![A patient with a broken metatarsal may be able to walk](https://images.medicinenet.com/images/article/main_image/broken-metatarsal.jpg?output-quality=75)
A patient with a broken metatarsal may be able to walk, depending on how painful the injury is. Despite this, the patient with a metatarsal fracture is advised to avoid excessive walking, especially on uneven ground, to eliminate the risk of displacement. Displacement means the broken bones shift farther than the natural alignment. This is dangerous because it will cause poor healing, visible foot deformity, and even compromised nerve and blood supply to the foot.
- It is best if the patient avoids putting too much pressure on their foot if they have a serious injury; rest will help aid recovery.
- Many people continue to walk on their injured foot despite having a fracture. This can cause further damage to the foot or toe.
- The patient may have been walking around on a broken bone for weeks. Sometimes, stress fractures don’t show up on X-rays for up to 2 weeks after the injury.
- If the pain is not going away, the patient may need a second X-ray.
- The patient should always get a metatarsal fracture evaluated by a podiatric surgeon. A fracture that doesn't heal correctly can lead to arthritis, making the fractured area painful even after healing.
- Walking on an injured foot with multiple metatarsal fractures is not recommended, and it may cause further displacement of the broken bones and ultimately require surgical intervention.
What are the causes of metatarsal fractures?
The metatarsals are the long bones in the forefoot that lead up to the toes. Metatarsal shaft fractures are common injuries and cause pain and swelling in the mid and forefoot.
- Metatarsal shaft fractures are typically caused during sports.
- An accident such as the drop of a heavy object on the foot or sudden bend of the forefoot (i.e., a trip and fall on uneven ground) may cause a metatarsal fracture.
- Metatarsal shaft fractures can also be caused by direct loading and twisting of the foot.
- Sometimes, an automobile accident can cause an injury and a fracture to the metatarsal.
- If a patient has osteoporosis (fragile bones), it takes minimal impact to cause metatarsal fractures such as a miss-step or a sudden twisting movement.
- In addition to acute fractures of the metatarsals, repetitive intense activity (i.e., military marching) or a change in intensity of a particular activity can lead to a stress fracture of one of the metatarsals.
The symptoms of a broken metatarsal may include:
- Pain
- Swelling
- Bruising of the foot
- Inability to walk normally or sometimes
- Inability to walk at all
![](https://images.medicinenet.com//images/slideshow/12_causes_od_fatigue_s1_man_checking_cellphone_in_bed.jpg)
SLIDESHOW
The 14 Most Common Causes of Fatigue See SlideshowWhat are the treatment options for metatarsal fractures?
Most metatarsal fractures can be treated non-surgically if the fractured metatarsals are in an acceptable position. The other possible treatment options may include:
- The RICE method (rest, ice, compression, and elevation method)
- Removable/plaster cast
- Using a brace or support
- Rehabilitation exercise
- Surgery (rare cases)
Treatment of a single metatarsal fracture involves protecting the injured foot until the bone is healed. During this time, limited weight bearing in a stiff-soled boot or very stiff-soled shoe is recommended to support the fracture. Multiple metatarsal fractures are rare and normally are treated with restricted weight bearing.
Surgery is required in the following conditions:
- In rare occasions, manipulation of the bone to reposition them in an acceptable position is necessary.
- Occasionally, an “open reduction internal fixation” procedure is required to stabilize the bone. This may involve the placement of small plates and/or screws or using pins to realign the bone.
- Surgery may be indicated in the case of either a significantly displaced metatarsal shaft fracture or in the case of multiple displaced metatarsal shaft fractures.
Recovery:
- It typically takes 6-8 weeks for the bone to heal and get strong enough for the patient to resume full weight bearing in a normal shoe.
- It is often 4-6 months before a full recovery is obtained (return to unrestricted activities such as jumping and sprinting).
- There are some proofs that surgical stabilization for a displaced metatarsal shaft fracture can produce a slightly faster recovery time, albeit with the associated risks of surgery. These risks include infection and residual numbness around the toe or surgical site. In rare cases, excessive scar formation around the surgical site may cause toe deformity in the long term.
Recommendations:
- Smoking cessation is recommended to all patients with broken bones.
- Take regular pain relief (acetaminophen and ibuprofen) as needed.
- Elevate the leg while sitting by using pillows or a stool, which will help with swelling and pain.
- The doctor may recommend the patient to take vitamin D and calcium daily.
Top Can You Walk on a Broken Metatarsal? Related Articles
Broken Bone
A broken bone is a fracture. There are different types of fractures, such as:- compressed,
- open,
- stress,
- greenstick,
- spiral,
- vertebral compression,
- compound, and
- comminuted.
Symptoms of a broken bone include pain at the site of injury, swelling, and bruising around the area of injury. Treatment of a fracture depends on the type and location of the injury.
Broken Bones
Broken bones are a common type of injury. Bones are some of the hardest tissues in the body, but they can break when they are stressed. Osteoporosis and cancer may cause bone fractures. The broken bone needs immediate medical treatment.Broken Finger
The most common causes of broken fingers are a traumatic injury to the finger or fingers such as playing sports, injury in the workplace, falls, and accidents. Treatment for a broken finger may be as simple as buddy taping the broken finger to the adjacent finger, or if the fracture is more serious, surgery. Fingers are the most commonly injured part of the hand.Broken Foot
Broken bones in the foot are a common injury. Symptoms include pain, swelling, redness, bruising, and limping on the affected foot. Learn about treatment and recovery time.Broken Toe
A broken toe is one of the most common fractures among individuals. There are many causes of a broken toe, whether it is the big toe, middle toes, or little toe (pinky). Common symptoms and signs of a broken toe include pain, swelling, stiffness, and bruising. A broken toe can be treated with buddy taping the toe. There are instances where a doctor should be consulted for a broken toe.Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."