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Injury to 5th metatarsal head

Discussion in 'Biomechanics, Sports and Foot orthoses' started by jillian hosking, Jan 27, 2008.


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    I recently saw a man ( mid 60's) who injured his Right 5th metatarsal head area in October 2007. The left foot was unaffected.
    he was painting his house over a 2 day period, hopping up and from a milk crate. He is not usually so energetic.

    A couple of days later the lateral 5th met head area became swollen red painful to walk on . An Xray showed no fracture or break. Cortisone injections helped for a while .

    It has improved, but is still red and swollen. It is not painful on weight bearing or with thongs/open sandals , but is painful when he puts a closed -in shoe on the foot due to compression of the area.

    It appears to be a soft tissue injury. I suggest icing the area to reduce the swelling . Does anyone have any other ideas to treat this ?

    Jill
     
  2. Jill:

    It sounds like this gentleman has developed a traumatic bursitis of the lateral fifth metatarsal head. Here is what I would do.

    1. Ice 20 minutes, two times a day.
    2. Get rid of any snug or tight shoes and/or get all shoes stretched. No more shoe-upper pressure!
    3. Give cortisone injuction into area of maximum tenderness. Repeat cortisone injection when any flareups occur.

    He should be pain free within one week.
     
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