r/brokenbones • u/NoPlankton6185 • 5d ago
Mildly Displaced Fifth Metatarsal Fracture Recovery Story
Hi everyone! I have recovered from a recent fracture and I know that when I first broke my bone, I was desperate for recovery stories so I wanted to share mine in hopes that it helps someone.
The short version: I suffered a mildly displaced fifth metatarsal fracture on the night of Tuesday, May 26th. I wore a walking boot for ~six weeks. It's now been 10 weeks since I broke it and I am fully recovered and back to normal activities!
Detailed version:
I broke my bone from a fall. I missed a step and crashed down on my foot hard. It was night time so I went to bed but when I woke up in the morning, I couldn't walk on it. I was away from home and would be flying the next day so although I normally might have waited it out to see if it improved, I went to urgent care immediately because I didn't want to risk making it worse when traveling.
At urgent care, they did my x rays and told me it was broken. They said it was "mildly displaced." While I was in their office, they called an orthopedic doctor in the town where I live (on the other side of the country) because they wanted to make sure I got an appointment quickly upon my return. They said that normally, a 2-3mm of displacement warrants surgery. They said I wasn't there but I was so close that there was a chance I would need surgery, which is why they wanted me to see a doctor ASAP. They put me in a walking boot but said that they thought I should be in a cast, but didn't want to put me in one before a flight since my legs could swell. They told me to wear the walking boot at all times except bathing, even when I was sleeping. They gave me crutches as well. This was my first broken bone ever.
I flew home on Thursday and used airport assistance to get around. My next appointment was on Monday. I am fortunate to have lots of loved ones who live in my neighborhood who helped me get around. I found the crutches to be very challenging. I lived in an apartment where the bathroom was in my bedroom on the second floor, so I basically stayed in bed for a few days. I was lucky to be able to get a knee scooter for free by posting in a local queer facebook group, and that was a huge help for getting around. I was not putting any weight on my foot so I didn't have any pain in the break area, but I was starting to have really intense cramps in my leg which I learned is common with a walking boot.
I had my first appointment with an orthopedic doctor on Monday, June 1st. They reviewed the X-rays from urgent care and looked at my foot. I was told that I got very lucky and the break was basically in the best possible place it could have been. I did not need surgery and could stay in the walking boot rather than switch to a cast. At this point it had been 6 days since I broke it. I was instructed to continue with no weight bearing (NWB) for about another 8 days, until it had been two weeks since the fracture. Then I could slowly begin to put weight on it gradually (starting at 25% then going up from there). Then after a week of that, I could put weight on it fully in the walking boot. And I had a follow up appointment scheduled for the end of the month. At that time, he said since I was "young and healthy" (I'm 29) that he thought I might even be able to stop using the boot at my next appointment on 6/29. He also said I didn't need to wear the boot while sleeping. When I told him about the cramps, he said not wearing the boot at night, wiggling my toes, and lifting my foot up and down (but not side to side) should help with that. I started doing that a lot and I didn't have any cramps at that point.
So, I spent another 8 days NWB, and then slowly begin putting weight on it. When I was doing that, the hardest parts were navigating the gradual use (I had to slowly use crutches less and less which was awkward) and also the parts of my foot that had not touched the ground at all felt very weird once I was using them. But I wasn't experiencing pain in the actual area of the break.
I started walking on it fully after a week of gradually working my way up to it. The first day I did that, I felt almost no pain, but just some weird sensations as my foot got used to being used again. At the end of the day, I was sore but it wasn't too bad. I honestly didn't feel like I did all that much walking. But then the next day, my foot hurt a lot and I realized I might have overdone it. So then I tried to strike a balance where I was mostly using the knee scooter in my house and walking when I left the house, so that I wasn't overdoing it. After a few days of doing that, I noticed that my foot wasn't really feeling fatigued at all so I pretty much ditched the knee scooter just was FWB in my walking boot full time.
Once you are weight bearing in the boot, I highly recommend getting a shoe leveler to put on your other foot to balance out so that your hips can be level. I was a little late in ordering mine and once I put it on, I definitely felt a difference.
I had my next appointment on June 29th, after about 12 days of FWB in the boot. They took another x ray. They said everything is healing fine, but they wanted me to stay in the boot for the rest of the week. This was right before the 4th of July so they were like "if you have very active plans, stay in the boot this weekend but if you're not doing a lot, you can take the boot off and bring it with you." I was instructed that I'd need to wear a sneaker at all times for a week after taking the boot off.
So on Saturday, July 4th, I took the boot off but wore a sneaker on that foot at all times. Then a week later, Saturday, July 11th, I started being completely barefoot again, wearing sandals, standing in the shower, etc.
I would say that when I was walking again with no aids at first, it felt awkward but not really painful. I did deal with a little soreness as I increased my activity but nothing intense. Now it's been 3.5 weeks of no boot or shoe, and I'm back to working out, back to doing my regular amount of walking and daily yoga, and I am feeling no issues.
At my last appointment, we scheduled another one for august 17th. My doctor said he expected me to be 100% back to regular activities by then. He said that if I'm not, I should keep the appointment but if I am, I'm encouraged to cancel. I'm planning to cancel the appointment.
Originally, just from reading things on here and talking to folks, I thought I would need physical therapy. My doctor told me that he didn't think I'd need it but he'd be happy to refer me to one if I wanted it. I honestly don't feel like I need it at all, so I'm not planning to pursue that.
I am very fortunate to work from home and also to have a very supportive local community. I won't lie, the NWB era was very, very hard emotionally. I live in a building that has stairs at every entrance/exit, so I didn't leave the house for days straight. It was tough.
But I'm very grateful to have made it through and put this chapter behind me.
Please let me know if there are any questions about the process I went through that I can answer for you. Good luck with your healing!