Week 9: The X-ray is finally showing progress

I have to admit, I feel a little ambivalent about my doctor visit today. On one hand (or foot, ha ha), I felt so disappointed to still clearly see the fracture. But on the other hand, it is actually finally filling in, my first time with indisputable progress on an X-ray, so I suppose I need to take the victories where I can get them!

As a side note, I was really annoyed with my doctor today because he sent his assistant to examine me and talk to me. I specifically made my appointment with the doctor and rejected a slot with an assistant. So I talked to her for a while and she seemed to have no clue what she was talking about, so I ignored it, and I made it clear I was expecting to see the doctor. Because I wasted so much time talking to the assistant, when the doctor came in, I’m not sure I asked him all the questions I wanted answers to, like am I allowed to walk barefoot? I don’t know, but I have been. Also, why is my big toe sticking out when I walk? How can I stop that?

Anyway, when his assistant pressed around my foot, it actually was kind of painful. I don’t know if she was doing it too hard or not doing it in the right way, but it was discouraging to feel that pain. When the doctor came in, I told him about it, and he said he wouldn’t worry, the foot still has some inflammation and some days will be better than others.

He said I can start putting on normal footwear that has a stiff sole and walk normally as long as it doesn’t hurt. Again, pain should be my guide. My foot still doesn’t feel like it should — I can’t move my baby toes as much, my gait is not right and sometimes I still feel tinges of pain, but at least I finally see signs of healing and can try to push myself back to normalcy.

As for the X-ray, it’s clear something is finally happening, regardless of anything else. I was hoping it would be further along though so I wouldn’t need to worry so much about it. Unfortunately, I still will have to feel the need to worry. The doctor said might look kind of broken on X-rays for a long time though before showing up as one solid piece, but he said it doesn’t matter as long as I can get back to normal.

Foot update 12-3
Left: Today’s X-ray. Right: Three weeks ago.

The doctor said I can follow-up in six weeks, but as another side note, I might go to a different doctor’s office entirely. Honestly, I am really fed up with them — the canceling of my appointments and trying to pass me off to assistants who don’t know anything is really rude and unfair to me as a patient. I’ve never had a doctor’s office jerk me around this way before. Maybe when I go “home” for the holidays, I can try to see an ortho then out there.

Funnily enough, my uncle broke his foot in a very similar fashion to mine a few days ago. Seriously, check out his X-ray:

Uncle foot
My uncle’s X-ray.

What’s weird is that his doctor said he is allowed to wear a sneaker to drive and he can walk around in an Aircast, even though he just broke it. I recall my foot being very painful at first so I couldn’t put on even a sock, let alone a shoe. Of course, I didn’t really attempt it again beyond the first day.

It really makes me wonder if my doctor just gave me different advice than other viable treatment options, or if there is something different about my uncle’s case. He broke the same bone in what appears to be the same way, and yet his treatment isn’t the same — and his treatment is way more manageable than mine was. Strange. It might be worth noting that when he broke it, he thought it was just a bruise and continued to wear shoes and walk on it for a few days. When I broke mine, I immediately went to the doctor and I attempted to put a sock on my way out the door, but found it too painful and wore a slip-on sandal instead.

Perhaps I’m just a bit unlucky as far as fifth metatarsal breakage goes. Some people break theirs and walk. Some people, like me, break theirs are are 100% non-weight-bearing. But I have to remind myself I could’ve broken an ankle (which takes wayyy longer to healer) or I could’ve cracked my skull. Still, I am very ready for this to be over. Sigh.

12 thoughts on “Week 9: The X-ray is finally showing progress

  1. Tracey

    Hi brokenjules, just read your latest blog. Goodness me, your poor uncle! I’m astonished he is able to walk on it – 9 weeks in and I still can’t do it! Perhaps the reason his doctor is allowing/advising him to keep going on it as it doesn’t seem to be too painful for him and there may not appear to be any danger of displacement …? How very strange because it looks identical to yours except in a slightly different place. I would imagine you will now be having some very interesting conversations with him about your respective feet! I wish him well soon and would be interested to see how his progress goes considering his isn’t non-weight bearing or wearing a cast or splint.

    Thank you for your advice. You confirmed what I was already feeling in my `gut’ so to speak. I think I also may have been overdoing things in an attempt to get the bone healed quicker. I understand there is a theory called `Wolff’s Law’ which was developed by a German anatomist & surgeon (1836-1902) which states that the form and function of a bone will alter if placed under pressure or load. This was the impression I got from my last doctor although he didn’t mention the theory. Perhaps Wolff’s Law is applied in situations with people who have already developed a visible `callous’, I’m not sure. However, in my situation because I already had the cast on for 8 weeks and there is still no sign of callous forming and the fact that there is also no displacement, this may be reason the doctor said I should try and put some weight on it to help it heal. (The principle of Wolff’s Law). It’s easier said than done when it hurts.

    As I write I have my foot elevated but will try to use the Aircast around the house more when I move about. I think this is going to take several more weeks for me as my break is somewhat different to yours. If you can imagine the letter `v’ that is turned sideways so the point of the `v’ is facing right; that is shape of my break. It is also clean and not jagged or anything.

    The pain in my heel seems to be dissipating a bit now but I still have pain in my foot right underneath in the hollow when I try to walk on it (it hurts so much more bare footed than in the Aircast), so will take your advice. I think I need to take it just a little bit easier as I have been trying to walk on it a lot and if I’m not careful could end up doing myself more damage. I am also doing the exercises which are varied to try and get the foot supple and more flexible. My pinky toe also feels really odd at the side, not sure what that’s all about.

    I agree that if you are not happy with your doctor you should consider changing. When you are going through something like this you need not only good professional advice but support also, even if just for reassurance that everything is going in the right direction. It’s a bit different for me as we have the NHS so I have seen who I have been given, but fortunately (I hope) the last doctor seemed a bit more clued up.

    It’s hard to believe that all this difficulty can be caused by such a small bone! Still, as you have said, things could be a lot worse so I guess we should count our blessings.

    Take care, TJ 🙂

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  2. Yep, my doctors have said “let pain be your guide” and I think that’s good advice for you. Walking barefoot doesn’t hurt me, but I’m still avoiding it because I feel like I overcompensate and it’s causing me to have a funny gait. Then again, this boot is an inch higher than my shoes, so that causes a funny gait as well. My foot was feeling a little sore over that assistant poked and prodded it so hard, so I’m giving it a rest and then I am going to find a pair of firm-soled shoes I can wear on both feet and try to get my normal gait back. Anyway, I do think you you should work your way up to full-on walking. I walked with my crutches for a while, then I moved to walking with the boot on, and then eventually I started to go barefoot. I think going straight from non-weight-bearing to barefoot wouldn’t give your foot time to start to adjust to being used again. The boot helps stabilize everything and gives your foot protection, so I’d definitely keep it on unless you’re showering or sleeping at this stage. After I broke my foot, I spoke to a neighbor who broke her foot and said she started walking without the boot before her doctor told her too, and it caused her recovery to take longer — her one word of advice to me was not to try to come back too soon. I know it’s been a long road already, but if you can to where you can walk in the boot without pain, your life will be 10x easier already.

    I will see my uncle when I go “home” for the holidays, and I imagine we’re going to be comparing a lot of notes. I’ll admit, I am jealous that he is already walking and driving after a few days, and for me it took about six weeks. But in a year, assuming everything is back to normal for me, I’m sure I’ll forget about how much the past two months sucked. It’s sort of like when you get the flu and it feels like the worst feeling of your life, but then a week later, you almost forget how bad it was. I’m looking forward to feeling like that once my foot is totally back to normal. Hang in there, and take your Vitamin D and calcium! 🙂

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  3. Tracey

    HiI brokenjules, it’s good to hear your recovery is coming along nicely. I completely agree with your view of not over doing things and I can also understand your envy with regards to your uncle – I believe I would feel exactly the same if I was so close to being around someone like that! It will be interesting to learn how he gets on. We have all had different ‘treatments’ so it would be intriguing to see how everyone recovers. It seems to me there is no set formula and each individual is different.

    Today I had a little ‘milestone’ I thought I’d share with you. My daughter needs a prom dress for a Christmas ball (probably her last as she will be off to university next year). She wanted me to go to the shop with her so we got a lift. It was so nice to be with her as she tried on these beautiful dresses ☺️ I was so nervous due to the boot as my foot was very sore and stiff this morning. I managed to walk on it ok though and the lady in the shop was very kind, even offering me a cup of tea. Afterwards we had to walk for a little bit to pick up our lift back and I surprised myself how well I did considering it hurt so much this morning. Since being home I’ve taken the boot off and elevated my foot to rest it. It seems ok at the moment and is not hurting too much considering the amount of weight bearing that was placed on it. My foot is definitely worse in the morning; stiff, achy and sore. Once I get going on it, it seems to pick up somewhat but I’m acutely aware that it’s still technically broken (X-ray). Has your foot been worse in the mornings? We also booked our Christmas meal at a restaurant as I don’t think I will be able to cook a big Christmas meal with the bad foot. Psychologically doing that has done me the world of good and taken off any pressure about Christmas Day.

    Tomorrow I’m going to see if I can drive and perform an emergency stop. 😬 I’m a bit nervous about it but if I don’t at least try I will never know.

    In the meantime I will keep popping those vitamins, eat well to try and stay healthy. I don’t know who I’ve felt more sorry for: me or the dog! I love walking and he enjoys our little trips out but he’s been looking at me so forlorned as if to say ‘what’s happening, why aren’t you taking me?!’ 🐶
    I am so looking forward to taking him out again, albeit short walks as I have missed it.

    All this experience has taught me to value more the little things I usually take for granted so all in all I think the outcome will be positive when completely healed. On that note, I think I will now make a nice cup of tea!

    Take care. TJ 😊

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    1. I’m so glad to hear you were able to get out and go shopping with your daughter! Although the day-to-day has been rough, the hardest part was missing out on things with my family and friends. memories I would’ve made, photos I would’ve kept forever, that sort of thing. But life goes on. There will be more opportunities for that. I haven’t experienced any real noticeable pain in the mornings but when I was first getting used to walking in the boot, the beginning of a trip or day of walking seemed scarier and more uncomfortable than it did as I kept going. It seemed to get better as I went, although there have been times where my heel was burning by the end the day. Now that my X-rays show at least some progress, I’m trying to not put all my weight on my heel and distribute it normally. But I think it’s fine to work up to that. Glad you did what is best for you for Christmas too. My family started doing Thanksgiving at a restaurant as my grandparents who hosted it were getting old, and a restaurant would just be easiest for everyone. It doesn’t make it any less special and it’s hard to have a good time when you’re stressed! And hey, at least you have a dog keeping you company at home — I live on my own in a new city I moved to recently AND I work from home, so it was many weeks of not seeing much of anyone. Now that I’m back to normal (almost) I’m sort of forgetting how awful those first few weeks were. You get over things like this quickly, but god I was miserable at one point. Anyway, I’m really glad to hear that you are walking about and able to get back to a bit of normalcy. I’m going to look for a stiff-soled shoe, but I need to find some time to go shopping. I usually like to wear lighter shoes and slip-ons, so I need to buy something sturdy. I guess that’s the next big milestone on the horizon for me.

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  4. Tracey

    Hi brokenjules, I was just wondering, have you reached your milestone yet and bought your sturdy shoes? I think you are extremely brave for coping all on your own in the first few weeks after breaking your foot, especially as you were in a new place, a completely new environment and away from the comfort of family and friends. It must have been very difficult for you hence I have said previously that the emotional and psychological effects are just as bad as the physical injury. I know one thing for sure, when I do eventually fully recover, I hope and pray to never have another broken metatarsal again!

    Yesterday I drove the car for the first time in what is approaching 10 weeks. My daughter came with me for support. I was extremely nervous as my foot is still hurting (but pleased to say not quite as much as last week) and I really didn’t know whether I had enough strength in my foot to apply sufficient pressure to the gas peddle as well as the break. I was taking a risk. I stayed local and got up to 20mph and was able to perform an emergency stop ok but I did feel it in my foot. I think increased my speed up to 30mph and repeated the same again. This time I struggled a bit; as I hit the break etc the car seemed slower in stopping. It was quite unnerving as in my head I was telling my foot to put down hard on the pedal but due to what I think might be some muscle atrophy I had a little bit of difficulty. I wore a hard soled trainer shoe but removed the laces as my foot was too swollen and I couldn’t do them up.

    I might try to drive again sometime tomorrow and build up gently. I have spoken to my boss and I intend to try and drive to work on Monday (about 50 minutes drive away from home). I will need to take it easy and get there when I can. I can’t rush it and don’t want to drive too fast in case I need to break and fail.

    Today my foot is starting to feel a little bit better but it’s still very stiff and the mornings are definitely the worst. It seems the more I use it the better it seems to get but as soon as I sit down and elevate it, when I get up to stand on it that is when I really feel it also.

    I am doing some Christmas shopping on-line as can’t (and don’t want to) visit the shops as I tire very easily as the moment. This Friday is my birthday and 10 weeks since I broke my foot. I will go out for lunch to celebrate as I don’t really feel like doing anything else at the moment. Besides I will also need to wear the aircast so won’t feel like dressing up too much.

    Everyday is an opportunity to progress and get better. It has been a long haul so far and I’m not through the woods yet; my next appointment is 8th Jan and I think they may do another x-ray. I wonder what it will reveal? I hope with the New Year it will be better for both of us and that our feet will be showing stronger signs of recovery.

    Take care, TJ 🙂

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    1. Hi Tracey, hope you’re well. I haven’t had many updates or real progress so I haven’t logged into my blog. How have you been getting along recently? Are you driving again? I just posted an update, so you can see where I am at, but I’d say generally all my basic, necessary functionality is restored. I can walk in normal shoes, drive fine and and walk around barefoot and even dance a bit. But I do still feel a bit stiff and weak, so I can’t really run yet and I do have a bit of a limp still. I’m hoping a podiatrist can give me some guidance to get my foot functioning normally again — that appointment is on Dec. 28, so I will let you know how it goes!

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  5. sona

    really the 5th metatarsal sucks!!! I broke it on oct 9 2017 playing badminton, its not healed not even slight callous formation, I was in the POP cast all this while for six weeks, I got it removed and there was no improvement in the x-rays. My working from home allowance is over, I will have to go office from tomorrow, I got myself a thick bottom floater so that my feet does not bend. I have to use the public transport coz my work place is 40 km away… I am just hoping no one steps on my feet. I am totally broken, lost all faith , the cast was a waste of 6000 bucks, i’ve been advised a crepe bandage now and to start putting weight on the feet. not even a slight improvement, the tools used to cut the cast were so damn scary, the cutting machine, the tongs and some other tool that looked like a pizza cutter, the pain during the cutting of the cast due to vibration in the fractured area is just unbearable…the only good thing is that am able to walk now without pain but a slight tingling sensation. I had lost 5 kilos running daily before the accident, i am shattered I weigh 8 more kilos now. I ll never be able to run for atleast a year. I had a vacation planned for christmas, I thought I would heel by then , but thats not happening, feels so bad to withdraw your plans.

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  6. CV

    Dear Jules
    Thanks for sharing your experiences. Its really relieving to read so many accounts almost same as mine. I stumbled upon your X-ray on a bing image search and, honestly, I thought someone stole my image file I uploaded for an online doc consultation. It’s that much similar. It’s week 3 now and X-ray shows no progress and like you I too wonder if I had worsened the injury -a couple of times I had to put a toe down to avoid tipping over in last 2 weeks. Fortunately, (although I’m sceptical if that’s a good sign) I haven’t had unbearable pain. I broke it while skipping and there was sharp pain at the moment and mild swelling. I was fairly sure I had only damaged a tendon and for 30hrs I went about normally walking around and climbed stairs. I visited doc to be just sure that there wasn’t anything serious. Doc poked a bit on the mildly swollen area to check for pain and there wasn’t much unlike in case of fractures. Even he was surprised seeing the X-ray. He was very sure that surgery was a better option and said surgery would help bearing weight sooner in 2weeks rather than 6weeks without surgery. He gave it a 60% chance to heal without surgery but also said surgery in case of a non-union would be difficult as time passes. But from where I’m (india), doctors and hospitals (almost without exception) are notorious for putting their monetary gains ahead of patient’s health. The doc was a fairly young guy and had setup a shop in my neighbourhood. I surely don’t base my decisions on one opinion that too from someone with an obvious conflict of interest.

    The doc put a half cast to immobilise foot&ankle and asked me to revisit with an x-ray after 1week to assess healing and let me give a second thought on surgery. I came home, did a bit of research and took an online consultation (who don’t stand a chance of monetary gain beyond what I pay them upfront for 1 consultation and followup). The online doc and everyone I read/heard said surgeries were very rare on metatarsal fractures and they heal themselves in 6weeks generally. That was relaxing until today when I saw my Xray after 3-weeks of total rest and “healing”. I haven’t been putting any weight on the foot at all, but the X-ray showed no difference from 3weeks ago. I came home nervous and called up a few hospitals for appointments and mentally preparing for surgery, but I think I’ll take it easy for now.

    It’s an agony separate from trauma not knowing who to trust in this country.

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  7. CB

    Hi Jules. Not sure if you check this blog anymore, but I’ve been reading it as I go through a very similar fracture recovery. I’m tracking along at similar pace as you were. I’m at 7 weeks now. My X Ray at 4 weeks actually showed very slight shadowing, but the x Ray today didn’t show any improvement since week 4. I about wanted to cry in the doctor’s office, like you. I’ve been waking in the boot since week 6, but now the doctor wants to keep me in the boot for four more weeks…no walking without the boot. It’s disappointing, as I had such high hopes for ditching the boot this week. I’ve had no pain throughout the whole process, since about week 2. It’s frustrating that my doctor seems more conservative, but I don’t want to go against his orders.
    One difference in my desire and yours is that mine shifted between the original x Ray and the two week appointment, and is now displaced. I guess that’s why I’m a little behind schedule. Just frustrating that these heal so slow.
    Thanks for the blog. It really helps to see someone who went through the same process as me.

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      1. CB

        Thanks for the reply. I bet you had no clue you would be helping so many people through similar injuries. Hanging in there is the hard part, as you know. Realistically, there’s no reason we should go through such mental anguish, but in the moment, it’s so hard not to obsess over this stuff. Any tips for not obsessing over it, and what to do when you get down in the dumps?

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      2. Not really, to be honest. It’s really a blip in the grand scheme of things and it just needs time so nature can do its thing. Your bones naturally will grow back and repair themselves – it just takes some time to allow it to happen.

        As I know I discussed in one of my posts, I subscribed to Netflix to pass the time. I watched the entire series run of Breaking Bad, which I had never seen, and I think I watched Friends for the first time too, haha. Video games is another option – I wish I had Zelda Breath of the Wild when my foot was broken because I logged about 200 hours playing it. I would just try to distract yourself from thinking about it. Good luck!

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