Metatarsal Stress Fractures treatemtn Boulder

Metatarsal Stress Fractures Condition


Stress fractures are usually caused by fatigued muscles, overuse
errors, training errors, bony malalignment or improper biomechanics,
not weak bones. Occasionally weak bones may play a role in stress
fractures especially in amenorrheic female athletes and in rheumatoid
patients. When the intrinsic musculature of the foot is fatigued the
support structure of the mid foot is reduced which may result in stress
fractures. Pain is along the dorsal (top) bony middle aspect of the
metatarsal shaft, not in soft tissue. Medial stress fractures (second and
third metatarsal shafts) are usually seen in a pronated or a flat foot and
lateral stress fractures (fourth and fifth metatarsal shafts) are usually
seen in a high arched or a supinated foot. The proper diagnosis can
be difficult because the fractures may not show up on x-ray for up to a

month. Finding a qualified physician is important. For the first 4 - 6
weeks the patient is treated with a postoperative shoe or cast. After
this time a custom molded orthotic to balance the biomechanics of the
foot is prescribed. A carbon fiber foot plate to limit motion within the
foot may also be prescribed as well as a decrease in activity.

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