Question
In mid August, I fractured the base of my 2nd metatarsal but wasn't diagnosed until 10/5 because the fracture was not visible on an x-ray. An MRI confirmed a subacute ostechondral injury %26 small incomplete, non-displaced fracture at the base of the 2nd metatarsal with moderate associated edema extending to the proximal shaft. There was also a small subacute osteochondral injury to the head of lateral cuneiform and mild generalized narrowing of the 2nd tarsal metatarsal cartilage space. There was no ligament/tendon damage or dislocation/subluxation found. Based on that finding and weight-bearing x-rays I was told I don't have a lisfranc injury. I was sent to a podiatrist who treated me for 3 weeks with crutches, cam walker, and a bone stimulator. After 3 weeks, I went for my followup where the podiatrist told me I could go back into sneakers but minimize my walking. I did not have pain when he manipulated my foot or pushed on the bone. More x-rays were taken but,again, the fracture was still not visible. I walked for a few days in sneakers but had to go back into the boot because I continue to have this sharp pain above the 2nd metatarsal shaft if I put pressure on my forefoot. The boot is much better but I occasionally will still feel the pain if I accidentally put too much pressure on the forefoot. I have been weightbearing for almost 2 weeks. Is this pain normal? I went to an orthopedic foot %26 ankle specialist for a 2nd opinion and advised on the same treatment as my podiatrist. How long does it take for a 2nd metatarsal base fracture to heal? I am worried that I might be walking too soon and delaying/hindering the healing process.  

Answer
This Chicago Podiatrist says......
Sorry to say , but you need an additional opinion.
What is the reason for the fracture???????
Unless it is a fracture from an injury then......
the stress fracture is caused by biomechanics-the biological,mechanical nature of movement.
Some form of abnormal biomechanics must be happening to be putting extra pressure on the second metatarsal and causing the movement and subsequent pain.
If you get it to stop moving and do something to help with the biomechanics(perhaps an orthotic) it should heal in 3 weeks.


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