A 5th metatarsal fracture is a common foot injury that affects the long bone on the outside of the foot, connecting to the little toe. These fractures can occur during sport, while walking on uneven ground, after rolling the ankle or following a fall. Depending on the location and severity of the fracture, treatment may involve a walking boot, cast or, in some cases, surgery.

At Belconnen Physiotherapy Clinic, we work with people throughout Canberra to help them recover after a 5th metatarsal fracture. Rehabilitation focuses on restoring movement, strength, balance and confidence while supporting a safe return to work, sport and everyday activities.

What is a 5th Metatarsal Fracture?

The fifth metatarsal is the outermost long bone of the foot. Fractures can occur in different parts of the bone, and the type of fracture often influences treatment.

Common types include:

• Avulsion fractures – where a small piece of bone is pulled away by a tendon or ligament.

• Jones fractures – occurring further along the bone in an area with a relatively limited blood supply, which may take longer to heal.

• Stress fractures – developing gradually from repetitive loading rather than a single injury.

An accurate diagnosis using clinical assessment and medical imaging helps determine the most appropriate treatment plan.

What Causes a 5th Metatarsal Fracture?

A fracture may occur due to:

• Rolling the ankle

• Sporting injuries involving twisting or sudden direction changes

• Falls or awkward landings

• Repetitive running or jumping

• Increased training loads without adequate recovery

Active individuals, runners and athletes may be more susceptible to stress-related fractures.

Common Symptoms

Symptoms vary depending on the type of fracture but often include:

• Pain on the outside of the foot

• Swelling and bruising

• Difficulty walking or bearing weight

• Tenderness when touching the injured area

• Pain that increases during activity

If you are unable to bear weight after an injury or your pain is severe, prompt medical assessment is recommended.

How Can Physiotherapy Help?

Once your fracture has been assessed and managed by your GP or orthopaedic team where required, physiotherapy plays an important role in rehabilitation.

Your physiotherapist may assist by:

Reducing Pain and Stiffness

After a period of immobilisation, the foot and ankle often become stiff. Gentle exercises and manual therapy, where appropriate, may help improve movement.

Restoring Strength

Muscles around the foot, ankle and lower leg commonly weaken during recovery. A progressive strengthening program helps improve function and confidence.

Improving Balance

Following a foot fracture, balance and proprioception can be affected. Targeted exercises help retrain stability and reduce the risk of future injuries.

Returning to Sport and Activity

Your rehabilitation program is progressed according to your symptoms, healing and individual goals. Higher-level exercises are introduced gradually to prepare for work, running or sport.

Frequently Asked Questions

How long does a 5th metatarsal fracture take to heal?

Healing times vary depending on the type of fracture, your overall health and your treatment. Many fractures require several weeks of protection before gradually increasing activity. Your treating medical team and physiotherapist can provide advice based on your individual recovery.

Can I walk on a fractured 5th metatarsal?

Some fractures allow protected weight bearing in a walking boot, while others require a period of non-weight bearing. Always follow the advice provided by your treating healthcare professional.

Will I need surgery?

Not everyone requires surgery. Some fractures heal well with conservative management, while others—particularly certain Jones fractures or displaced fractures—may require surgical treatment. An orthopaedic surgeon will determine whether surgery is appropriate.

When can I return to running or sport?

Returning too early may increase the risk of ongoing pain or reinjury. Your physiotherapist will guide you through a gradual progression based on your healing, strength, mobility and functional testing.

Why Choose Belconnen Physiotherapy Clinic?

At Belconnen Physiotherapy Clinic, we provide evidence-informed physiotherapy for people recovering from foot and ankle injuries across Belconnen and greater Canberra.

Our approach includes:

• Thorough assessment

• Individualised rehabilitation programs

• Exercise-based recovery plans

• Education about your injury and recovery

• Communication with your GP or treating medical team when appropriate

Every recovery is different, and treatment is tailored to your individual needs and goals.

Book an Appointment in Canberra

If you've sustained a 5th metatarsal fracture or are experiencing ongoing pain on the outside of your foot following an injury, early assessment can help you understand your diagnosis and rehabilitation options.

Belconnen Physiotherapy Clinic provides personalised physiotherapy for foot fractures and other lower limb injuries throughout Canberra. To arrange an appointment or discuss your symptoms, contact our friendly team on (02) 6251 3487.

Book Online HERE!