Terminal learning objective

Figure 7b. Immersion (Trench) Foot

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Figure 7b. Immersion (Trench) Foot
Avoid wearing boots

- Do not drain blisters in the field

- Refer to Medical Officer

- CASEVAC severe cases

Metatarsal Stress Fracture (see figure 8) – a stress fracture is an incomplete break in the bone often seen in intense training programs around week four, when bone absorption exceeds bone-building activity. The most common stress fracture in the foot, known in the military as “March Fracture,” is the second and third metatarsals.


- Repetitive stress on a metatarsal due to malposition or abnormal foot structure or mechanics (i.e. Flatfoot)

- Increased levels of activity, especially without proper conditioning

- Obesity

Signs and Symptoms

- Edema in dorsum of foot

- Tenderness at the top of the foot during and after exercise


- Treat as a fracture



- Rest for two or three weeks until the pain is gone

- Slow return to activity to avoid recurring injury


Refer to Medical Officer

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