A Lisfranc, or “midfoot” injury, means that the bones in the midfoot are broken or the ligaments that support the midfoot are torn.

The severity of these injuries vary, sometimes involving several midfoot bones and/or joints. These injuries are often mistaken for a sprain, which can be detrimental to your healing. Lisfranc injuries may take months to heal and sometimes require surgery.

Symptoms often include:

  • A swollen and painful top of the foot
  • Bruising on either or both the top or bottom of the foot
  • Pain that worsens when weight is applied to the foot

In order to determine if your injury is a Lisfranc injury, an examination of your foot and ankle will take place. There are a few simple tests that will look for bruising, tenderness, and pain in your midfoot. Other tests include imaging, such as X-rays, MRI scans, and CT scans.

If a Lisfranc injury is determined, treatment varies depending on the severity of the injury. Nonsurgical treatments include placing the affected foot in a non-weight-bearing cast or boot for 6 weeks. Keeping weight off of the foot is imperative for proper healing. After 6 weeks, a removable cast boot or orthotic will be used for weight-bearing.

During the healing process, regular X-rays are required to make sure the foot is healing well. If there is any evidence that bones have shifted, surgery may be required. Surgical treatment is recommended for all Lisfranc injuries that present abnormal positioning of the joints. During the surgical procedure, we will realign the joints to a normal position.

At ProActive Foot & Ankle, you can be sure that our doctors will treat every case with care. Your foot injury is unique to you, and we will tailor the treatment to you and your needs.

If you suspect you may have a Lisfranc injury, don’t hesitate to call our offices to schedule an appointment today!