Healing the Break: An Ayurvedic Integration in Metatarsal Fracture Recovery

Abstract

Metatarsal fractures, particularly those involving the 5th metatarsal, are common foot injuries that can lead to delayed healing due to poor vascular supply. Conventional management may not always be accessible or free of complications. Ayurveda offers a holistic approach through internal and external therapies based on classical principles of Bhagna Cikitsa. A 42-year-old female presented one-month post-trauma with pain, swelling, and restricted movement in the  whole of left foot. X-ray foot Dorsoventral and lateral view revealed an oblique fracture at the 5^th metatarsal shaft. Treatment included internal medications Lakshadi Guggulu 500mg 2 tablets thrice a day after food, Gandha Taila 1 tablet twice After food, Musthadi Marma Kashaya 15ml+ 45ml twice a day before food and external applications Nagaradi Lepa in the morning and Murivenna Pichu at night, along with crepe bandaging and dietary guidelines. The patient was monitored over 60 days for pain, swelling, tenderness, mobility, and functional improvement. Significant symptomatic relief was observed by Day 15. Pain, swelling, and tenderness resolved completely by day 45. Toe and ankle movements were fully restored, and the patient resumed normal activities without complications. Radiological improvement suggested callus formation by findings like dense, well defined, whitish appearance on the x-ray images. No adverse events or delayed union were reported. Ayurvedic management combining internal and external therapies facilitated complete and timely recovery in a 5^th metatarsal fracture. This case supports the potential role of Ayurveda as a cost-effective, non-invasive approach in fracture care, warranting further clinical research and integration into standard orthopaedic practice.