Wednesday, 21 September 2016

Physiotherapy and Chiropractic Treatment for Metatarsal Stress Fracture

Treatment management of the metatarsal stress fractures should include a multi-modal approach addressing each component of the injury. Relative rest from weight-bearing exercises is required to prevent aggravation and re-injury of the stress fracture. An air cast may be helpful in reducing the pain if the patient needs to be in a weight bearing position excessively. Exercises can be re-introduced gradually if the athlete experienced no pain while walking and no tenderness at the site of fracture. A graduated rehabilitation exercise program with the goal of returning the athlete to full training and competition should be commenced as soon as possible without risking re-injury of the fracture. Foot orthoses may be needed to correct abnormal biomechanics in the joints of the foot. Abnormal stress may be imposed on the foot if there is an instability in the joints of the foot. Chiropractic adjustment in Malaysia by our clinical teams of Chiorhpactros may be helpful in correcting restricted joints and restoring normal range of motion in the joints of the foot and ankle.

The fracture of the base of the second metatarsal affecting the joint is commonly seen in ballet dancers. The treatment for this injury should involve non-weight-bearing rest on crutches for about four to six weeks until the pain and tenderness subside. Chronic joint synovitis may present with the similar signs and symptoms and is commonly confused with this fracture.

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