This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. If the stress fracture has been caused by foot mechanics such as overpronation or oversupination then orthotics may be required to correct this. Start with a very slow return to activity and a gradual build of duration and intensity. Recommence activities only once all pain on touch and walking have cleared. The rest period should normally be around 4 weeks to allow sufficient healing. Rest from weight bearing activities when possible. They are common in army recruits (often called a march fracture), runners, ballet dancers and gymnasts.Too much training, too soon without enough rest.Stress fractures in the other metatarsals are less common, although they do occur. It is also more common in those who overpronate with the first metatarsal in a dorsiflexed position as this places greater load on the 2nd metatarsal. The most common position for a metatarsal fracture is the second metatarsal, especially in those whose second toe is longer than their big toe. Stress fractures to the metatarsals are the second most common location for a stress fracture, after the Tibia. This usually will involve the second, third or forth metatarsal bones. They can be fractured through impact for example a vicious football stud (acute fracture), or through a more gradual onset, where repetitive impact causes a stress fracture. Metatarsal fractures can be either an acute fracture or a stress fracture. Swelling is often present, although an X-ray will often not show the fracture until two or three weeks after it has started to heal. There may be a specific tender spot which is painful to touch at the point of fracture. The pain will be located towards the middle or front of the foot and is made worse by weight bearing activities such as walking, running etc. Symptoms include pain in the foot which occurs gradually. Contact our Dallas Podiatrist, Garland Podiatrist, or Richardson Podiatrist offices to schedule an appointment today.A metatarsal stress fracture is a fine fracture in one of the long metatarsal bones in the foot.Ī stress fracture can occur through overuse or poor foot biomechanics. Metroplex Foot and Ankle is a progressive group of physicians and surgeons who are committed to helping our patients to achieve their full wellness potential. Healing time ranges from 4 to 8 weeks and special attention should be paid to using well padded insoles or a functional orthotic in the shoes to reduce stress in the metatarsal area. A post-operative type of shoe or cam-walker is used to prevent the patient from pushing off the ball of the foot in order to eliminate any additional stress while the bone is healing and sometimes a short leg-walking cast may be applied for a short period of time. Sometimes a compression bandage is applied to help reduce the swelling. Treatment for metatarsal stress fractures initially consists of rest, elevation, and ice. How Do You Treat Metatarsal Stress Fractures? After several weeks your foot doctor may schedule an X-ray to find signs of new bone healing in the area of the diagnosed stress fracture. Your podiatrist will decide which tool to use but most diagnosis of these stress fractures can be made based on clinical findings making the bone scan or X-ray unnecessary. X-rays taken within the first two or three weeks after the injury may not reveal the injury but a bone scan may be more accurate. Your podiatrist will examine the foot for pain and swelling in the ball of the foot, which is most severe in the push off phase of walking. How are Metatarsal Stress Fractures Diagnosed? These stress fractures are common in athletes, overweight individuals, or in those with weakened bones such as osteoporosis. These fractures were once referred to as “March fractures” because soldiers developed foot pain from fractures after extended periods of time marching. Many times you may not be able to recall specific moment of occurrence because the injury is so subtle. While this is more common in the second, third, or fourth metatarsal it can occur in any bone in the foot. When excessive stress is placed upon the ball of the foot, a hairline fracture of one of the long metatarsal bones may occur.
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