First metatarsal stress fracture

The first metatarsal is the long bone behind the big toe. Repeated loading can create a small bone injury before a sudden break occurs. Pain is often focused in the forefoot and may worsen with walking or running, with tenderness, swelling, or a limp. Foot pain has several possible causes, so an examination and suitable imaging may be needed.

Stop running, jumping, and other impact activity while the injury is being assessed. Wear supportive footwear and follow advice about a stiff-soled shoe, boot, or crutches. Do not test the foot repeatedly by hopping or pushing through pain. Elevate it if swollen and use a wrapped cold pack for comfort. A clinician may review training changes, footwear, bone health, and Vitamin D Deficiency; Vitamin D Supplementation should be used only when advised.

Arrange prompt assessment for focal foot pain that increases with weight-bearing, swelling, or limping. Seek urgent help if the foot is visibly deformed, cold or numb, rapidly swelling, or impossible to bear weight on, or if pain follows a significant injury. Heel pain, shin pain, or thigh pain may indicate a different or additional problem and should be mentioned during review.

Ask whether the first metatarsal is tender in a specific area, whether imaging needs repeating, how much weight-bearing is safe, and which activities can continue. Discuss bone-health checks, training progression, and the signs that show healing is ready for a graded return.