to) from my 2nd Jones Fracture. Every time I have an appointment to check progress (every 4 -6) weeks, a set of x-rays are taken and compared to the previous set.

Good Luck with your situation. I go back in 3 weeks to see if I'm healed - really don't think I am but am sooooo frustrated with the limitations this puts on everything. Five months in an air cast is quite trying!! Nerves are wearing thin!
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  #16  
Old 4th May 2011, 09:41 PM
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Default Re: weight bearing post Jones fracture

I too was told I had a Jones fracture and then told to start walking on it , and to ditch my cast and crutches. I posted this experience earlier. I went for a second opinion and was told that the second doctor disagreed with the first doctor and said that weight bearing that soon would be a major deviation from conventional treatment for a Jones fracture. So I am back on crutches and hoping I didn't do too much damage after putting weight on it for a week. I would not put weight on that foot without a second opinion.
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  #17  
Old 10th February 2012, 02:48 AM
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Default Re: weight bearing post Jones fracture

well....i got my wonderful (NOT !) Jones Fracture on Jan. 23rd 2012 stepping off a step and onto my Labrador's huge butcher bone. The pain was almost as bad as childbirth(without drugs). The very next day I was diagnosed and promptly put into a cast. No bone displeasure. Just had my 2 week check up. No sign of ''healing '' yet....but was told that would not show up till around 3rd week (?). It still hurts, swollen etc. Back in cast for 2 more weeks...was told i would probably need it for an additional 2 weeks after that! Yes..i am going stir crazy. I have a husband..2 boys...a crazy hectic life...and its all come to a grinding halt! I haven't had time to read a book cover to cover in 14 yrs(since my 1st child) In the past 2 weeks I've read 5 books and know way too much about TV shows!!! This injury SUCKS with an emphasis on SUCKS!!Thanks to all who posted good advice, tips etc. I"m running (no, wait....hobbling) out tomorrow to get calcium pills and a refill on my Xanax. Any more good advice/tips....please let me know!Sad,bored,and pissed ....in Florida
l
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  #18  
Old 13th March 2012, 12:44 AM
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Thumbs up Re: weight bearing post Jones fracture

Hi I am up in Canada, and had a Jones fracture Feb. 3, complicated by a second fracture line at a 30 degree angle to the Jones fracture...I was told to do absolutely no weight bearing for at least 6 weeks, and fitted with an aircast for protection and stabilization. Followup xrays after 1 week to check for displacement, and every two weeks thereafter. I felt well looked after and the doctor's instructions were very clear. I followed my doctor's instructions very carefully, and modified my activity if I had pain, even while non-weightbearing. No driving or anything like that. Xrays show good healing so far, but am still off my foot for one more week (will be 6 weeks). Hopefully I am on the road to recovery! It has been a very difficult time, as I had to surrender my pup, as I was unable to look after him, and had just adopted him....be thankful if you have family to help out, and I hope that this never happens again....I hate being dependent on everyone else, and confined to my house when I'm not at work. Work....a whole other topic...I've managed to go back after 10 days, but it's completely exhausting. I'm going to try to use my foot in my cast for light balance starting next week....wish me luck!
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  #19  
Old 13th March 2012, 02:21 PM
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Default Re: weight bearing post Jones fracture

I have experienced a few pins and needles when i begin to walk but it goes after like a second. I think it's just your foot starting to go to sleep, like when you roll over on your arm at night and it goes lifeless. I have an avulsion fracture though so it's ok to weight bare, i have read online that you shouldn't weight bear with jones fractures so i would do so with caution and always use your crutches, if there is any pain then stop or lighten the load.
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  #20  
Old 13th May 2012, 12:53 PM
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Default Re: weight bearing post Jones fracture

i think it is normally
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  #21  
Old 8th June 2012, 12:39 AM
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Default Re: weight bearing post Jones fracture

I find I'm so worried about taking this longer to heal that I'm trying really hard to err on the side of caution. However, I too am tired of watching TV, reading books, surfing the net and playing Angry Birds. So, on the other hand, I have a strong desire to do anything that would help prepare my food for walking in 3.5 weeks.

I find I'm constantly analyzing any discomfort and trying to decide if it constitutes pain and if it is related to where I've broken my foot. I know that once I'm on vacation the temptation to do more is going to be even tougher to resist.

In the next few days I've got to figure out how to tidy up and organize my classroom on crutches... it'll be interesting.

I have this feeling like it would be nice to get up in the morning without needing to stop to look for crutches, but also that I'll still be looking for them long after I'm told I won't need them.

Speedy healing to you all,

Jennith
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