Metatarsal Stress Fracture

Updated: Sep 29, 2019

Cause: Overuse, hard court surfaces, shoes with poor support, deficient vitamin D/ calcium, etc.

Appearance: Pain in the forefoot progressively worsening to the point of an inability to walk. There may or may not be swelling in the area. Pain is directly over the bone. How to Diagnose: X-ray, MRI, CT scan

Treatment: Immobilization in protected boot or cast. If left untreated this may progress to a completed fracture. Calcium and Vitamin D levels should be checked to determine if a deficiency is present. Shoes should be checked for excessive wear.

Long-term prognosis: If treated in a timely manner- 4-6 weeks of immobilization typically leads to a full return to activity. A change to clay courts for a period after return to tennis will aid in symptoms

Who to call: Podiatrist, orthopedic surgeon.

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