Tendonitis from a 5th metatarsal head fracture

by Adam
(GuangZhou, Chnia)

pain zone 1

pain zone 1

pain zone 1 pain zone 2 pain zone 3

Hi, Joshua:


I'm from China, and I got this pain on my right foot for so long (17months) which really makes frustrated. So I came to the internet searching for help, and I got your website, and I thought maybe you can help me.


Here is my situation of my injury:

First, in 2003 I hurt my right foot during playing badminton, on the 5th metatarsal head. I jumped to hit the badminton, and when I came down, I reached the ground with the 5th metatarsal head first.

But that was my first time of this part getting injured, so I didn't really take any treatment, and it got recovered in 3 months.

So I don't know if there was a fracture or not. My foot was swelling, and it really hurt, I barely can walk for that 3 months, but as I said I didn't need any treatment to get recovered. I remember I did have some pills, but that's all.

And then, in May-2009, during the regular jogging--I did that every morning, I felt my 5th metatarsal head started to hurt, the pain was a real sharp one, like a pin pricking that spot. But I didn't take that serious, I just thought maybe I need to stop running for a couple of days, then the pain would just gone. I just did that--rest for almost a month , but the pain was still there, yet not that intense. So I made a decision----which turned out a really bad idea---continue my exercise, so after one and a half months with exercises, the pain became more serious. And I have to stop exercising and went to see a Doctor. And of course I took an X-ray
examination , which was negative----that was that Doctor said, and later it turned out he was wrong. But anyway, it made me thought it was not a bone-broken case, so I didn't pay much attention on it. But I did have a long time rest, I think it was a whole month that I almost stayed on the bed.

And I did feel much better, yet unfortunately I had a work to do, so I started to walk again(the time is around October 8th in 2009).
But after a month working, the pain became worse again, so this time I went to see another Doctor, and I also got the same result that no fracture on my foot----later I figured out that maybe because the fracture was too small and the Doctors that I saw before were not experienced enough---but anyway, I trusted this new Doctor again, and didn't take any bone-broken treatment, just a normal rest. And after 2 months my sick leave was over,so I had to back to work again.

And I went back to my company, managed to work for a week, then I decided to take another sick leave, because I knew I was not ready to work. And this time I went to a bigger hospital, and
I got a new X-ray examination, and that Doctor told me there was a tiny small fracture on the base of the 5th metatarsal head. But the problem is it was too long, so it was not easy to get recovered. And I also thought that since I didn't get the right treatment for that long, maybe there would be many other collateral injuries.
But I'm not sure, and the Doctor he didn't take that seriously, so I just got some herbs medicine from him and came back to rest.

And in May of this year(2010), my sick leave was over again. So I have to go back to work, and this time I managed to work for a whole month. But again, I noticed that my foot is really really in a serious condition, so I decided to quit my job to let my foot have a good rest, and that was in July.

So since July (it's 4 months already), I've been just resting my foot. And I do see a little progress, but I still have this serious pain that stops me walking normally.

And I started to think that maybe I got some other problems, like the tendonitis.

So here I am.

My symptom is:
The pain is not obvious when I lay down, sometimes I feel my right foot just like a good one.
But when I try to walk, then the pain comes, and the swelling as well. But after a night sleep, all the pain or swelling seems just gone(I mean not completely, but it will feel much better than last evening)

And I attached some pictures to illustrated the position of my injury.

(note:they are not my foot, just a illustration for my injury position)

(in the pain zone 3 picture, that squeeze is exactly the way that can tset my pain)

Sorry, I know it's a long stroy, but I just want make it as detail as I can, I think that will help you to understand my condition much easier.

Expecting your answer


Adam
China



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Joshua Answers:

Hello Adam. No, the more details the better.

So I'm curious if it's a case where everytime you step on your foot you re-irritate the fracture and keep it from healing, combined with nutritional deficiency that keeps your bones from being able to heal.

Due to the Pain Causing Dynamic that was already in place before you landed and felt the pain the first time, you definitely have a raging pain causing dynamic now. Muscles are tight, connective tissue has been shrinking down, the nervous system is freaked out and the Process of Inflammation is pumping pain enhancing chemicals into your tissue.

And the second you put weight on the bony structure of your foot, that spot gets extra force placed upon it that muscles should be shock absorbing but aren't.

Maybe you have actual Tendonitis, maybe not. But something's causing you pain.

1. You need to get all that pain enhancing chemical out of the tissue. So learn How To Reduce Inflammation.


2. Make sure your bones have everything they need to heal. Probably you get enough calcium form your diet, but it's just as probable that you aren't getting enough Vitamin D and Magnesium, and possibly Vitamin B6.

B6 is required to utilize Magnesium. Magnesium and Vitamin D are required to utilize Calcium.

I'm curious what your Vitamin D level is.


3. If you rub your foot, what does it feel like? Are the muscles tight and sore? Is that spot of fracture painful if you press on it, or near it, or?


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Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.
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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com















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Comments for Tendonitis from a 5th metatarsal head fracture

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Dec 17, 2010
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thank you for your kind reply - Tendonitis from a 5th metatarsal head fracture
by: Adam

I'm not 100% sure, but yes, I think that maybe right: every time I step on my foot I re-irritate the fracture and keep it from healing;

But, now I think the bone is recovered already. If you think it's necessary for you to see the bone's status, I can take a new X-ray picture,and send it to you; just let me know.

1.about the Inflammation Reducing: which method should I use: I saw two of them related to foot injury----one is Achilles Tendonitis, the other one is Plantar Fasciitis; and I noticed that they use different methods, please advice me which one is proper for my case.Thank you in advance;

2.How to know my Vitamin D level? Is that important? Do you think I need to start to take the Vitamin D and Magnesium and Vitamin B6 medicine from now?
By the way, I've been taking Vitamin B1 lately, that's the doctor suggested.


3.When I rub my foot, I do felt the muscles were tighten before;

* I've been using herb liquid very long, so the muscles are not that tighten as before;
* When I rub it, I feel a little uncomfortable rather than sore; it's like the rub can reduce the sore or the pain;
* Right now, the painful spot kind of changed; before it was one the side, now it's on the bottom; or I should say the pain has expanded, and I can't tell the center of it; maybe it's not a spot, but an area; and yes, I do feel the pain when I press on it.
* And also, even when I just lay down, I still need to find a good position for my foot otherwise there will be always an uncomfortable feeling around that area bothering me. It's not a sharp pain, but you can tell it's not right.

And again, thank you so much for helping me.

Many gratefulness!

Adam
China







Dec 17, 2010
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Joshua Responds - Tendonitis from a 5th metatarsal head fracture
by: The Tendonitis Expert

Joshua Comments:

Hi Adam.

1. Specifically I meant Ice Dipping for reducing inflammation. Of the two products you mentioned, I'd go for the 'The Plantar Fasciitis Treatment That Works' DVD and Quick Start Companion ebook.

2. A doctor can order a Vitamin D level. Maybe you can purchase one online but I don't know their relationship with shipping to China or sources/providers in China.

Appropriate Vitamin D3 levels are VITAL for proper bone healing, etc. And Magnesium and Bitamin B6 are VITAL for Vitamin D to work.

Current research thinks that you should be taking them in appropriate amounts, yes.


3. No, I don't need another Xray. Even if it 'showed' that it was fully healed, there's more to the story.

You said rubbing makes it feel better. Great. That's a good sign.

You also said that when you lay down you have to find the right position to be pain free. Which tells me that tight muscles and connective tissue are part of the problem, because they are tugging on foot structures that tug on the irritable spot, which causes pain.

Most of the time, the injury isn't as bad as the body's response to injury, which lasts far longer and causes more problems in the long run.




Dec 19, 2010
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Start to try the ICE DIPPING
by: Adam

ok, thank you Joshua, I will start to try the ice dip.


Thank you again.


Dec 19, 2010
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Question for ICE DIP
by: Adam

After everytime I dip my foot in to the ice water(5-10 seconds), what should I do?
Just leave the foot that way or should I try to warm it for the next round;by the way I'm considering to do it 10 rounds in 2 hours.

Expecting your advice.
Thank you in advance

Adam
China


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Joshua Comments:

Your foot will warm up all on it's own. Your body will overcompensate for the cold and push lots of new blood into the area.

You can dry off, or not, and walk around, or lay around, whatever.



Dec 20, 2010
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thanks - Tendonitis from a 5th metatarsal head fracture
by: Adam

Thank you!

That solves my worry.


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Joshua Comments:

Great!





Jan 20, 2011
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suspicion of arthritis - Tendonitis from a 5th metatarsal head fracture
by: Adam

Hi, Joshua:
I've been doing ice dipping more than 2 weeks, but I didn't really see any big benefit from it. And I started to suspect that maybe it's an arthritis case. And do you think that maybe it's not good for arthritis to do ice dipping?

expecting your answer

Best Regards

Adam


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Joshua Comments:

Hi Adam.

Ice Dipping causes circulation.

Circulation is good for EVERYTHING.

1. How much and how often, exactly, did you ice dip?

2. Why exactly do you think it's arthritis?



Jan 20, 2011
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16days, 10 times per day
by: Adam

1. 16days, 10 times per day (did it in 2 hours)

2. I feel the sore kind of from the joint. When I rub my foot, I can feel it.
And also, my foot has been always swelling, only after a night sleep the swelling will lighten a little bit.
But I did find a weird thing too: when I try to walk normally, in another word, when I put normal weight on the injury foot and try to use the foot-arch, even it does hurt but after a short way walking, I kind of feel the swelling was gone, maybe not totally gone, but definitely not that serious. What do you think about that? I know maybe the circulation did that, but I'm not sure if my condition is ready for that exercise already, so I didn't do it much(try to walk normally).

And thank you for your kind reply.

Good Day

Adam


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Joshua Comments:

Hi Adam.

Foot stride has a lot to do with..well...foot pain.

If you've been foot striking and striding poorly, then that's going to set up a pain dynamic in the foot.

If you focus on using the arch of your foot when you walk (Related page here: http://www.easyvigour.net.nz/fitness/h_gluteus_maxintro.htm) then that's a good thing and I would expect some kind of improvement.

If you don't use your arch, something else has to take the load..something not designed to do that very well.

Your 'condition' isn't going to get better on it's own, so no use waiting for it. Help it along!


Sep 20, 2016
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did you manage to heal
by: Graham

Did you manange to heal your foot?

I have the same problem as you Adam. It started about 3 years ago when I stepped on a small rock walking and it hurt by fifth metatarsal.

I had x-rays plus a soft tissue scan and they found nothing. Six months ago I felt better and the pain had gone. but last weekend I had a quick dance and its back again. I'm taking all the vitamins suggested and icing my foot and will have to take it easy again.



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