5th metatarsal fracture

  Patient: Description of the condition (onset time, main symptoms, hospital, etc.): Patient female, 25 years old, sprained on December 10, 11, 11 to go to the film showed the 5th metatarsal fracture, then went to the bruise doctor for treatment, did not play a cast, plus splinting with the application of Chinese medicine so treated for 1 month, after the New Year home occasionally walk, and then on February 5 this year again to go to the film, still not good, then transferred to the orthopedic hospital treatment I went to the orthopedic hospital and was given a month’s supply of Shu Di Jian Tendon Combination Chinese medicine to drink, and I didn’t go to work this month. I am a white-collar worker in an office, and my job is to face the computer every day, can I go to work or do I have to recuperate at home?  The orthopedic department of the Hospital of Integrative Medicine: The fracture has been in place for more than two months, so you should be able to walk to work under normal circumstances.  Patient: Hi Dr. Xu, thank you for your reply, I can’t upload my film to you at home, the report result is like this: Oblique fracture of the 5th metatarsal of the left foot, alignment is still good, the bone scab is not very obvious. The rest of the fracture is not significant. I live very close to my office and I can walk for a few minutes, but I am worried that if I go to work, I will have to walk up and down 6 floors every day, and I will have to walk slowly with my left foot on the ground because I can’t use my crutches. I look forward to your answer, thank you!  Patient: Please ask Dr. Xu to answer the above question, thank you!  Orthopedic Department of the Hospital of Integrative Medicine: Initially, it is estimated that walking for a few minutes does not affect too much, if you go up and down 6 floors every day, if you have few times, hold the stairs with your left hand when going up and down, and reduce the weight of your left foot appropriately, it is estimated that it does not affect too much. However, it is best to assess as follows: 1. Is there any local pressure pain in the fracture?  2. If there is no pressure pain, walk with or without weight at home, and if there is no weight walking practice at home gradually, the time will increase gradually, during which you should observe whether there is pain or pressure pain in the fracture area. If you practice for more than 15 minutes, you should go to work with less problems.  3, this Friday (March 9) to review the film, if there is bone scab growth or fracture line blurred, then you can go to work completely.  Patient: Dr. Xu, good evening! Thank you for your reply! Regarding the questions you mentioned, I have no localized pressure pain in my fracture recently, but there are still signs of swelling, and my left foot generally feels colder than my right foot, and the color is that light red. Is this okay? I’ve been walking with a double crutch at home lately, trying to keep my left foot off the ground as much as possible, is this a good way to walk or can I walk slowly without the crutch?  Orthopedic Department of the Hospital of Integrative Medicine: The left foot is normal and the fracture has been completed for 3 months. It is recommended to review the film and start walking without crutches if the bone scabs grow or the fracture line is blurred.  Patient: Dr. Xu, thank you for your prompt reply. I think I should add that my bone is slightly misaligned according to the previous X-ray, how can I solve this problem? So I always dare not walk, because I worry that if I walk too much, the bone will easily grow a bit, and then it will crack again. Orthopedic Department of the Hospital of Integrative Medicine: A slight misalignment of the fracture has little effect on the healing of the fracture, so you do not have to worry, only a lot of misalignment will have your above-mentioned concern.  Patient: Thank you, Dr. Xu, for your reply, it makes me feel much better!  Orthopedic Department of the Hospital of Integrative Medicine: You are welcome, wish you a speedy recovery and go to work normally.