Metatarsal stress fractures

[tiger physio]

Does anybody know the recommended time period for non weight bearing for third metatarsal stress fractures? Is it simply a case of when pain free walking can be achieved? Also when is it sensible to commence activities such as aquajogging? Does anyone have any experiences to share of quick recovery from such an injury? Any advice would be greatly appreciated. Thanks.

P.S. The injury was sustained by a 25 year old male who is an avid runner. I believe it occured through a recent increased mileage and change of footwear.

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[neurospast]

In principle you have to expect a months time before full weight bearing But it always depends on the sort of fracture and how well it is "aligned". The fractures tend to heal fast and well. But keep in mind that final results are depending on the rehab. To let yourself and your patient be guided by "pain" is a good idea. Realise though that there are different sorts of pain (e.g.sharp/throbbing) which handles different sorts of information about what is happening at the fracture site. Increase of pain over time should be a red light as you can understand.
The problem though is you are having a sporty person who likes his running (otherwise he wouldn't run, to boring) so you have to hold him back otherwise in years to come he will be less greatful.
Cheers

[sdkashif]

As there is no displacement, neither reduction nor splintage is required. The fractures heals spontaneously, so treatment is purely symptomatic. The fore foot may be supported by an elastic bandage and normal walking is encourged right from the beginning. In some cases, no treatment is needed; but if pain is severe immobilization in a below knee walking plaster for four week is advised. In short, you may encourge walking right from the beginning but any vigorous activity such jogging should not be statrted before four weeks.