HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Non Displaced Fracture Of 5th Phalange

default
Posted on Mon, 31 Aug 2015
Question: On vacation Thursday evening (8pm) I accidentally collided my left foot forward into another object causing sudden intense pain in my pinky toe. I was near a first aid station and received immediate care (RICE) and ibuprofen. I rested Thursday and Friday (continued to elevate and ice) and went to the ER noon yesterday as the bruising and swelling was getting worse (although the pain was bearable, and toes were almost a little numb). At the ER, I was told I had a fracture of my 5th metatarsal called a "Dancers fracture" and was given crutches and a surgical shoe after my 5th and 4th toes were buddy taped. The pain was worse after leaving the hospital, and before I went to sleep I removed the buddy tape, which appeared to make the swelling and pain worse (I woke up feeling better, used crutches and shoe today with sock, no taping).
Before leaving for home today, I returned to the ER and asked for copies of my xrays. Upon review and some online research this evening, the fracture is not an avulsion fracture of the 5th metatarsal, but appears to be a closed non-displaced spiral fracture in the 5th phalange (bedpost fracture). Bruising is mostly around 5th/4th toes and upwards halfway up foot. Pain is minimal. My questions: 1) Should I see a podiatrist or orthopedist? 2) I am a runner and have many fall runs coming up. When can I run/bike/swim again - should this be gauged by pain or specific time frame? 3) Is there any way to determine how long I need to wear the shoe/use crutches? Both are very uncomfortable - are there any other options? I tried uploading the image but had trouble with this - the file is small. How can I resend???
doctor
Answered by Dr. Dr. Praveen Tayal (50 minutes later)
Brief Answer:
3-4 weeks of rest is needed.

Detailed Answer:
Hello,
Thanks for posting your query.
You have a small undisplaced fracture of 5th phalange.
1. It is best to consult an orthopedician rather than a podiatrist.
2. You need to avoid running for 3-4 weeks till the fracture is properly healed. You can do swimming after 3 weeks. The pain will subside in a week.
3. You will have to wear the shoe and crutches for at least 3 weeks. Other than that you can go for a plaster but it will be more uncomfortable.
4. You can upload the X-ray image in the box provided on the right hand side of this query page.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Non Displaced Fracture Of 5th Phalange

Brief Answer: 3-4 weeks of rest is needed. Detailed Answer: Hello, Thanks for posting your query. You have a small undisplaced fracture of 5th phalange. 1. It is best to consult an orthopedician rather than a podiatrist. 2. You need to avoid running for 3-4 weeks till the fracture is properly healed. You can do swimming after 3 weeks. The pain will subside in a week. 3. You will have to wear the shoe and crutches for at least 3 weeks. Other than that you can go for a plaster but it will be more uncomfortable. 4. You can upload the X-ray image in the box provided on the right hand side of this query page. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal