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I broke four metatarsals in my foot 8 months ago and had a Jones fracture. I was in a cast for 12 weeks, and a screw was put in to hold the bones together. The doctor told me I was completely healed two months ago. However, my foot is still sore and swells and I don't have complete mobility. He told me I had 10% disability which he reported to the insurance company before releasing me. I was on Workman's Compensation. I would like to know if it would help my mobility and reduce the swelling if I had the screw removed or, if not, would it help my foot to have more physical therapy? RESPONSEHi,If you broke four metatarsal bones it would not surprise me that you still have residual pain eight months later. The problem with feet unlike a hand, for example, is that you have to walk on the foot and everyday walking will delay the healing in your foot.I do not know how bad the original fractures were and I would assume the screw was placed in the site of the Jones fracture, but the more complicated the original fractures, the longer it will take for resolution of pain.The type of work that you do will also play a role in the timely healing process. If you are on your feet all day at work and work on very hard floors or carry heavy material, that too, will lead to a delay in healing.Physical therapy could be very helpful in moving the process along. I would try at least one month worth of therapy and then decind if it is helping. If so, I would then continue with it; if not I would cease the therapy.Removing the screw is an option, but it is an option somewhere down the road as the purpose of the screw in a Jones fracture is to keep the fracture closed in an area that typically has a very poor blood supply which in turn can delay or even prevent a fracture from healing.As a general rule, the screw should stay in for at least a year and then it would at the discretion of your surgeon as to when the screw should be removed.Keep in mind, the screw would only be removed if the lions share of your pain was in the area where the screw had been inserted.You are at the eight month period and in most people they would be well on their way to having this problem resolved.If the foot bothers you enough, you might ask your doctor about an MRI which would give a better visualization of what is going on in your foot, if anything, compared to an x-ray. Sometimes bones may look clinically healed on an x-ray, but there may still be issues and an MRI should be able to identify any residual problems.Marc Mitnick DPMDISCLAIMER
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Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)
I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
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