Base of 5th Metatarsal Fracture Physiotherapy Management

The fifth metatarsal is a long bone located on the outer edge of the foot. A fracture at the base of this bone can vary in severity and type.  Management Strategies:  Immobilization: Casting or Boot: In many cases, a healthcare provider will immobili

The fifth metatarsal is a long bone located on the outer edge of the foot. A fracture at the base of this bone can vary in severity and type.

Management Strategies:

  1. Immobilization:

    • Casting or Boot: In many cases, a healthcare provider will immobilize the affected foot with a cast or walking boot. This restricts movement, allowing the fracture to heal.

    • Non-Weight Bearing: During the initial stages of healing, it's crucial to avoid putting weight on the injured foot. Crutches or other assistive devices may be necessary.

  2. Pain Management:

    • Medications: Over-the-counter pain relievers like ibuprofen or prescribed medications may be used to manage pain and inflammation. Always follow dosage instructions and consult your healthcare provider before starting any medication.

  3. Physical Therapy:

    • Range of Motion Exercises: A physical therapist will guide you through exercises to maintain joint mobility in the ankle and toes.

    • Strengthening Exercises: Strengthening the muscles around the foot and ankle can help support the healing process.

  4. Activity Modification:

    • Modify or avoid activities that can exacerbate the fracture, such as running or jumping. Follow your healthcare provider's recommendations regarding when you can return to normal activities.

  5. Gradual Weight-Bearing:

    • As the fracture heals, your healthcare provider or physical therapist will instruct you on when and how to gradually reintroduce weight-bearing activities.

Lifestyle Modifications:

  • Ensure proper nutrition to support bone healing. Calcium and vitamin D are essential for bone health.

  • Consider supportive footwear and orthotic inserts to provide stability and reduce pressure on the foot.

Follow-Up and Monitoring:

Regular follow-up appointments with your healthcare provider are crucial to monitor the healing process and adjust the treatment plan as needed.

Surgical Intervention:

  • In some cases, severe fractures or those that do not respond to conservative treatments may require surgical intervention to realign and stabilize the bone.

By Charlie Molloy

 

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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