![]() Most commonly, the fifth metatarsal fractures through the base of the bone. Injuries to this bone may act differently than fractures of the other four metatarsals. The fifth metatarsal is the long bone on the outside of your foot. If you have an open fracture, however, your doctor will perform surgery more urgently. Surgery may be delayed for several days to allow the swelling in your foot to go down. However, if you have fractured several metatarsals at the same time and your foot is deformed or unstable, you may need surgery.ĭuring the procedure, your doctor will make an incision in your foot, then insert pins or plates and screws to hold the bones in place while they heal. This is followed by gradual weight bearing, as tolerated, in a cast or walking boot. Most metatarsal fractures can be treated with an initial period of elevation and limited weight bearing. High-impact activities like running can lead to stress fractures in the metatarsals.Ī stress fracture can also come from a sudden increase in physical activity or a change in your exercise routine. You will be given a local anesthetic to numb your foot, and your doctor will then manipulate the fracture back into place to straighten your toe. This procedure is most often done in the doctor's office. If the bone is out of place and your toe appears deformed, it may be necessary for your doctor to manipulate, or reduce, the fracture. Taping your broken toe to an adjacent toe can also sometimes help relieve pain. During this time, it may be helpful to wear a wider than normal shoe. As your pain subsides, however, you can begin to bear weight as you are comfortable. For several days, it may be painful to bear weight on your injured toe. Most broken toes can be treated without surgery. ![]() If the bone is out of place, your toe will appear deformed. Because it is the longest of the toe bones, it is the most likely to fracture.Ī fractured toe may become swollen, tender, and discolored. The proximal phalanx is the toe bone that is closest to the metatarsals. A fracture may also result if you accidentally hit the side of your foot on a piece of furniture on the ground - and your toes are twisted or pulled sideways or in an awkward direction. Remember just because you can add in some cycling doesn’t mean that you should be cranking high resistance 7 days per week! It should be added in to slowly and progressively increase the load and provide some variety.Stress Fractures of the Foot and Ankle Fractures of the ToesĮven though toes are small, injuries to the toes can often be quite painful.Ī fracture of the toe may result from a direct injury, such as dropping a heavy object on the front of your foot, or from accidentally kicking or running into a hard object. Should aim to be performing a spin class by the end of week 4. Yes: Swimming, upper body weight training, cyclingĪs previous PLUS add in cycling. For occupations with significant walking/ weight-bearing a walking boot may be required. High rep no rest circuit of upper body weights.ĭay to day activity: Weight-bear as tolerated.Swimming preferably with pull buoy to limit kicking.Sample exercise session for an endurance athlete: No: Walking, running, cycling, rowing, elliptical, anything with weight bearing Yes: Swimming, upper body weight training, grinder Such causative factors must be effectively addressed or injury will recur.ĭay to day activity: Weight-bear as tolerated. Tight constrictive footwear or elevated heels may increase the workload and stress on the metatarsal bones. Disturbances in a female’s menstrual cycle may also be a contributing factor. Other factors that may contribute to a stress fracture include changes in training load and / or frequency, training surfaces, footwear, biomechanical abnormalities (having a long second toe or flat feet) and muscle tightness or fatigue. If there is an abnormal, rather than even, distribution of force due to altered biomechanics the degree of loading is compounded further. ![]() When running, the force that will travel through the foot is often 3-4 times body weight and when jumping the force can be as high as 10-12 times bodyweight. Bones are very resilient but force in this area can add up quickly. Unstable foot mechanics and excessive loading of the bone are the two most common, of many contributing factors. Stress fractures of the metatarsals can occur due to a multitude of factors. Tennis and Golfers Elbow (Tendinopathy/ Enthesopathy).Acromioclavicular (AC) Joint Osteolysis.Metatarsal Stress Fracture (excluding 2nd and 5th MT).Interdigital Neuromas (Morton’s Neuroma). ![]() Posterior Cruciate Ligament Injury (PCL).Medial Collateral Ligament (MCL) Injury.Chronic Exertional Compartment Syndrome (CECS). ![]()
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