Metatarsal Stress Fractures

Stress fractures can occur in the foot due to repetitive strain.  This can affect a variety of bones in the foot.  It is most common in the 2nd metatarsal.  This injury is most common with:

  • Individuals involved in high impact sports (running, jumping and dancing) – especially when inadequate footwear is worn
  • Runners who rapidly increase training levels – onset maybe 3 weeks after increasing training levels
  • Individuals who walk excessively
  • Individuals with an eating disorder
  • Individuals who have rapidly gained weight
  • Individuals who have changed their footwear

Symptoms

  • Gradual onset of pain that is usually deep and nagging in character
  • Pain aggravated by weight bearing
  • Pain may occur at night
  • Swelling possible

What you can do

  • Rest and modification of training.  It may be necessary to use crutches and avoid weight bearing on the affected foot for up to 8 weeks.
  • Lose weight
  • Review footwear

What we can do

  • Perform tests to confirm diagnosis
  • Improve mechanics of foot to improve shock absorbing capability and therefore reduce stress on foot
  • Improve mechanics of leg and hip to take the strain of the foot

Further treatment options

  • Referral for MRI or x-ray

Referral for MRI or x-ray


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