Midfoot Fracture NWB

Patient Information Leaflet

Healing

• This is a break to a bone in the middle of your foot.
• It can take up to 6-12 weeks for this fracture to heal.
• Smoking will slow down your healing.
• We would advise that you stop smoking while your fracture heals.
• Talk to your GP or go to www.smokefree.nhs.uk for more information.

Pain and swelling

• You may have foot pain and swelling for 3-6 months after your injury.
• Swelling is often worse at the end of the day.
• Taking pain medication, raising your foot and using ice or cold packs will help.
• More information about this can be found below.

Walking and your boot

• You are only allowed to touch your foot on the floor for balance.
• You should not put weight through your foot as it should rest lightly on the floor only.
• You will need crutches to help you walk.
• The boot protects your foot and will make you more comfortable.
• Wear the boot when you are standing and walking.
• You can take it off at night and at rest.
• You need to wear the boot for six weeks after your injury.
• Please tell us if you are diabetic as you may require a specialist boot.
• You are allowed to put weight through the heel of your foot only.
• You will need crutches to help you walk.

Exercises

• It is important to start exercises as soon as possible. Instructions can be found below. Follow up
• A follow up appointment is not normally needed for this injury.
• If you still have significant pain and swelling after three months, then please contact the Virtual Fracture Clinic team.

Any questions?

• Contact the Virtual Fracture Clinic team if you are worried about your symptoms.
• Contact them if you are finding it hard to follow your rehabilitation plan.
• Contact them if you have pain somewhere other than where you were injured.

Caring for your injury: Week 1-2

• Remember to wear your boot whenever standing and walking.
• You should only rest your foot on the floor lightly.
• You will need to walk like this for the first two weeks.
• You can remove the boot when resting, at night and to wash and dress.
• Wear a long sock in your boot.
• Using a cold pack will help with your pain and swelling.
• You can use an ice pack or bag of frozen peas wrapped in a damp towel.
• Put this on your foot for up to 15 minutes every few hours.
• Make sure the ice is not in direct contact with your skin.
• Try to rest your foot, especially in the first 24-72 hours.
• Raise your foot on a stool or cushions to that it is above the level of your hip.
• This will help to reduce your swelling.

Exercises

• It is important to move your ankle and foot early.
• This helps your blood flow and lowers the risk of a blood clot in your leg.
• Do these exercises 3-4 times a day.
• Start straight away, you do not need to push in to pain.

1. Make gentle circles with your foot in one direction and then the other direction. Repeat this 10 times.

2. With your heels together, move your toes apart to turn the foot outwards. Repeat this 10 times. Do this movement gently within comfort.

3. Point your foot up and down. Repeat this 10 times.

Caring for your injury: Week 2-6

• It is now two weeks since your injury and you can start to put more weight through your foot.
• Keep using your boot when you are standing and walking.
• By six weeks after your injury you should be able to put full weight through your foot.
• You can stop using your crutches as soon as you feel ready.
• It is normal to still have mild discomfort and swelling.
• This may continue for three to six months.
• Keep elevating your leg and using ice packs.

Activity and Exercise

• Keep doing your exercises until you have full movement in your foot.

Caring for your injury: Week 6-12

• It is now 6 weeks since your injury and you can start to wean (gradually stop wearing) out of you boot.
• Stop using it around your own home first.
• You may still need it for longer walks.
• You should aim to be walking without your boot by six to eight weeks after injury.
• It is normal to still have mild discomfort and swelling.
• This may continue for three to six months.

Activity and Exercise

• Keep doing your exercises until you have full movement in your foot.
• Gradually increase your level of activity.
• You should avoid impact activity for three months.
• This includes running, jumping and dancing.

Frequently Asked Questions

I am struggling with my boot. What do I do?

• The boot has a thicker sole and this can make you feel uneven.
• Make sure you wear a supportive shoe or trainer on your uninjured foot.
• This will reduce stress on other joints.
• If you need more advice contact the Virtual Fracture Clinic.

I am diabetic, does this change things?

• If you are diabetic, please contact us to discuss your boot.
• This is particularly important if you have problems with your skin or sensation.
• We may provide you with a specialist diabetic boot.

When can I start driving?

• You can return to driving when:
  • You are no longer using your boot,
  • You can walk comfortably and
  • You can perform an emergency stop pain free.
  • Test your ability to drive in a safe place before driving on the road.

How can I get a certificate for work?

• You can get a fitness for work statement from your GP.

What do I do with my boot and crutches when I no longer need them?

• We cannot use the boots again. Please do not return them to the hospital.
• You can return your crutches to the Fracture Clinic or A&E.

With thanks to Brighton and Sussex University Hospitals NHS Trust for kindly sharing their information sheets with us with full permission to use contents and images.

Contact our service

The Virtual Fracture Clinic
Call us on 020 7288 3310 (Monday to Friday 9am to 5pm) or email whh-tr.fracturevirtualclinic@nhs.net