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Jones fracture - walking on heel?

Discussion in 'Ask your questions here' started by Liz81, Apr 10, 2022.

  1. Liz81

    Liz81 New Member

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    All things Jones fracture (fifth metatarsal injury in the foot)

    Love to read your experience regarding the Jones fracture amongst all the non-union horror stories and confusing messages about absolute NWB vs. very carefully using your foot to stimulate bone growth.

    I now have a clean non-displaced Jones fracture after I tripped in the garden and broke the hairline fracture I had for months apparently. Had a weird vague pain since December and being a former Calcaneus patient (8 years out), I was worried about this new pain in my right foot. After my fall the unknown hairline stress fracture became this Jones fracture.

    Back to the beginning: I fell 2,5 weeks ago, got in a cast the same day and get my first X-ray in 1,5 weeks at the 4 week marker. I feel good, eat healthy (lots of fish, veggies, nuts and fruit), no alcohol, non-smoker and I take extra vitamins B, D and magnesium. No pain medication. I work from bed since my injury and sleep very well with the short cast.

    So…In 1,5 weeks, I hope to hear good news of early callus forming signs. Being a heavier set girl going about my business on forearm crutches goes just fine. No pain, no swelling, no bruising and in a short foot cast made of fibreglass. I “walk” on my heel a bit since two days. I was told I could within reason and it must not cause any pain. Fingers crossed!

    Did some of you use your heel to “walk”? I try to switch between NWB and using my heel. Haven’t put weight on my whole foot more than 15 kilo. What’s your Jones story?
  2. poddoc

    poddoc Guest

    Bones don't heal because of motion at the fracture site.

    When walking with your weight on the heel, you are still using the muscle that attaches to the bone (peroneus brevis). The question that I'm not sure anyone knows the answer to is whether that muscle pulling on the bone is enough to cause motion of the bone to prevent healing. Certainly standing on it, and especially pushing off with your foot, will be moving the bone. Without motion the strength of the bone at the fracture will increase over time. On the other hand, bone that is never loaded will atrophy. So, initially, non weight bearing, then gradually increase weight bearing over time. The textbooks say it takes 6 weeks for a fracture to heal. Your mileage may vary.

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