An ankle avulsion fracture or a 5th metatarsal fracture may be referred to as a fracture, break, or crack. These terms describe the same condition, involving not only the bone but also the surrounding soft tissues, including muscles, ligaments, tendons, and nerves.

Recovery Timeline

• 4 to 6 Weeks: Most healing occurs during this period.
• Continued Sensitivity: It’s normal to experience some aches, discomfort, and increased sensitivity for several months, especially when engaging in less familiar activities.

Factors That Affect Recovery

1. Smoking

• Impact: Smoking can slow down or even halt the healing process of tissues and fractures.
• Recommendation: Consider quitting smoking to support better recovery outcomes.

2. General Health

• Conditions: Chronic conditions such as diabetes may slow the healing process.
• Healthy Lifestyle: A balanced diet and staying active can support recovery.

3. Medication

• Certain Medications: Anti-inflammatory medications like Ibuprofen and Naproxen can delay healing. Consult your healthcare provider if you have concerns.

Managing an Ankle Avulsion or 5th Metatarsal Fracture

• Treatment Options: These minor fractures are often treated similarly to a strain or sprain. Treatment options may include:
  • Supportive Boots or Plaster Casts
  • Crutches: May be provided for mobility support.

Weight-Bearing and Walking

• Gradual Weight Bearing: Walking can aid recovery but may initially cause discomfort.
• Guidance: Follow instructions for using crutches to minimize further injury.

Pain and Swelling Management

• Pain: Expect discomfort around the fracture, including in soft tissues, nearby joints, and immobilized areas.
• Normal Variation: Pain levels can vary day-to-day and may persist even when the fracture has healed, especially in colder weather.

Consult Your Local Pharmacy for pain management advice.

Swelling Management Tips

• Elevation: Rest your foot elevated above your heart with the help of pillows.
• Movement: Keep other joints in the leg active.
• Balance Activity: Avoid over-resting and excessive activity.
• Massage: Gently massage from the foot towards the groin to reduce swelling.

Bruising

• Normal Occurrence: Bruising may be extensive and appear away from the fracture site.
• Color Changes: Bruising typically changes color as healing progresses.

Returning to Daily Activities

Driving

• Insurance Check: Contact your insurance provider before resuming driving, as your injury may affect your coverage.
• Safety First: Ensure you can safely perform emergency stops and have full control of the vehicle.

Work and Daily Activities

• Phased Return: Depending on your job, discuss a phased return or modified duties with your employer.
• Activity Gradual Increase: Gradually build up to regular activities as pain allows.

Mental Health and Mood

• Frustration and Low Mood: Feeling down after an injury is common but should improve as you resume daily life.
• Falls and Confidence: Loss of confidence after a fracture is common. Seek advice on preventing falls if needed.

Bone Scanning

• Routine Assessment: You may be invited for a bone density scan, particularly if:
  • Over Age 50
  • Increased Risk Factors for Fracture

Rehabilitation Plan for Recovery

0 to 2 Weeks Post-Injury

• Weight Bearing: As much as comfortable.
• Pain and Swelling Management: Focus on reducing symptoms.
• Gentle Movement Exercises: Begin moving the foot and ankle gently.

2 to 6 Weeks Post-Injury

• Full Weight Bearing: Gradually increase bearing weight on the leg.
• Balance Exercises: Focus on improving stability.

6 to 12 Weeks Post-Injury

• Full Function and Normal Activity: Gradually return to normal activities and, if possible, higher-impact activities.

Support and Follow-Up

If your ankle function hasn’t significantly improved after six weeks, consult a healthcare professional for further assessment.

Gentle Exercises

Continue practicing gentle foot and ankle exercises to strengthen and regain movement.