strange behavior of a stress fracture

Dear Doc,

I have a stress fracture of my second metatarsal, which, according to the x-ray and the doctor, should still allow me to put partial, if not full, weight on it. I was not weight bearing for more than 3 weeks waiting for pains and swelling to go away but it didn't happen. My doctor wasn't sure whether it would be better to get a cast or try some weight-bearing. But after I tried very slight weight-bearing (<10% for 5-10 minutes a day) the pain and swelling actually got greatly reduced over a few days. I was very happy with this and continued this strategy for a few more days but the swelling stopped decreasing and maybe even started to increase. Yesterday and today I tried doubling the time of weight-bearing and today it became more swollen again (a little more than when I wasn't weight-bearing at all) without much pain though (less than when I wasn't weight-bearing). So I don't understand what this means and what I need to do. I guess my options are:
(a) continue with this strategy gradually increasing the weight (perhaps use ice to control the swelling?)
(b) take a rest for a couple of days and continue with this strategy
(c) stop this and get a cast
Any advice? How can this strange behavior be explained?

Posted By D on March 03, 2004 at 21:14:45:

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