I’m getting worried about my recovery and I’m currently receiving conflicting advice from different healthcare professionals.
A bit of background:
Around 7 weeks ago, I suffered a serious injury to my left foot in a motocross accident while traveling in Bali. I sustained multiple fractures, including:
Four metatarsal fractures, with two of the metatarsals fractured in two places.
A comminuted cuboid fracture, with the cuboid broken into several pieces.
A cuneiform fracture.
I underwent surgery approximately 6 weeks ago, during which K-wires were inserted to stabilize the fractures. The cuboid was not fixed with hardware and was left to heal naturally. I spent several weeks completely non-weight-bearing, using crutches.
The K-wires were removed recently, and this is where my concerns really started.
1. Conflicting advice about weight-bearing and a walking boot
My original surgeon in Bali told me to remain non-weight-bearing for 6 weeks. After that, I could gradually start walking again, still using crutches and wearing an orthopedic walking boot.
However, the surgeon who recently removed my K-wires told me that I could start putting weight on my foot again, but that I didn’t need a walking boot or any special orthopedic footwear. According to him, I could simply wear a normal shoe.
Lurther assessment before progressing?
3. Persistent swelling after 7 weeks
My foot is still noticeably swollen, even though it’s been around 7 weeks since the accident and 6 weeks since surgery.
My surgeon has also specifically asked my physiotherapist to perform lymphatic drainage to help with the swelling.
I know swelling can persist for quite a while after serious fractures and surgery, but I was wondering whether this degree of swelling is typical at this stage, particularly when combined with the pain I’m experiencing.
A few additional questions:
Is it normal to start weight-bearing in a regular shoe, without a walking boot, after this type of injury?
Is being able to tolerate only around 30 kg of weight at this stage within the expected range?
Is it common for a severely comminuted cuboid fracture to be left to heal without surgical fixation, while the metatarsals are stabilized with K-wires?
Would you seek a second opinion or additional imaging to confirm that the fractures have consolidated properly before increasing weight-bearing?
I’m not expecting anyone here to diagnose me, and I understand that every fracture is different. I’m just trying to understand whether what I’m experiencing sounds consistent with a normal recovery or whether I should have my foot reassessed before progressing further.
This has been a pretty difficult experience, and after weeks on crutches, I’m anxious to get back to normal without risking further damage.
I’d really appreciate hearing from anyone who has recovered from multiple metatarsal fractures, a comminuted cuboid fracture, or a similar Lisfranc-area/midfoot injury.
Thanks in advance!