Please advise on my foot x-ray.

Question

Hi doctor,

I had a fall from a stool almost eight to nine days ago. Since then, I had a foot swelling on the right leg. As I could not get an x-ray at that point in time, it was not diagnosed. I considered it as a sprain and used some natural oil massages and scrape bandages for a while. So, the swelling has gone. I am walking with a little limping. However, I have some pain while pressing hard while doing oil massage and while walking. Today also, I had pain while walking. So, I decided to take an x-ray to check whether it is a fracture. Let me know how to manage. I am enclosing the X-ray for your reference. Please let me know your advice and help to deal with this.

Answer 1

Hi,

Welcome to icliniq.com.

This is a fracture of the base of 5th metatarsal bone (attachment removed to protect patient identity). It is not much displaced and so, it can be managed non-operatively. You will either require a plaster cast or you can wear an Aircast boot. Apply ice packs, for now, two to three times daily till you apply the plaster cast. Do not take weight over the right leg for at least six weeks. After six weeks, an x-ray needs to be repeated and further courses to be decided after seeing the x-ray. I suggest you the following medicines. Consult your specialist doctor, discuss with him or her, and take the medicine with consent.

Tablet Lanol-ER (Paracetamol) as and when required for pain after food, maximum thrice daily.

Tablet Shelcal-CT (Calcitriol) once in the morning and once at night before food for three months.

Tablet Vitamin D 60k units once a week for eight weeks.