I have a stress fracture of my 4th metatarsal in

Patient

Q: I have a stress fracture of my 4th metatarsal in my right foot. it's been 6 weeks since I've been put in a walking boot and it was feeling 98% better until this week where it started hurting again. When I walk or move my pinky toe I can feel my bone cracking or a kind of popping feeling of my bone (kind of the feeling when you crack your fingers) what does this mean? Is a hard cast an ideal option for my foot ?

Symptoms:  Foot pain, cracking
Doctor

A:   Hi.
Thanks for your query.

I would advise you in such a situation to repeat the X-ray of the area in two views immediately and get an opinion of an Orthopedic Surgeon as you need the removal of the cast and re-apply.
It is possible that there is non-healing.

Hard cast helps in stress fractures but sometimes a K-wire is put in for internal fixation for better results.

Hope this helps you.

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