The feet are among the most complex structures in the body, featuring 26 bones each, over 30 joints, and more than a hundred muscles, ligaments, and tendons. It’s therefore no surprise that there are a wide range of foot problems we can encounter, one of which is the Lisfranc injury. Also known as a midfoot injury, this issue is characterized by damage to the bones or ligaments in the central area of the foot. Here’s everything you need to know about the condition.

What Causes Lisfranc Injuries?

As with most foot problems, Lisfranc injuries can stem from a wide range of root causes. Sometimes, a sudden twist and fall can cause the injury. The issue is therefore common in football and soccer players. In other cases, the injury can be caused by direct trauma, such as falls from a height or motor vehicle accidents. Lisfranc injuries can range in severity from mild to severe, potentially involving several bones and ligaments.

What Are the Symptoms?

Pain in the midfoot region is the most common symptom of this foot problem. Swelling and bruising on the top or bottom of the foot may also occur. Discomfort may worsen when bearing weight, to the point at which the injury prevents walking. Oftentimes, these injuries will feel tender to the touch.

How Are They Treated?

The first line of treatment for a Lisfranc injury is home care, including the RICE method: rest, ice, compression, and elevation. If pain doesn’t subside after this approach or if you’re unable to bear any weight on the foot, further treatment may be needed.

A foot specialist can diagnose a Lisfranc injury through tactics such as a physical examination and imaging tests. The treatment will depend on the precise location and extent of the injury. For example, if there are no fractures, joint dislocations, or complete ligament tears, a nonsurgical approach may suffice. This could include wearing a boot or cast for several weeks and using crutches to allow the injury to heal. 

For more serious injuries, including fractures or joint instability, surgery may be needed to repair damage in the midfoot. Tactics such as joint fusion or hardware placement may be needed. Post-surgical rehabilitation can help the patient make a full recovery. 

If you have a foot problem such as an injury or chronic pain, turn to Choice Podiatry Associates for compassionate care and effective treatment. These Cincinnati foot specialists treat a wide range of conditions, including both surgical and nonsurgical care. Schedule an appointment with Dr. John M. Rootring at the Kenwood location by calling (513) 984-1911 or with Dr. Jay T. Feist at the Bridgetown office by calling (513) 574-2424. You can also see a full list of their services online.