A form of foot ailment called a Lisfranc injury can be extremely painful and uncomfortable. They develop when the ligaments that link the midfoot bones are damaged or fractured. Several things, including falls, sports-related injuries, and automobile accidents, can result in this kind of damage.
Causes
Often, a traumatic occurrence like a fall or a high-impact collision in sports results in a Lisfranc injury. These can also happen when the foot is forced on the brake pedal or the automobile floor because of auto accidents. Lisfranc injuries can occasionally develop as a result of overuse or recurrent stress on the foot.
Symptoms
Depending on the extent of the damage, a Lisfranc injury may present with a variety of symptoms. Some typical signs include:
- Pain
The most typical sign of a Lisfranc injury is midfoot pain. The foot may experience localized or generalized discomfort.
- Swelling
Another typical sign of a Lisfranc injury is swelling in the midfoot area. It could be challenging to walk or put on shoes due to the swelling.
- Bruising
Lisfranc injuries frequently also involve midfoot bruising.
- Difficulty Walking
A Lisfranc injury may make it difficult or impossible for a person to walk or bear weight on the injured foot.
- Deformity
A severe Lisfranc injury might result in the foot looking misshapen or out of place.
Diagnosis
Imaging studies and a physical examination are frequently used to identify Lisfranc injuries. The doctor will check the foot for swelling, bruising, and deformity during the physical examination. To measure the range of motion, they could also ask the patient to move their foot in different directions.
Imaging tests like X-rays or MRIs can be performed to determine the injury's severity and confirm the diagnosis. X-rays can be used to spot any fractures or dislocations, while MRI scans can give a more thorough picture of the foot's soft tissues.
Treatment
The severity of a Lisfranc injury will determine the course of therapy. Non-surgical remedies including rest, ice, compression, and elevation may be advised in moderate instances (RICE). The use of painkillers and foot immobilization may also be advised.
Surgery can be required in more serious situations to realign the bones and ligaments in the midfoot. To support the foot and encourage recovery, surgery may entail the placement of screws, plates, or wires. To allow for adequate recovery following surgery, the foot might need to be immobilized in a cast or brace for a number of weeks.
Physical treatment may occasionally be required for those who have had a Lisfranc injury in order to restore their foot's strength and range of motion. Exercises that increase flexibility, strength, and balance may be a part of physical therapy.
Prevention
Even though Lisfranc injuries cannot always be avoided, there are precautions people can take to lower their chance of suffering one. These actions comprise:
- Wearing Proper Footwear
Foot injuries can be decreased by wearing shoes that fit comfortably and offer sufficient support.
- Wearing Protective Equipment
Using safety equipment like ankle braces or orthotics while playing sports can help prevent foot injuries.
- Strengthening the Feet
Consistently practicing activities that strengthen the foot can help the foot become more stable and stronger.
- Rest and Recovery
Following a stressful experience, resting and allowing the feet to recover may help prevent further damage.