A Lisfranc injury is a significant injury that involves the midfoot. It is sometimes referred to as a midfoot sprain and it is often has a lengthy recovery time -especially compared to the average ankle sprain.
Finally, after 25 weeks of healing from lisfranc surgery, I am able to do 2 full hours of regular housework, including being able to vacuum!! I never thought I would say I enjoyed doing laundry, cleaning the kitchen, picking up, getting out Thanksgiving decorations etc!!! My foot told me I need to stop, but that's OK. I can honestly say, I am thrilled to be able to take back another part of my life!!! I also decided to move up my hardware removal surgery to Nov 20th. This decision was based on my insurance, who will pay for the entire surgery if I have it done by the end of 2013. I traded a couple of e-mails with my physical therapist (whose wife has still not had their baby boy yet) and he wants to come and observe my operation! (My surgeon and my PT have a good relationship.) I am absolutely thrilled!!!!! How cool is it that he wants to follow my case even after I have graduated from PT!!!! plates and screws after lisfranc surgery 24 weeks post op So, in a few weeks I will be saying "good-bye" to the plates and screws that were imperative to my healing bones!!
Your Lisfranc joint, also known as the tarsometatarsal joint, lies within your midfoot area as part of a bone cluster that makes up the arch along the top part of your foot. The joint plays a role in transferring force between your midfoot and forefoot area. Common symptoms of a fracture or dislocation include ...
A few days after Thanksgiving, the hardware my surgeon removed from my foot arrived in the mail!!! Hardware used to heal my lisfranc fracture My surgeon knows I have been writing a lisfranc blog and was more than happy to let me keep the hardware he used to help my body heal from a lisfranc fracture. lisfranc fracture plate lisfranc fracture screws What amazed me was to see the screws varied in color, physical size and thread size. Check out the teeth at the end of the screws!!! YIKES! Maybe it was for the best that my anesthesiologist would not let me watch either surgery! lisfranc fracture screws Psychologically it has been very rewarding to think I no longer have plates and screws in my foot. My surgeon has assured me that in the next 6 weeks, the holes in my bones left by the screws will fill in.
A lisfranc injury, also referred to as a midfoot injury, occurs when the bones in the midfoot are broken or ligaments that support the midfoot are torn.
Well, my first session of physical therapy is in the books! I went to see the Lisfranc specialist and she is going to help me get range of motion back in preparation for walking again. I scheduled my 2nd foot surgery to remove some of my hardware for October 13th. Once those are out, I can start bearing weight on my foot. My doctor is conveniently out of town when I would have hit my 12 weeks, so I will be delayed by a week, but I'm still really excited! I'm no stranger to physical therapy visits. Nate had a piriformis issue in 2013, I had a pulled trap muscle in 2015, so I've become very familiar with it. The specialist practices at a clinic in Holladay, a bit of a drive from my house but not too bad. I talked to her before she started to examine me and even though Lisfranc injuries are rare, she sees a lot of them because that is her field. I felt really comfortable with her and the treatment she's going to give me. She used to work at the TOSH hospital and is very familiar with my doctor and his PA, who I've become great friends with. She was very impressed with my scooter and how pimped out it was. She even called some people over to see it because she thought my headlight was hilarious. It is so important to stay positive and give off a positive vibe with other people. It makes things feel so much better! First, I had to fill out a bunch of standard doctor forms. Health history, medication, etc. There was a chart in the very back that had a diagram of the body and I was supposed to draw on it where I had pain. There was also a chart to code the type of pain I was having (ex. ooo - pins and needles, xxx- sharp pain, /// - stabbing pain, etc.) I started to draw on my foot on the paper and realized I had all of those things, so I wasn't going to waste my time drawing it all out. Then the therapist examined me and took measurements of the ranges of motion on both my left and right feet. I didn't know what all the numbers meant, but she had a protractor type ruler that measured angles when I pointed and flexed my foot. She also measured my foot for swelling. My left foot was at 46 and righty was at 47.5. Whatever that means. She then wanted to know what type of activities I wanted to get back to post-therapy, and went over some things I already knew, like running. I learned that while I physically will be able to run, it will just make arthritis set in that much faster and eventually I will need a fusion when that occurs. I'd rather prolong that as long as I can so I should keep running to a minimum. It is still not recommended for me to move my foot side to side at this point because of the navicular stress. After my measurements were all entered and we had a nice discussion about the injury, we started to work on exercises. I got a list of them to take home to complete as homework, and made another appointment again in 3 weeks. I won't need to see her that often until I actually start weight bearing. For now I get to practice these well modeled exercises. I actually have been doing some similar stuff at the gym, but now I at least know what exercises to target. Here's also a cute foot video of how the little piggies are looking and *gasp* wiggles!!! So, I probably should tackle this whole "learning to walk" thing first, but I've already set a fitness goal for 2016. I want to complete the Wasatch Back Ragnar. What? Thought you said you can't run, missy? You're right, but my goal is to walk it. Speed walk it! It's a little under a year away, and I think I could train pretty hard to be a really fast walker. I was a slow runner so I may be able to even match my pace if I work really hard at it. I'm not going to be a 9 minute mile like my superstar husband, but I can do a 12 minute mile perhaps! One of my regrets was not running Ragnar with Nate this year. It was a week before Spartan and I didn't want to push it that much before the race. But, Superman over here did it. I should have just done it!! Grrr. Milestone for next week: getting my hair done. At the salon. Haven't done that since the injury. But I need it. So. Bad.
A blog journal describing recovery from LisFranc surgery
As I painfully watch Dr. Henne's favorite team in the NFL, the Minnesota Vikings, lose players for all different reasons, I feel the worst for Matt Cassel. This past week when the Minnesota Vikings quarterback hurt his foot we immediately suspected some type of Lisfranc's injury. A Lisfranc's tear of the ligament or fracture of the joint both are terrible injuries. Usually the mechanism of force in this injury is the metatarsal bones being forced in one direction while the mid foot and rear foot bones are going another. When there is not a fracture associated with a tear or strain, I find these injuries to be grossly under treated. Whenever I have an athlete in my office who presents with a swollen foot that has difficulty bearing weight I always get an x-ray. If their history is one that involves someone falling on the foot or them recalling pain in their mid foot after a forced dorsiflexion of the foot I am suspecting a Lisfranc's ligament strain, fracture or dislocation. If the x-ray is negative I send the patient for an MRI. I feel strongly that we do these individuals a true disservice if we do not fully investigate these types of injuries. Whether it is a 14 year old football player or an Olympic sprinter training in Clermont, I believe the sequela of this type of injury under treated can lead to potential disability down the line. If the MRI is positive for a Lisfranc's strain I will immobilize this patient in a cast and make them non weight bearing for 6-8 weeks. I would then have them progress to weight bearing in a pneumatic walking cast for at least a month. If there is a fracture of the Lisfranc's joint with no dislocation I may consider the same treatment as above but the non-weight bearing period of time may be a little longer based on the patients serial x-rays and clinical symptoms. But in many cases this becomes a surgical problem. If the X-ray and MRI show a fracture with dislocation I believe surgical intervention is paramount for the individuals avoiding a rocker bottom foot deformity in the future. This is not a perfect procedure and comes with its own set of consequences for future foot problems. The surgical approach is determined based on the type of dislocation and fracture. I usually will perform and open reduction with internal fixation to relocate the broken bones or pin percutaneously unstable joints. Unfortunately for the patient, these screws that we put across the joints are only temporary and will require a second surgery for screw removal. As you can imagine, the road to recovery after this type of surgery is arduous. For a world class athlete the road can be easier as the treatment received may be more expeditious, unlike the bureaucracy and hoops that the average Joe might have to go through in order to even get an MRI approved or come up with their new $12,000 deductible they have now due to the Affordable Health Care Act.(Sorry doctor rant over.) Matt Cassel most likely will have surgery this week for his foot if he has a fracture or a dislocation of the Lisfranc's joint. This injury though will be season ending for him. If he is your quarterback for fantasy football hopefully you caught wind of this prior to the wavier choices being picked and done. If not, hopefully, you have a really good back-up on your bench! If you would like to keep up to date on the many types of injuries your fantasy football players may be faced with this season check out our webpage http://centeranklefootcare.com/id81.html home to the "2 Pods & a Microphone" Podcast, where myself Dr. Michele McGowan and my partner in many ways Dr. Henne explore the injuries that matter to the feet and ankles to your fantasy football team:)
A Lisfranc injury is a significant injury that involves the midfoot. It is sometimes referred to as a midfoot sprain and it is often has a lengthy recovery time -especially compared to the average ankle sprain.
Learn about the causes, symptoms, and treatment options for peroneal tendonitis - part of the Myfootshop.com Foot and Ankle Knowledge Base.
Sleeping used to be one of my favorite activities before my LisFranc injury. Now, I kind of dread it. I have the hardest time getting comfortable at night. My incisions will start to itch randomly, or bump up against the side of my fiberglass cast and cause an uncomfortable sensation. Or, I'll get a visit from the little gremlin that lives inside my cast, and he will randomly stab my foot with a knife, or a searing hot poker, or a taser. Whatever he can find. I have a pillow fort set up, that encases me in a wall of softness. This helps will my comfort level, because I can rest my elbow or knee on the pillows and take some pressure off because my foot demands to be elevated at all times. But, it also closes me off from my husband, so I kind of feel like I'm in cuddle jail. I miss snuggling with my nice, warm, husband and drifting off to Hawaii Dreamland. I'm a side sleeper, and sometimes I can contort my body into a position that will allow me to somewhat sleep on my side, still have my foot elevated, and not have too much pressure on my incisions. But, it's like getting all 9 (that's right, 9, I got your back, Pluto) planets to align. I still can't stand the sensation of a blanket on my exposed toes, so I have to stick my foot out of the covers. That drives me insane, because ever since I was a little girl, I have hated to have any body part hanging out of the covers. Because monsters will get them. So I lay there, staring at the ceiling in the dark, imagining all of the horrible creatures lurking unseen in my bedroom looking for a midnight snack. I used to be able to read for an hour or so, and that would make me nice and comfy and sleepy. I could probably read all night now without getting tired. Even on work nights, I am staying up well past midnight still reading my novels. Then finally turning my Nook off, and tossing and turning for what seems like days. Then my cat decides she wants to cuddle with me, so she comes and lays on my chest and belly. And she'll sit there purring, softly nuzzling my face, pawing at me with her adorable little paws, drifting off to her own Hawaii Dreamland. I suppose it's more like Tuna Dreamland or Treats Island. Of course I can't move or disturb her once she's fallen asleep - that would be rude. Eventually she leaves to go bully our other cat for her nightly capers. I hear him being tackled and screaming like a little girl. I chuckle and can focus on getting comfortable again. I have tried different sleeping techniques, breathing exercises, and playing around with the settings on the Tempurpedic to induce that lovely feeling of being tired. To no avail. Don't get me wrong, I can take a sleeping pill, or a Melatonin, or a Klonopin, and that'll do the trick right quick. But, I want natural sleep! I have to remind myself that this is only temporary! It's been 3.5 weeks since surgery. Only 8.5 more weeks being in a cast or boot. Then... it's all about Hawaii Dreamland.
A few days after Thanksgiving, the hardware my surgeon removed from my foot arrived in the mail!!! Hardware used to heal my lisfranc fracture My surgeon knows I have been writing a lisfranc blog and was more than happy to let me keep the hardware he used to help my body heal from a lisfranc fracture. lisfranc fracture plate lisfranc fracture screws What amazed me was to see the screws varied in color, physical size and thread size. Check out the teeth at the end of the screws!!! YIKES! Maybe it was for the best that my anesthesiologist would not let me watch either surgery! lisfranc fracture screws Psychologically it has been very rewarding to think I no longer have plates and screws in my foot. My surgeon has assured me that in the next 6 weeks, the holes in my bones left by the screws will fill in.
Have you ever wondered what it’s like to break your foot? Or maybe you recently broke your foot and you aren’t sure what the future holds for you. Based on my recent experience of breaking my foot I’m here to help you better understand what it’s like to break your foot. I’d like to preface this entire post that everyone’s broken foot experience is different. For example, everything that I read online right after I broke my foot scared the crap out of me.
A Lisfranc injury is an injury to the midfoot. It is an injury which is often misdiagnosed and mistaken for a simple sprain.
“Lisfranc injury” refers to the fracture or dislocation of the bones or torn ligaments in the mid-foot region known as the Lisfranc joint. The name is derived from that of a French surgeon of the 19th century. Learn more about Lisfranc foot injuries!
A Lisfranc injury is a significant injury that involves the midfoot. It is sometimes referred to as a midfoot sprain and it is often has a lengthy recovery time -especially compared to the average ankle sprain.
On 6/27/15, I sustained a significant fracture to my Lisfranc joint from a 10 foot fall during an obstacle course race. On 7/7/15, I had ORIF surgery to repair a commuted fracture to my navicular bone, fractures to my 1st, 2nd, and 3rd cunieforms, a fractured cuboid, and dislocations of 4 metatarsal bones. This blog is my experience. Hopefully it will help others who have suffered this horrific injury and inspire you to overcome life's obstacles.
I started this work-out about 1.5 weeks post-op. Remember, at the beginning of your healing, it is important to rest and keep your leg elevated at heart level as much as possible. The trick to a good workout is to not take breaks longer than 10 seconds between each exercise and 60 seconds between each round. My workout lasts 45 minutes and makes me sweat. Tips for Success: Use music that will pump you up. Google Play, a free app by Google, has a fantastic selection of playlists. My favourite playlist is "Drop-a-Beat Workout". Take your time with every movement. Don't rush and don't loose your form. This work-out is harder than it looks if you're non-weight bearing. You end up using more core because your foot can't touch the ground. Use a weight that challenges your muscles. The last couple reps should be difficult. That's when you know you're doing it right. Be careful of your casted leg. It's easy to switch exercises and then accidentally move the wrong way and loose balance or hit it on something. Time yourself. Try to improve your time in the future with smaller breaks between reps. Don't get discouraged. If you can't do it all, that's okay. We all started somewhere. Just know that everyday you exercise, you're stronger than the day before. Create a visual. Make a big "X" on your calendar for everyday you complete your workout. The more "Xs" you see, the more you'll want to add another. If you're a sweater like me, take a blow dryer on the cool setting to your cast afterwards. Sweat may cause mold and mildew which can lead to infection. Grab a water bottle, stay hydrated. Start The push-up is my all time favourite exercise. Not only is it great for strengthening your core, chest, arms, back and shoulders but it can also add an element of cardio. This workout contains 108 push-ups. Round 1 12 push-ups 12 one-legged squats 20 ticep dips - swap with overhead tricep extensions 20 shoulder presses Repeat 3 times If you want more, add 20 chest presses x3 one-legged squat one-legged squat push-up push-up tricep dip shoulder press Round 2 20 bent over one arm rows - each arm 12 bicep curls - each arm 8-12 rotator raises with double fly press 12 push-ups Repeat 3 times If you want more, add 12 tricep pushups x3 bent over row bicep curl rotator raise rotator raise pec deck Round 3 20 standing or on your knees side leg raises (you can do both legs if on your knees) 20 standing or on your knees side leg kickbacks 30 sit-ups 15 oblique sit-ups - each side 12 push-ups Repeat 3 times If you want more, add 24 Russian twists (12 each side) standing side leg kickbacks standing side leg raise sit-up oblique sit-ups Keep going for as long as you can. Hopefully this will keep you busy for a good amount of time and take a really hot shower when you're done and don't get your cast wet!!!!!! If you want more, check out my Non Weight-Bearing Workout Foot 2
Patients with the fastest recovery times tend to be those who plan for their surgeries. Use our guide to help speed up your ankle surgery recovery.
Cam walkers are often used following foot or ankle surgery or after an injury. These devices help protect the injured area. They provide relative immobilization. They also allow for some limited walking (if this is indicated), and will serve to disperse the force of walking more evenly up the leg, due to the rigid sole and the rounded (rocker-bottom contour) of the sole.
On 6/27/15, I sustained a significant fracture to my Lisfranc joint from a 10 foot fall during an obstacle course race. On 7/7/15, I had ORIF surgery to repair a commuted fracture to my navicular bone, fractures to my 1st, 2nd, and 3rd cunieforms, a fractured cuboid, and dislocations of 4 metatarsal bones. This blog is my experience. Hopefully it will help others who have suffered this horrific injury and inspire you to overcome life's obstacles.
A broken leg can keep you off your feet for a period of six to eight weeks or longer. During this time you will likely have a cast on your leg and be required to use crutches or another form of walking aid. Being this sedentary can make losing weight a challenge.
In today's PT Intel personal trainer Kathleen Trotter talks about how strength training and running go hand in hand. Besides being a personal trainer, Kathleen lives her advice, having completed 10 (count 'em!) marathons, an Ironman (well, Ironwoman to be more accurate) and 7 half Ironmans. You can also find her on Twitter.
Hidden diagnosis
Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple to complex, involving many joints and bones in the midfoot.
I've been hopping around for a week and a half now and am trying to compile my thoughts about having a broken foot. I'll be sporting a fab cast until at least 8/1 Primarily, what I've discovered is that this is a life changing event. I have had to change many things in my environment
Original Editor - Sigrid Bortels
