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Lewis G. Maharam, MD Thursday, 16 May 2013 10:10 TWEET COMMENTS 0

Feet Don't Fail Me Now - Page 4

Metatarsal Stress Fracture

Overpronation can cause stress on the other metatarsal bones (the Jones Fracture described above affects only the fifth metatarsal). Early recognition of discomfort and subsequent adjustment with an orthotic can prevent a full-blown metatarsal stress fracture and an eight- to 12-week layoff. Water-running therapy (jogging in water deep enough that your feet don’t touch the bottom; also called “aqua therapy”) during the healing process is not as fun as being on the trails, so early attention to any metatarsal distress is important.

If you do have a stress fracture, all weight-bearing exercise—including cycling—must cease. You may be given an Exogen bone stimulator; you won’t feel the current from the bone stimulator which in certain cases can accelerate the healing process considerably.


Quick Guide: Metatarsal Stress Fracture

Symptoms: Pain over metatarsal.

How it occurred: Chronic overpronation or supination.

What the doctor may do: Palpate area. Gait analysis. X-ray. MRI.

Likely treatment: Orthotic or orthotic adjustment. Cushioned shoe. Exogen bone stimulation. No weight-bearing exercise for eight to 12 weeks. Note: Platelet-Rich Plasma (PRP) shows promise in speeding healing.


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