Metatarsal Stress Fractures - Causes, Treatment, Prevention
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- čas přidán 23. 07. 2024
- In this video, Maryke discusses the most common types of metatarsal stress fracture. She looks at what causes stress fractures in runners, how to diagnose them, how to treat metatarsal stress fractures, and how to prevent them. She also explains what exercises you can do while you recover.
🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
👉You may also find this video useful: Metatarsalgia: Causes & Treatment: • Metatarsalgia: Causes ...
Chapters:
00:00:00 Introduction
00:01:31 High-risk vs. low-risk metatarsal stress fractures
00:03:09 Causes of metatarsal stress fractures
00:08:13 What does a metatarsal stress fracture feel like?
00:09:45 What other injuries may feel like a metatarsal stress fracture?
00:10:40 Treatment of metatarsal stress fractures
00:14:26 How to prevent metatarsal stress fractures
00:16:55 How we can help
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References:
Brukner, P. & Khan, K. (2017). “Brukner & Khan's Clinical Sports Medicine. Volume 1: Injuries (5th edition.)” McGraw-Hill Education: Australia
Kaiser, P. B. et al. (2018). "Stress fractures of the foot and ankle in athletes" Foot & Ankle Orthopaedics 3(3): 2473011418790078
Mallee, W. H. et al. (2015). "Surgical versus conservative treatment for high-risk stress fractures of the lower leg (anterior tibial cortex, navicular and fifth metatarsal base): a systematic review" British Journal of Sports Medicine 49(6): 370-376
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perfect diagnosis and analysis! Thank you so much for this! Exactly what I need at the moment
THANK YOU for doing this extremely informative and easy to understand video. I have been out of commission the last week with what I am sure is a stress fracture on the right foot 3rd metatarsal. I have found a physiotherapist for the first time in my life (I'm 61) and think he is the only person who looked at my foot properly.. I can see that my joining new fitness programme that's very difficult has probably been a factor in my injury.. appreciate your help x
"What does a stress fracture feel like " is at 8:14.
"There are other things that feel like a stress fracture" is at 9:47
Thank you for all this helpful information. Very clearly explained. Some podcasters put in the information a table of topics.... or even put it in the video. I suggest that to help people. I'm coming to this wondering if I have anything remotely likely to be a stress fracture... is there anything about that in this video? Turns out, yes: at 8:14. But I only learned that at the end when you refer back to it, cause I missed it when I skipped through the video looking for it. Thanks
There is no better video on stress fractures than this video !!!! THANK YOU 🙏
You're so welcome!
I totally agree!!
I've had a metatarsal stress fracture in the second metatarsal 3 times now. I think it's just the weakest spot in my body. 3 times in a boot, last time a year ago. I loved walking, hiking and swimming. Now I limit activity until I'm a few years in the clear, it's just not strong enough. I just twisted my ankle slightly too, so I'm on bed rest. So hopefully that heals soon. I'm not overweight, get sun, eat healthy, do all the physio. Hope my foot gets stronger, think driving might be a factor. No other weak spots. I don't dare to run or jump, rollerskate or ride a skateboard, not until I have a strong foot. Podiatrist and physio can't see anything wrong with gait etc... Everytime I overdo exercise I get some pain and know to take it easy. It's not what I want, it really takes years to get it strong, I'm in my 40's.
Check your vitamin D, and make sure your calcium and D intake is high enough to meet athletic demands…. It’s more than the standard for the average person
Very helpful and clear explanations.
Thanks so much for this. This is exactly what I needed to hear. I've had a niggle in my foot and have worked out that it is a metatarsal stress fracture. Every other video was very vague and general. This was very detailed and so useful
Glad it was helpful! Good luck with your recovery 🙂
I was just diagnosed with stress fractures in the base of my 4th and 5th metatarsal. It is very tender.
How are you now? I broke mine 6 weeks ago. Just removed cast and tried to walk but it is painful and swelling.
I'm currently recovering from a stress fracture in my 2nd metatarsal bone. So no jump rope, mtb or trail running for a while. Good thing I love to swim! 🥰 Thank you for explaining this type of injury better than my GP 🤣
That is exactly What happened to me! Thank you!
Super information. Did the podiatrist and think they missed that I may have stress fractures and they went straight to biomechanics on a 59 year old runner.
I have done it to both of my feet in the last two years. Both in the middle shaft of 3rd metatarsal. Always when I don’t wear good shoes.
This video was amazing. Thank you so much!
You're so welcome!
Excellent channel 👍🏼
Thank you so much for the informative video. God bless you.
It truely helped a lot
You are very welcome
Very helpful, thanks!
Glad it was helpful!
Very helpful, thank you.
Glad it was helpful!
Such a great helpful video.
Glad it was helpful!
This has been so helpful.....thank you! Could you please tell me what brand the cushioned shoes are you use? They seemed softer than Crocs that I have tried. I would appreciate some input on that. Thanks again!
Great video thank you!
My pleasure!
thank you
Thanks a bunch, very informative. Came here from the website article.
Thanks for watching!
Thank you for this video
My pleasure
This is really good. i had no idea i had a stress fracture in my third metatarsal shaft until i had an xray for pain in my big toe. The rest of the toes were xray , and it showed new subtle periostal reaction to distal shaft. Odd nothing showed up in big toe where pain is, but no pain with stress fracture as already had mortons neuroma so this pain was masked maybe. Cant think how this happened but started walking up to 9 miles in Yorkshire in the spring and have a bit of osteoporosis in lower spine. usually do 4-5 miles so it was hard going and id had very little sleep on that trip. I contine to walk on it short distances, for now. as not symptomatic but i wear Sketchers which rock off the toes! Im 3 pounds overweight so will lose that. Seeing GP tomorrow.
Thankyou mam! You explained everything in such a good manner
My pleasure!
Thank you so much!
You're welcome!
Subscribed. Thank you, very helpful.
Thanks for the sub!
@@SportsInjuryPhysio Hey, so I ended up with what I suspect to be a stress fracture on that fifth metatarsel on the side from over running after a long break. I compensated by walking instead and walking sort of on the inside of that foot. Now I feel a similar pain in the heel too. I've been taking days off at a time and trying to do couple mile walks but it seems to keep flaring back up. Suggestion? I know you mentioned progressive overload. Seems anything I do brings me backwards for a few days. Feel stuck. :/ very frustrating
Thank you for a great video! It's very helpful and I've learned a lot more than from my physitian, sadly...
You're welcome!
Thanks for your very informative video ❤❤.
My pleasure 😊
Thank you so much
You're most welcome
I had the top of my foot ran over directly in the middle. Had a bit of bruising and pain after it happened but that was it. It's now been 2 years since it has happened and now my big toe is very tender and hurts a lot, especially at night. It seems like it's stuck flexing upwards a little bit and i can't bend it at all. I've been doing a lot of research and I'm thinking it is checkrein deformity possibly. It seems to me that it's the big tendon on top of my foot that hurts, the one that runs into the big toe, because it's stuck bending my big toe upwards. I can't put any weight on it either it hurts like a mofo. The pain is right at the top, where the toenail is but sometimes my calf feels achey and some days my ankle will hurt a little as well, but mainly my big toe. Any ideas what it could be?
Helpful and clear video. I'm rehabing a stress fracture in the second metatarsal and I'm back to running thanks to Steph from Sports Injury Physio! I'm up to 45 minutes of running three times a week. Are there any manual manipulation techniques done by physiotherapists that could be helpful in the rehab process ?
Not really - it's the bone that needs to heal and it's only load management that can do that. Good luck with your recovery!
@@SportsInjuryPhysio Great thanks 😊
Thank you for a great video - this one and Metatarsalgia: causes and treatment. If I buy an orthotic do I need to buy trainers one size up else my current trainers may feel too tight with an insert?
I can't say. Maybe try the insoles first with your current size trainers and see how it feels.
I've watched this series in the past and find it very helpful. Thank you
Glad it was helpful!
Great information. Im told that high arches also causes this, but I noticed you didn't mention that.
It's because I don't really agree with saying that it is a cause - It may predispose you to injuring that area, but in themselves they are not really the cause - you still need something else to trigger it e.g neglecting recovery or overuse.
When I'm sitting no pain when I stand it and walk it hurts I prop my 🦶 up using ice and heat doing light exercise and it still hurts
Hi Maryke, thanks a lot for this detail video . I have metatarsalgia on the 4th toe and it feels little bit thick and tender on that 4th joint or metatarsal bone. How long does it take to heal metatarsalgia on 4th toe?
Hi Sashi,
Healing times depend on many factors, so it's not possible to say without having done an assessment of your injury and your circumstances. If you would like one of our physios to do an assessment and compile a personalised treatment plan, you can find more info here: www.sports-injury-physio.com/
On Sunday I rolled my ankle and felt a ping. Went to a doctor and had a x-ray found with my 5th metatarsal at the base was broken.
Can I get this from climbing (bouldering)
Superb video. I suppose losing weight if you are overweight would also help long term as this is a kind of off loading. I suspect a 5th metatarsal stress fracture near the base. I'll try offloading and cod liver oil tablets (vit D) for a few weeks and if that doesn't improve things then I guess it's a trip to the doctors.
Hey...how is ur fracture now...i myself hv a 5th metatarsal fracture...sharing ur experience will help me..thank you
@@Tanvi-xm3koFrom memory, it gradually improved over several weeks by itself. I temporarily reduced physical activity and avoided anything impactful, but I never had a formal diagnosis. I hope this helps.
@@skippyshake thank you....did u continued normal walking like going to your work or study
@@Tanvi-xm3ko I cut down on walking my kids to school (15 mins each way) and used the car instead for about a week or 2 then went back to gentle walking if there was little or no pain and built up from there to normal.
Probably have mine for two years in the fourth and recently hurt the second because of over compensating. Doing physio on my knees and ankle makes it hard for it to heal
I rolled my ankle a few weeks ago and thought it was just a sprain but after 2 wks decided to hit podiatrist because it was not feeling any better. Sure enough x-ray showed a hairline fracture but he said it didnt need surgery so he put me in a boot for 3 wks. I return tmrw to see what is going on and I'm hoping he says no more boot but I'm scared he says 3 more weeks..yet he seemed optimistic I could run my half marathon in december....
I have a distracted fracture involving the lateral base of the 5th metatarsal with a proximal fragment displaced approximately by up to .6 cm. Do you recommend surgery for this type of injury or can it be healed with time? Thank you.
This is a question best answered by an orthopedic surgeon who specializes in feet as I'm not experienced enough on this subject.
Hi I recently completed an Ultra marathon but I was suffering pain to top of foot which got progressively more painful so with about 14k to go I stopped at the aid tent to get some medical help there was a doctor there who checked my foot and said there was a chance it could be a stress fracture. I told her that I was determined to finish as it was my first Ultra so she strapped me up with kt tape and sent me on my way advising me to seek further medical assistance if it got worse.
So at the moment I am resting and icing but want to do a bit of walking so should I strap up again and what sort of shoes can I wear .
You need to get it properly assessed so you know what treatment is needed - walking on a stress fracture usually just prolongs or interferes with healing. It may also just be tendonitis in which case exercise is the correct thing to do.
i have a stress fracture and im currently in a cast its been 2 weeks and im still in pain and im a hiit training addict gym addict plymoetric all of that and im losing hope its def taking a mental toll idk what to do anymore
i feel like im never gonna be as strong as i was and i wont be able to do what i love and its killing me actually
@@bntvictor try trump
@@bntvictor how are u now?
Can this be confused for a bone spur? I’ve been treating a right plantar plate tear, and now have pain in side of my 1st left metatarsal as a result of compensating and bad orthotics
The diagnosis has to be made combining info from scans + your physical assessment results from doctor + history of symptoms - there are many different things that can cause pain in mid-foot area.
I have danced for years and I got 3/4 toe pain suddenly. My gait is fine. Strength training for my feet seems a good option. The orthotic makes it worse. No orthotics is ok. Can t walk on hard floors
You may also want to investigate if it could be Morton's neuroma or metatarsalgia. A podiatrist should be able to help you figure this out.
Does localized swelling, typically at night indicate a stress fracture? I also have pain when first stepping down upon waking in the morning and tenderness when pressing on the top part of my foot. I am a runner, running 5 days a week, about 25 miles. Any information is much appreciated.👍
Pain at night is often a sign of a fracture but swelling can be tendonitis or a sprain. Best is to get it checked - then you don't have guess.
My foot is hurting so bad on the top by the third toe. Xray showed nothing. A week later after prednisone it’s hurting again bad
Boot made it feel worse
I have metatarsalgia and mortons neuroma
How did you heal? The toe won't straighten and it hurts at the base. I was sent home with no real help.
I have the same pain. Did u heal ??
X-rays usually miss stress fractures according to my podiatrist
Hey , how long would you say a displaced metatarsal shaft stress fracture would take? I’ve been out for 14 weeks and it’s still not fully healed
It can take a very long time, but best to ask your doctor this as they will have more context regarding your situation to make a more accurate prediction.
How long after fracture of the fith metatarsal should you star6 therapy,?
Your doctor will advice on the best time - it depends on your fracture and healing
My CT scan if the foot showed a "chip fracture on the superior anterior part of the medial cuneiform" which is on top of the foot below the big toe. I cannot seem to get my doc to explain whether it includes a torn tendon or ligament.
If the report does not mention any torn ligament or tendon, does that mean it is only the bone that chip fractured on its own?
Not sure - sometimes the report will make a sweeping statement that no other injuries are noted.
This stress fracture is super painful it hurts so bad at times I want to sit and cry its really messed up
Hello I was wondering what the treatment was for your fracture.
Hi
I have 2nd 3rd and 4th metatarsal having communated fracture. It's my 14 day. It is covered in Plaster cast. I am taking rest and using walker for washroom. The 5th metatarsal have little bit of crack but not so much. So I am very curious about this. How much times does it will take ? Also the plaster cast seems like my foot is inside in stones around 😢😢😢
I know yours is not an ankle fracture but this video might help provide answers: czcams.com/video/q7aMU9salbU/video.html
I have been going to a surgeon for 8 months and only NOW have they ordered an MRI. It’s madness.
I had an acute fracture at the base of my 2nd metatarsal but didn't get it seen to for 8 months. It's now been a year, and it's still painful. Not sure if it will heal on it's own or not :/
@franciscoadriano944 yes it's healed now thankfully. Took 1.5yrs in total! The best thing I did was start lifting weights (mainly upper body), as this seemed to put my body into a faster healing state.
I have a stress fracture hairline on my 5th metatarsal since august hasn’t yet healed I’m 29 active I don’t know what to do
You may actually find that doing eccentric movements into the positions provide better lengthening than only static stretches. Eccentric contractions have been shown to be best at lengthening tissue over time. So doing active moves first, then add in eccentric component and then end with gentle static stretching. I would just be careful with doing al this twice a day as it is very easy to overstretch the groin and cause injuries like adductor tendonitis.
I think I just have one yesterday.. very painful.. I can't walk..
Is pain in the soft tissue between the first and second metatarsals, but not on the metatarsal bones, unlikely to be a stress fracture?
That will more likely be Morton's neuroma. Stress fractures are usually painful on the bone with palpation.
Hello, I hope you can help me, please. I will never forget your favor. I had a fracture in the metatarsal and inflammation of the tendon around the fracture. I treated it and strengthened it in order to return to sports, but there is pain. The tendon around the fracture prevents me from playing football. I cannot run as hard as I can and I cannot I hit the ball as hard as I could. I went to many doctors and did not get any benefit, and I am afraid that the injury will return again.
I can't really provide any useful advice if I don't know all the details of your situation - for instance, which tendon is the one causing trouble, what your rehab journey has been, how strong your foot is at this moment with different movement tests etc. A doctor is likely not the best person to consult about this - you may benefit more from consulting a physiotherapist who can assess it for you and then prescribe the correct exercises.
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
Are any causes of Gout relative to these injuries?? Its really frustrating how x rays dont find anything and podiatrists have a hard time understanding these injuries
Gout can mimic any types of foot pain - if a patient has a history of gout or the history they give sounds more like an inflammatory condition (especially if they did not actually do an activity that could have caused the injury) I always get them to see their doctor and ask for gout test.
I'm watching this video because I do a lot work on roofs walking on not not flat roofs my 5th metatarsal started hurting right on that corner of nowhere now I can't walk without pain!! I need advice on this!
It may just be the peroneal tendon but it may be good to get it checked and make sure it's not broken. If it is the tendon, recovery can be a bit tricky if you can't stay off severe inclines. Any chance you can pick the side of the roof you go on so that foot is on top and not rolling out into supination so much? This video may help you understand why I say that: czcams.com/video/MroDMgDAgJk/video.html
@@SportsInjuryPhysio thank you so much
That's right but it's not just people on the other side of the Equator it's I live in Florida Central Florida 80% of Floridians are D3 deficient this is ludicrous and the doctors don't even check D3 levels unless you tell him to
I have hairline fracture in 1st metatarsal what to do plz help me?
Your doctor should guide you with regards to treatment for this.
Currently have a 3rd metatarsal stress fracture. Do I need a boot?
A boot is usually useful for that but speak to your doc about best options.
I have a question. I had an X-ray and an MRI a little over a year ago. The X-ray didn’t show a fracture. Apparently the mri didn’t show a fracture. According to the report it says I have intramuscular fluid/edema in the 2nd and 3rd metatarsals. Could that mean a fracture
Not usually - what did the doctor say is the cause - usually the doctor should review the report and then give you a diagnosis and treatment plan.
@@SportsInjuryPhysiothe podiatrist said arthritis. The injections didn’t help me. She has had me try metatarsal pads. That aggravated more. She suggested plantar fasciitis. I don’t have a lot of heel pain. Mine is felt on the bottom of the foot. It doesn’t go into the ball of the foot and by the toes. If I touch the bottom of my foot under the 1st-3rd metatarsals where you could get a stress fracture, it feels bruised. I describe the feeling I always having a marble in my foot. Also when you touch the top of the foot where you can get a stress fracture at the metatarsals, it’s very sore to touch. It feels like a bruise. I was wondering if a fracture can cause edema and there’s so much that the fracture wasn’t seen or could someone just didn’t read it right
That sounds more like metatarsalgia czcams.com/video/uqatyy-vlJc/video.html (which can be secondary to arthritis)
@@SportsInjuryPhysio I had an X-ray this past Thursday and I have an either a tumor or bone spur on the first metatarsal pushing on the 2nd metatarsal. I’m going to have to have surgery
I’ve got pain on the top of my foot, I can barely walk, any ideas what it could be?
It really depends on how it started - there are several different things including tendonitis, injury to the bones, gout etc.
@@SportsInjuryPhysio thanks for answering, it literally just started from just walking around at work last Monday, and has keep getting worse since
Hello ma'am, I have a fracture on the 3rd metatarsal bone I consulted my doctor and he applied cast plaster on my leg
It's been two weeks of casting and I still can't move my fingers
Is it normal?? Is my leg healing?
You should rather ask your doctor what is expected as I can't tell without assessing you.
Same for me on got a fracture on the base 3 rd metatarsal it's hairline doc just told for cast feeling a bit anxious now
@@Mkbis870for how much time u had a cast on
..also how is it now....kindly reply
@@Tanvi-xm3ko 28 days cast even though it took me more 20 days for me to walk perfectly As a crack was minor but near the joint one of the doc suggested for k wire fixation but unnecessarily surgery would be more complicated so I went with the doctor who just told me to put a cast instead
Note : the pain will last for 6 months even after recovery iam on 4th month now its better I can do regular activities but sometimes it sores and hurts need to take precautions like no leg days in gym no jumping or putting putting a pressure on fracture leg for min 1 year
@@Mkbis870 Thanku fr ur reply😊
I didn't twist my ankle, but i did step wrong somehow and felt a sharp pain. This was a ay after seeing my podiatrist because my new orthodics were causing pain on the outside of my left foot and he gave me a boot to use. The morning after the sharp pain my foot feels like i have something loose or rubbing everytime i step. Has anyone else felt this?
I think you need to get it checked - you may just have sprained something but it is also possible to have fractured something.
It seems that neuroma, metatarsalgia, stress fractures and capsillitus can all seem very similar And have similar treatment, am i far wrong?
Very similar but there are minor differences e.g. there may be a period of putting no weight on the foot for stress fracture.
I spend 7 weeks with stress fracture.doctor said,now I can walk and put weight on the broken leg. But it is painful and swollen. I'm afraid to walk. Please advise
This video may be useful to help you walk, but you must also speak to your doctor about the pain and just check if it is what they expect you to feel or if something need to be done about it: czcams.com/video/4EEduvOX__8/video.html
So walking barefoot or in flip flops for 20 miles , could do this. My foot was bruised and swollen when I finally found safety.
Yes, it can
C est possible d avoir la vidéo en Français...
Désolé, nous ne parlons pas français.
Do impacted fractures need surgery
I don't know - best to ask your orthopedic doctor
how can i contact you?
Hi there,
You can contact me here: www.sports-injury-physio.com/contact
Probably have mine for two years in the fourth and recently hurt the second because of over compensating. Doing physio on my knees and ankle makes it hard for it to heal