A Lisfranc injury occurs when one or more metatarsal bones are displaced. This happens when the mid-foot suffers from a broken bone or when the ligaments are injured. A Lisfranc injury can damage the cartilage in your mid-foot joints. This can lead to long-term disabilities and deformities making it essential to treat the injury at the soonest possible time.
A podiatrist can help diagnose the presence of any foot injury and Lisfranc injury. Non-surgical treatments are available if the foot condition is diagnosed early. However, surgery is the choice of treatment for severe Lisfranc injuries. Dr. Charles Sulesky is a podiatrist who specializes in helping people with Lisfranc injuries.
- Rest – remove any outside pressure on your foot by lying or sitting. Further movement can only aggravate the injury.
- Immobilize – a podiatrist may recommend wearing a cast for approximately 6 weeks to keep the foot from moving and promote proper healing. Crutches are also used to avoid placing weight on your injured foot.
- Ice application – applying cold compress immediately reduces swelling and also acts as a natural pain reliever.
- Elevate the affected foot – this is another way to reduce swelling naturally by using gravity
- Pain medications– this immediately gives pain relief and also acts as an anti-inflammatory medication.
Physical therapy - once there is no swelling or pain and the cast has been removed, physical therapy sessions can help restore normal functioning in the affected foot. It can also strengthen muscles for better support and avoid future injuries.
Surgery is recommended for those suffering from advanced stages of Lisfranc injury. The aim of surgery is to restore normal alignment of the joints and to correct bone fractures
- Internal fixation - with use of plates and screws, the broken and displaced bones are returned to their normal position. The metals placed will stay after the surgery for about 3 to 5 months or depending on your doctor's assessment of the injury.
- Fusion - if internal fixation is not possible because the injury caused complete damage and the bones are beyond repair, a fusion is done. This is where two damaged bones are put or welded together to make them heal as one.