Acute pain behind 5th metatarsal

Hi, I am a 19 year old life guard [F] who jumped off my lifeguard stand and had immediate foot pain. I don’t remember twisting my ankle or anything like that but had immediate pain around and behind my 5th metatarsal base. I didn’t have any immediate swelling or bruising but was unable to put weight on it so I used crutches for a few days before going to the doctor. I was sent out for xrays but my doctor only got a report and never saw them and thinks it’s possible they missed a small fracture. He also said i probably have soft tissue damage and has referred me to a podiatrist but as it is workers comp it’s taking a while to get an appointment. I eventually did get some swelling but when it went down and my foot felt a bit better I ditched the crutches for a few hours and the pain came back just as bad as it had been. What do you think is going on? I know I can just wait but I’m a nursing student and curious.

2 Responses

  1. Foot-com

    When I went to ortho, the Dr. thinks he sees a fracture in my cuboid and notices that there is an abnormally large space between my cuboid and talus, and is ordering an MRI. Do you have any idea why there might be a widened space between talusand cuboid? Could only swelling cause that?Thanks.

    Lauren Powell

  2. Foot-com

    Hello and thank you for your question.

    It’s quite possible that you just have a pull of your peroneal tendons (peroneus brevis) and not a fracture especially if your Xray was read as negative.

    Hairline fractures are very rare in the 5th metatarsal so my suspicion is it’s soft tissue injury. However if can get a copy of your Xrays then you can bring them with you to the appointment. For soft tissue injury I’d make sure you are rolling the bottom of your foot on a golf ball or RAD Roller ( as well as rolling out your peroneals.

    Soft tissue injury should resolve in 2 – 4 weeks. I hope this helps!

    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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