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By Crofton Podiatry
March 08, 2017
Category: Foot Conditions

A severe twist of the foot or heavy object dropping on it can cause severe pain throughout the midfoot, bruising or blistering on the arch, and the inability to bear weight. This injury is called a Lisfranc injury as it affects the Lisfranc joint and ligament. You may not have heard of this word or name, but Lisfranc injuries can happen in many circumstances, such as car accidents, running or football injuries, as well as while horseback riding accidents.

The Lisfranc joint is where the bones that lead up to the toes and the bones in the arch come together. The Lisfranc ligament is tissue that keeps the bones together. You can feel for the joint area by following the big toe bone up the foot until it reaches a ‘V’ where it meets the second toe bone, near the top of the arch. When there is a sprain (stretched ligament from twist of foot), fracture (broken bone from impact), or dislocation (bones get forced out of place), the Lisfranc joint or ligament gets injured and can cause you severe pain.

Treating a Lisfranc Injury

  • RICE method to keep pain and swelling at bay – The first thing you should do is to get off your foot (Rest), put a cold pack on the foot for 20 minutes each hour (Ice), wrap the foot if you can (Compression), and prop it above your heart level (Elevate).
  • See your podiatrist as soon as possible, or if the pain and swelling is severe, go to the emergency room. Do not put any weight on the foot.
  • If the bones are not out of alignment, you may just need a cast and painkillers, like ibuprofen or aspirin.
  • Lisfranc surgery may be required if the bones have broken or shifted out of position. It may require pins, plates, and/or screws to put the bones in their proper alignment as they heal.
  • After healing, you may need physical therapy to regain strength to walk and bear weight.

Oftentimes, as a result of this injury, complications can arise, such as: chronic pain and arthritis, bone alignment issues, and surgical complications (including nerve damage and wound re-opening) due to swelling.

If you suspect you have a Lisfranc injury, call our office immediately. Our board-certified podiatrist, Dr. Brad Toll, can properly assess and diagnose your symptoms to find you the right treatment. Make an appointment today at Crofton Podiatry by calling (410) 721-4505. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding Gambrills, Odenton, and Bowie areas.

 

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2411 Crofton Lane, Suite 25
Crofton, MD 21114

Podiatrist - Crofton, Crofton Podiatry, 2411 Crofton Lane, Suite 25, Crofton MD, 21114 (410) 721-4505