Metatarsal Stress Fracture
What is it: A metatarsal stress fracture is an over use injury to the bones of the metatarsal.
How does it present: The injury usually presents with gradually increasing pain with activity. It is usually preceded by an increase in frequency of activity or a change in surfaces on which the activity is done, such as running on a harder surface. The patient may notice some mild swelling of the area of the foot that hurts.
Common exam findings: The exam often demonstrates tenderness over the metatarsal stress fracture region. A small amount of swelling may be seen.
Tests and treatment: A foot x-ray is usually necessary to evaluate for a stress fracture. If no evidence is seen on x-ray, a bone scan or MRI should be considered to further evaluate for stress injury. Treatment is usually conservative with decreasing activity and limiting weight bearing. Once the fracture is healed, gradual return to activity may be resumed.