A stress fracture is a small crack in a bone usually caused by repetitive stress. Metatarsal stress fracture refers to a fracture in one of the five long bones in the foot leading to the toe bones. This type of injury occurs more commonly in the second or third metatarsal.
Symptoms
Pain occurs and intensifies during normal activity
Pain goes away with rest
Tender to touch at the site of fracture
Swelling on top of the foot
Causes
Repetitive stress to bone
Sudden increase in physical activity
Change in training or playing surface
Wearing worn-out or flimsy shoes
Alteration in foot mechanics
Abnormal foot structure
Conditions that cause bone insufficiency, such as osteoporosis
Treatments
It is important to see your doctor as soon as possible if you suspect a stress fracture. Delayed or improper treatment can result in loss of function and more fractures. Early treatment is aimed at relieving pain and allowing healing. Surgery may be required depending on severity of fracture.
RICE protocol: Rest, Ice, Compression, and Elevation
Avoid activities involving repetitive stress while healing
Over the counter pain medication, such as ibuprofen (Advil, Motrin) or naproxen (Aleve), as needed
Supportive shoe, with thick sole
Immobilization with post-surgical shoe, cast boot, or CAM walker
Use of crutches to eliminate weight-bearing
Physical therapy may be prescribed
Metatarsal Stress Fracture Discussion Board
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