Soreness one month after a fifth metatarsal fracture should be relieved by general treatment, medication, physical therapy and surgery depending on the cause. Common causes include incomplete healing of the fracture, premature displacement of the fracture due to activities, and conservative treatment due to irregular treatment such as large displacement of the fracture. 1. Fractures that have not fully healed: Rest should be paid attention to, reduce activities; local hot compresses, pay attention to warmth, avoid cold; feasible professional operation of acupuncture, massage and so on. Oral anti-inflammatory and analgesic drugs, such as ibuprofen, can also be taken to relieve pain. 2. Premature activities lead to fracture displacement: should consult the doctor in time, feasible conservative treatment, such as choosing elastic bandage fixation, orthopedic support fixation, or Kirschner’s pin and tension band fixation, hollow screw fixation, riding nail fixation and other surgical treatment. 3. Informal treatment: If the fracture is displaced and conservative treatment is chosen, and the fracture does not heal and is not expected to heal, surgical treatment such as Kirschner’s pin and tension band fixation, hollow screw fixation, or riding suture nail fixation should be carried out in a timely manner. There are other reasons for the fifth metatarsal fracture one month after the soreness, if the soreness persists, we should go to the hospital at the first time to take a picture, improve the relevant examination, clear fracture healing and fracture displacement, and follow the doctor’s instructions for targeted treatment. The above drugs are recommended to be used under the guidance of a doctor to avoid blind use of drugs.