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Sport Medicine

Jersey Shore Podiatry is pleased to offer the latest and most advanced treatments for your sports-related injuries. We see and treat the full spectrum of foot and ankle injuries, from minor sprains and strains to broken bones and chronic injuries.

Common sports injuries we treat include:

Common Sports Injuries we treat include:

Wednesday, September 19, 2018

Trauma and Fractures

Metatarsal Fracture (Forefoot)

Introduction

Your forefoot acts as a springboard with each step you take and a cushion when your foot touches the ground.  The metatarsal bones located in the forefoot bear and shift your body weight to help maintain balance.  Jumping, twisting, dancing, and running add even more force to the forefoot, making the bones vulnerable to fracture from trauma and overuse.  The majority of metatarsal fractures heal with non-surgical treatments.  Fractures that require surgery usually heal uneventfully.

Anatomy

Your forefoot (metatarus) contains five long metatarsal bones.  As a group, the metatarsal bones help raise and lower or twist your foot.  They play a role in distributing your body weight and attaining balance when you walk or stand. 

 

Certain parts of the metatarsals have a better blood supply than others.  Fractures in areas of poor blood supply have more difficulty healing.  For example, a Jones Fracture is such a fracture near the base of the fifth metatarsal that commonly needs surgery.

Causes

Metatarsal fractures are caused by stress from overuse, improper training, ankle twisting, or trauma, and even dropping an object on the foot.  Stress fractures are common in soccer players, ballet dancers,  and runners.

Symptoms

A metatarsal fracture can cause pain, swelling, discoloration, and difficulty walking.  When the metatarsal bones break, they may remain in place or move out of position.

Diagnosis

Your podiatrist can diagnose a metatarsal fracture by reviewing your medical history, considering your injury circumstances, and examining your foot.  X-rays are taken to help identify the fracture.

Treatment

The majority of metatarsal fractures are treated without surgery.  You may need to wear a walking cast or rigid shoe.  Some people may need to wear a cast and not put weight on their foot for several weeks while  the fracture heals. 

 

Surgery

Significant metatarsal fractures with a poor blood supply or bones that have moved out of place can require surgery.  Surgical hardware, such as a plate and screws are used to secure the bones in place.  You may wear a short leg cast, brace, or rigid shoe for 6 to 8 weeks while the bones heal.  Your doctor will check the healing process with X-rays and allow you to put more weight on your foot over time. 

Recovery

 

Recovery is individualized and depends on the location and extent of your injury, as well as the treatment that you received.  Your podiatrist will let you know what to expect.  Overall, metatarsal surgery has a high degree of success.

Am I at Risk

People that participate in certain sports, ballet, gymnastics, or military marching have an increased risk for a metatarsal fracture.

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Biomechanical Evaluation

Every visit to our sports medicine foot and ankle doctor, Dr. Robert Sussman, begins with a biomechanical evaluation of your hip, knee, and ankle joints.

No other foot doctor in the Jersey Shore, Neptune, or Monmouth County areas has this capability.

This evaluation utilizes technology to fully analyze the structure and function of your lower body. Tightness or weakness in specific areas, such as your hips or knees, can cause pain and affect your balance or the way you walk (your gait). Based on the results, Dr. Adler can recommend a care plan to include physical therapy, gait training, balance training, or custom-molded orthotics.

At Jersey Shore Podiatry, we also provide many on-site services, such as digital X-rays and fracture care, to expedite a diagnosis and save you time.

An expert evaluation, diagnosis, and comprehensive treatment for your injured foot or ankle is just a phone call away. Call Jersey Shore Podiatry in Neptune, NJ today at (732) 776-7260 or request an appointment online.

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