![]() A stiff soled shoe, walking boot, or even a cast may be used. Most metatarsal fractures can be treated without surgery. You should also elevate your foot as much as possible for the first 2-3 days, and apply ice to help decrease the swelling as well as your pain. If the bone did not poke through the skin, the emergency room provider will typically put you in a splint (half cast), place you on crutches, prescribe medications to help you deal with your pain, and advise you to follow up with either your primary care provider or an orthopaedic surgeon. The diagnosis is usually made by taking x-rays. You may decide to go to an emergency room or to your primary care doctor. If your metatarsal fracture is the result of a crush or twisting injury, the pain will likely be great enough to make you seek immediate medical attention.
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