[18F] With ankle pain and possible 5th metatarsal fracture

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• 5th Metatarsal Fracture: Given the sudden onset of pain after a fall, the presence of a bump, bruising, and pain when moving your foot, a fracture of the 5th metatarsal (the bone on the outer side of your foot) is a possibility. This type of fracture is common with falls or twisting injuries.

  • Typical Treatment: Treatment often involves rest, ice, compression, and elevation (RICE). In some cases, a cast or walking boot may be necessary. Severe fractures might require surgical intervention. An X-ray is usually needed to confirm the diagnosis.

• Soft Tissue Injury (Sprain or Contusion): The bump and soreness could also be due to a soft tissue injury such as a sprain (ligament injury) or contusion (bruise). These injuries can cause swelling, bruising, and pain, especially with movement.

  • Typical Treatment: Similar to fractures, RICE is the initial treatment. Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation.

• Exacerbation of Neuropathy: Your existing neuropathy might be contributing to the numbness and altered pain perception. While neuropathy itself doesn't cause bumps or bruising, it can make it harder to feel the full extent of an injury.

  • Typical Treatment: Managing neuropathy involves controlling underlying conditions (like pre-diabetes) and possibly using medications to manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Rest and Protect Your Foot: Avoid putting weight on the injured foot as much as possible. Use crutches if necessary.
2. Apply Ice: Use an ice pack on the affected area for 15-20 minutes every 2-3 hours to reduce swelling and pain.
3. Compression and Elevation: Wrap your foot with an elastic bandage (not too tight) and keep it elevated above the level of your heart to reduce swelling.
4. Over-the-Counter Pain Relief: Consider taking ibuprofen or acetaminophen to help manage pain and inflammation.
5. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. Note any changes in pain, swelling, or mobility, and take pictures of the bruising and bump to share with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Increased Pain or Swelling: If the pain or swelling worsens despite home treatment.
• Inability to Move Your Foot or Toes: If you find it increasingly difficult to move your foot or toes.
• Signs of Infection: If the area becomes red, warm, and you develop a fever.
• Numbness or Tingling: If you notice new or worsening numbness or tingling in your foot.

Remember, while these tips can help manage your symptoms, it's crucial to see a healthcare professional for a proper diagnosis and treatment plan. If you have any further questions or need to track your symptoms, MDandMe can help you journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.