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What should I do if my metatarsal fracture is getting worse?

However, in most cases, patients are placed in a cast or aircast walker boot, which significantly increases their recovery rate and reduces the risk of non-union. It is possible for a simple 5th metatarsal fracture to heal without a cast, and this can often occur in patients who didn’t realise they had a fracture. Related Article: Best Running Shoes after 5th Metatarsal FractureĬan a broken 5th metatarsal heal with no cast? Wearing supportive, cushioned footwear when returning to running is one of the most important factors alongside your rehabilitation. A running gait analysis before returning to running is essential to identify any factors in your gait that may lead to an overload of your 5th metatarsal. Running could commence on a treadmill initially, as it has some cushioning and then progress to flat smooth surfaces outdoors. We usually recommend that our patients practice hopping on one foot for 3 x 45 seconds if there is no pain, they can progress onto running. It is recommended to begin with pain-free walking followed by a hopping protocol before returning to running after a 5th metatarsal injury to reduce the risk of recurrence. You can return to running 6-8 weeks after your initial diagnosis of a 5th metatarsal fracture if there are no complications during your recovery.ĭepending on the fracture location and size, some athletes can return to running 6 weeks after a simple stress fracture to the 5th metatarsal, but complex fractures may require up to 8-10 weeks. How soon can I run after a 5th metatarsal fracture?