Metatarsal Fracture: Care Instructions

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Your Care Instructions

Metatarsal bones of the foot

A metatarsal fracture is a thin, hairline crack to the fifth metatarsal bone of the foot. The fifth metatarsal is the long bone on the outside of the foot. This type of fracture usually happens from repeated stress on the bones of the foot. Or it can occur when a person jumps or changes direction quickly and twists his or her foot or ankle the wrong way. This fracture is common among dancers because their work involves a lot of jumping, and balancing and turning on one foot.

Treatment depends on how bad the fracture is and where the fracture is on the bone. You may or may not have had surgery. Your doctor may have put your foot in a cast or splint to keep it stable and given you crutches to use to keep weight off your foot.

A metatarsal fracture may take from 6 weeks to several months to heal. It is important to give your foot time to heal completely, so that you do not hurt it again. Do not return to your usual activities until your doctor says you can. Your doctor may suggest that you get physiotherapy to help regain strength and range of motion in your foot.

You heal best when you take good care of yourself. Eat a variety of healthy foods, and don't smoke.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It is also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Take pain medicines exactly as directed.
    • If your doctor gave you a prescription medicine for pain, take it as prescribed.
    • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
    • Do not take two or more pain medicines at the same time unless your doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • Follow your doctor's instructions about how much weight you can put on your foot and when you can go back to your usual activities. If you were given crutches, use them as directed.
  • If your doctor suggests it, put ice or a cold pack on your foot for 10 to 15 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice and your skin. Keep your cast or splint dry.
  • Prop up your foot on a pillow when you ice it or anytime you sit or lie down for the next 3 days. Try to keep it above the level of your heart. This will help reduce swelling.
  • If your foot is in a cast or splint, follow the cast or splint care instructions your doctor gives you. If you have a removable fibreglass walking cast or a splint, do not take it off unless your doctor tells you to.

Cast and splint care

  • If you have a removable fibreglass walking cast or a splint, ask your doctor if it is okay to remove it to bathe. Your doctor may want you to keep it on as much as possible.
  • If you're told to keep your cast or splint on, tape a sheet of plastic to cover it when you bathe. Water under the cast or splint can cause your skin to itch and hurt.
  • Never cut your cast or stick anything down it to scratch an itch on your leg.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • You have increased or severe pain.
  • Your foot is cool, pale, or changes colour.
  • You have tingling, weakness, or numbness in your foot and toes.
  • Your cast or splint feels too tight.
  • You cannot move your toes.
  • You have a lot of swelling below your cast or splint.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

  • The pain does not get better day by day.
  • The skin under your cast or splint burns or stings.
  • You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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