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About Dr George Tsatsos
Expertise
All questions related to surgery, orthopedics and medicine of the foot and ankle. Second Opinion specialist in Foot and Ankle including fractures All questions relating to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience
PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008

Organizations
Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

You are here: Experts > Recreation/Outdoors > Walking > Podiatry > 2nd metatarsal base fracture

Podiatry - 2nd metatarsal base fracture

Expert: Dr George Tsatsos - 11/5/2009

Question
In mid August, I fractured the base of my 2nd metatarsal but wasn't diagnosed until 10/5 because the fracture was not visible on an x-ray. An MRI confirmed a subacute ostechondral injury %26 small incomplete, non-displaced fracture at the base of the 2nd metatarsal with moderate associated edema extending to the proximal shaft. There was also a small subacute osteochondral injury to the head of lateral cuneiform and mild generalized narrowing of the 2nd tarsal metatarsal cartilage space. There was no ligament/tendon damage or dislocation/subluxation found. Based on that finding and weight-bearing x-rays I was told I don't have a lisfranc injury. I was sent to a podiatrist who treated me for 3 weeks with crutches, cam walker, and a bone stimulator. After 3 weeks, I went for my followup where the podiatrist told me I could go back into sneakers but minimize my walking. I did not have pain when he manipulated my foot or pushed on the bone. More x-rays were taken but,again, the fracture was still not visible. I walked for a few days in sneakers but had to go back into the boot because I continue to have this sharp pain above the 2nd metatarsal shaft if I put pressure on my forefoot. The boot is much better but I occasionally will still feel the pain if I accidentally put too much pressure on the forefoot. I have been weightbearing for almost 2 weeks. Is this pain normal? I went to an orthopedic foot %26 ankle specialist for a 2nd opinion and advised on the same treatment as my podiatrist. How long does it take for a 2nd metatarsal base fracture to heal? I am worried that I might be walking too soon and delaying/hindering the healing process.

Answer
This Chicago Podiatrist says......
Sorry to say , but you need an additional opinion.
What is the reason for the fracture???????
Unless it is a fracture from an injury then......
the stress fracture is caused by biomechanics-the biological,mechanical nature of movement.
Some form of abnormal biomechanics must be happening to be putting extra pressure on the second metatarsal and causing the movement and subsequent pain.
If you get it to stop moving and do something to help with the biomechanics(perhaps an orthotic) it should heal in 3 weeks.

We are Chicago & Elmhurst Podiatrists
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Dr George Tsatsos
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com
Runnersdoc.com

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