Treatment for Metatarsal Stress Fractures

A metatarsal stress fracture is a small crack that forms in one or more of the long bones in the foot, typically caused by repetitive stress from activities such as running or jumping. These fractures are quite common among athletes, particularly runners.

There are five tubular metatarsal bones in the foot, extending from the base of each toe to the middle of the foot. These bones provide movement and stability and create the arch in the foot. Specifically, the bone from the big toe enables forward movement while the other four bones provide stability. The arches in the foot are important for weight bearing and walking.

When intense exercise or repeat pressure on the foot exceeds the bone’s ability to heal and repair a hairline crack can form.

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Symptoms of a Metatarsal Stress Fracture

The main symptom of a metatarsal stress fracture is foot pain and tenderness, which worsens when bearing weight on the affected limb. Swelling and bruising may also occur, but these are less common symptoms.

Weakness may be felt in the area, along with a decreased range of motion, stiffness and problems with balance.

Diagnosing a Metatarsal Stress Fracture

A doctor can identify a metatarsal stress fracture through a physical examination of the foot and by taking x-rays. Although the x-ray might show a small crack in the bone, it is possible it may not be visible right away. Sometimes, the fracture may only appear after several weeks of healing.

The risk of developing a metatarsal fracture increases for those who:

Have had a stress fracture before.
Have bony irregularities in the foot.
Are experiencing hormone problems, a metabolic disorder or nutritional deficiencies.
Have poor strength and flexibility.
Are wearing inadequate footwear without sufficient shock-absorption.
Are running on hard surfaces.
Have a poor running technique.

Treatment for a Metatarsal Stress Fracture

The primary goal of treatment is to allow the fractured bone to heal. Suggested treatments include:

Rest: Resting the foot is crucial. This means avoiding activities that put weight on the foot, such as running, jumping, or dancing.
Ice: Ice can help reduce the pain and any swelling you may experience. Apply ice for no longer than 20 minutes at a time, up to 3 times a day.
Compression: Using an elastic bandage or compression sleeve can help to reduce swelling.
Elevation: Elevating the foot can further help reduce swelling. When resting, place the foot on a pillow or rolled up towel.

In some cases, other treatments may be suggested by your medical professional or sports physiotherapist, such as:

Bracing or a CAM Boot: A brace or boot can provide necessary support and reduce stress on the foot. Your sports doctor or physiotherapist will help determine the best option for you and guide you on how long to wear it.
Medications: Over-the-counter pain medication may be recommended. In more severe cases, stronger medications or corticosteroid injections might be considered.
Surgery: Surgery is rare for these types of injuries but may be necessary if the fracture is not healing or if pain is not manageable.
Addressing Other Factors: Any underlying health issues that may be contributing to the risk of a stress fracture need to be addressed with your doctor to help prevent further injury down the track.

Recovery from a Metatarsal Stress Fracture

Like all recovery, the healing time will depend on the severity of the injury. Most stress fractures will heal within 6-8 weeks, though some may take up to 12 weeks or longer. During this time, it’s important to avoid weight-bearing activities and listen to your body.

Once healed, you can gradually return to your normal activities, but a sports physiotherapist can help you with a safe rehabilitation plan. For a physio experienced with stress fractures in the feet, reach out to the team at Melbourne Sports Physiotherapy St Kilda, Blackburn, Essendon and Malvern East. They will provide a tailored treatment to your situation.

Physios can assist with pain management using soft tissue massage. When it is safe to do so, exercises to improve strength, balance and flexibility will promote returning to normal activities. They will provide advice on modifying your daily activities, supportive footwear and diet.

Preventing Metatarsal Stress Fractures

To prevent a metatarsal stress fracture, avoid excessive stress on the foot. If you are an athlete, gradually increase your activity levels and wear supportive shoes to help absorb shock. Also, listen to your body and rest if you feel pain or discomfort.

At Melbourne Sports Physiotherapy, their goal is to help you move pain-free as quickly as possible. They will have you feeling better in no time, as well as improving your overall movement, leading to a healthier and more active lifestyle.

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If you’re experiencing pain from sports, fitness training, or work-related stress, the expert physiotherapists and massage therapists can assist in reducing pain and stiffness. If you’re experiencing symptoms of a metatarsal stress fracture or simply want to prevent it, schedule an appointment with one of their skilled professionals today, either by calling or booking online.