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Treatment for 5th metatarsal fracture - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1358 Questions
User :   its been 4 weeks and my 5th metartasel fracture is not improving i am in a aircast boot and am planning to do some light weight walking with the boot. Is it safe to do so?
Doctor :   Hi,
User :   do u specialize in metartasel fracture
Doctor :   When was the recent Xray done ?
User :   27 nov 2010
Doctor :   may I know the report ?
User :   it merely says ...There is fracture 5th metatarsal. lignment as shown. No obvious callus formation is see. The joint spaces and the rest of the bones are normal
Doctor :   Are you on any medication for the same ?
User :   i've been in an aircast boot for 7 weeks now. i've adjusted it so there is no discomfort in walking in it. But is this afe to do so
User :   not on any medication since there is no pain. i just take calcium supplyments
Doctor :   No, since still the fracture is not yet fused its better not to put strain on the broken ends
User :   is it safe to be walking in the aircast boot or will it cause more damage to the healing process
Doctor :   continue on the calcium,
Doctor :   walking will surely affrect the healing
Doctor :   affect*
User :   what about just getting to the car and driving
Doctor :   tarsal bones bear the weight but the shear strain in on the metatarsals while walking which is a bad force and affects union of the broken bones
Doctor :   A little amount of walking is ok and driving car too is fine

User :   than what is the purpose of the aircast walker
Doctor :   it does help in immobilization but not completely protect if walking is more

User :   my next appointment with the orthopedic specialist will be in 3 weeks time. if there is no sign of the bone getting together what would that mean
Doctor :   Surgery, would be the choice
User :   what is the healing process for surgery? Are there any other complications involved? I am 48 years old
Doctor :   K wiring is done and the broken ends approximated which acts as a strong immobilizer and a uniting strength
Doctor :   the K wire may or may not be removed depending on the union of the broken ends

User :   is it common for the surgery to be done? what are the changes of natural healing?
Doctor :   yes, it is a common procedure in non union

Doctor :   natural healing is the resort, but aided with K wiring and calcium and VIT D3 supplements
User :   sorry but what is k wiring
Doctor :   Its a steel wire called with name K wire which is used to join the broken bones ,
User :   and what would the recommended dosage of calcium be? I'm presently taking caltrate 600 plus
Doctor :   That is a good dosage ,
User :   are you an orthopedic specialist?
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   where are u based?
Doctor :   India
User :   one more question? is it normal for there to be absolutely no progress even after 4 weeks after the injury?
Doctor :   not normal , but common in a 48 year old
User :   so with my age are there chances for a normal recovery without surgery?
Doctor :   yes, but delayed
User :   approximately how long?
Doctor :   May be 7 to 8 weeks also , depends on various factors like nutrition , hormones, work, medication and other illnesses
User :   ok before i log off is there any advise to speed up recovery?
User :   nutrition?
Doctor :   Yes, calcium rich foods , dietary calcium is better than medicinal, strict immobilization, Vit D ( sunlight ), Also protein rich food
User :   ok tq very much for your time.
User :   bye for now.
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye
Doctor :   take care
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