A fifth metatarsal fracture is a common foot injury that can take several weeks to heal. The time it takes to recover from a fifth metatarsal fracture depends on the severity of the injury. Here are some ways to help heal a fifth metatarsal fracture:
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Immobilization: If the bones are in place (aligned), immobilization is usually the only treatment necessary for zone 1 (avulsion) fractures. Providers may also treat zone 2 (Jones) fractures with immobilization as a first step. This can involve wearing a removable slipper cast or a tubigrip, which can be removed when in bed, to exercise the ankle and for hygiene purposes.
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Surgery: When bones are displaced, or there are multiple breaks, surgery may be the best treatment option. Surgery is common for mid-shaft or dancers fractures and for Jones fractures if more conservative treatments, like immobilization, prove unsuccessful. 5th metatarsal surgery involves inserting a pin, screw, rod or plate to secure the bone in the desired location.
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Bone stimulator: In some cases, a bone stimulator is used to accelerate the healing of a 5th metatarsal fracture. This is an external device that can help promote bone growth. This treatment is most common in a Jones fracture but can also be used to assist any immobilization treatment.
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Pain management: Taking ibuprofen or naproxen the first 24 hours after treatment can help manage pain. Talk to your provider about the best medication for you. Cold packs can also provide short-term pain relief.
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Rest and elevation: Resting the foot and keeping it elevated when resting can help reduce swelling.
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Physical therapy: Physical therapy may help the patient recover mobility in the foot and ankle and speed the resumption of normal activities. A full return to sports often occurs in three or four months.
It is important to follow the advice of your healthcare provider and to take care of yourself by resting your foot and keeping it elevated when youre not walking.