The metatarsal area is one of the most common sites for stress fractures. This article discusses the causes and treatments for these fractures.
Stress fractures anywhere on the body are caused by repeated forceful activity. Considering that the feet bear a person's body weight for much of the day, they are very susceptible to stress fractures. The long bones in the feet, the metatarsals, are particularly prone to these injuries. But how are they diagnosed, treated and prevented?
Why metatarsal stress fractures happen
Certain activities or conditions can make stress fracturing the metatarsal bones more likely. Athletes who run, dance, or jump are at risk, as are those who suddenly boost their activity level after a long period of idleness. Osteoporosis (a disorder that causes weakness and brittleness of the bones) can also increase the likelihood of stress fractures.
Diagnosis and treatment
Widespread foot pain is usually the first sign of a metatarsal stress fracture. It may disappear with rest at first, but over time, the pain will be continual and concentrated into a specific area of the foot. Because stress fractures can be extremely small, an x-ray may not immediately detect it. Bone scans or MRIs are often more accurate. Special footwear can take the pressure off of the affected area and allow the fracture to heal. Depending on the location of the fracture, a cast may be applied and crutches may be required.
Prevention
Properly-fitted, quality footwear should always be worn during activity to support the feet. Alternating your activities (instead of focusing on one particular, repetitive action) will help to distribute the movements evenly. Diets rich in calcium and Vitamin D will help maintain bone integrity. It is also important to start any new physical activity slowly and work up at a gradual pace.
If you have been experiencing foot pain and believe it may be caused by a metatarsal stress fracture, contact your podiatrist for an evaluation today.
