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Hi Camille,



From what I have read about the lisfranc injury, it is better to have the ORIF surgery, if you need it, as soon as possible. Delay of the surgey could lead to painful arthiritis and require the bone fusion later.



I would suggest you to vist the new lisfran thread at https://www.steadyhealth.com/topics/lisfranc-foot-fracture-thread-part-ii&highlight=

and post your question again.



most of the people are doing fine after the surgery, though it will take at least 4 months to heal and likely you will not get back 100% of your provious activity level. Good luck.

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Because my lisfranc injury wasn't detected until 3 weeks after it happened (on July 1), I've been told by many docs (and I've seen a lot) that neither casting nor surgery would be beneficial. It's only good immediately following or soon after the injury? But that might be just for me because my arch didn't collapse so there was no need for pinning anyway. But the final word, after conferring with 3 surgeons, is that I must wait at least a year for full healing before any of them would even consider fusion. Again, this might just be me since although the foot hurts all the time, sometimes worse than others, I am not taking pain killers only Advil every now and then. They also suggested that there's nothing much I can do to make it any worse (within reason, I guess) and suggested I exercise and keep it from getting too stiff. They said this would be just as good as physical therapy, since I am up and about. I belong to the local Y, so hired a personal trainer to spend some time with me on the machines, etc. I have gained a lot of weight since the injury, and I'm sure taking some of it off would help with the healing, right?

I'm 46, and hate how "old" this injury makes me feel at times. I still do a lot of limping and hobbling. I'm feeling a bit more optimistic that I'm not worried about moving around and stretching a bit.

Wish the long-term prognosis was better, but it is what it is. That's today's mood, anyway!

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I injured my foot Oct 7, 2006 while camping. Was told it was just a sprain, then a couple days later told by my ortho it was a lisfranc fracture and I needed surgery. An ortho surgeon who specializes in feet did the surgery a few days later. I went to surgery at 4:30pm, and was home by 8pm, including the 45 minute drive and stopping at the pharmacy. I haven't had a significant amount of pain. I guess I'm either stubborn and don't admit it, or lucky. I finally got the okay last week (January 15) to start "progressive weight bearing" and I get my screws (3) out on the 31st (15 weeks post-op).

What's helped me a lot is a knee scooter. I haven't heard anyone in these forums mention them, but my doctor thought maybe I could work with one. (I'm a nurse). My boss didn't go for that, but with non-weight bearing status for so long, using crutches the whole time would have been absolutely miserable. The knee scooter allowed me to anything, cooking, cleaning, even go shopping without tiring out! I even went to Washington DC and did all the tourist activities we could manage to fit into our schedule! If anyone is interested, you can look online for them. I used two different kinds, (one inside, one out and about because my house is a split-level). One was a Roll-A-Bout and the other a Rolleraid (this is the cooler one!). You can rent or buy them. I really recommend it!

Now my biggest challenge is the weight bearing. It's only been 13 weeks, but my ankle is weak, and that's all that hurts when I take a step without crutches. I have a big mental block...fear!...of stepping without crutches, so today, I've left one across the room from me so I have to figure it out! I plan on returning to work on the 29th, and have to be crutch free.

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Hi there to all injured people with Lisfranc fractures. Im very tearful typing this actually.... My accident was in London U.K., in February 2006 I stepped or was knocked into the road in Oxford Street (if anybody knows London UK) and a van ran over my foot and sent me flying. I was taken to A&E, plastered and had to return to the Fracture Clinic 1 week on where a Lisfranc was diagnosed. I was operated on that week and was in hospital for 5 days. I had 3 screws put in. Without my surgeon's expertise I don't believe I would have the foot I have today. I have a scar running down the middle of my foot. I had a further op 3 months later and had 2 screws removed, one of which had pierced the skin. I am now left with one screw in my foot. I think we all have to live with the pain and discomfort of it all. But in my opinion extensive physio should be undertaken. It has to be exercised and we have to go through the pain of it. We have to be brave because nobody else understands what pain and mental stuff we go through. I wake up every morning, my foot painful and stiff. I sit on the edge of the bed and get through pain and exercise it. Like all, I am now unable to wear my pretty shoes. I live in trainers and it upsets me a lot now. Its nice to know other people go through this. You have to exercise it all the time. Keep it flexible and build up the muscle strength again. Take care to all. Marilyn

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Hello, I am 3 days post op lis franc injury. I had 1 bar, 4 pins and 3 screws placed. I know I am still having what is considered post-op pain but how long does this last. I thought I had a very high tolerance for pain until now. I feel like I can feel every screw that was placed one which penetrates through my skin on the top part of my foot. I guess i need some reassurance that all this is normal and does it ever feel like normal again?

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I sustained a Lis Franc fracture in September 2005 and am still having problems with it. I broke all four toes (second toe on) and disclocated them. I did quite well after surgery - four pins installed - and did not experience any pain until after I began exercising again. My doctor told me that I would be back to 100 percent, so it was quite depressing to discover that I probably will always have problems. My doctor advised against physical therapy, as did a second doctor whom I met with recently. Basically, the doctors told me that this is such a serious injury that physical therapy can actually make it worse. I did find out that my first doctor should have advised me to have custom orthotics made and was not helpful about the kind of shoes I needed to be wearing. I recently returned to work after being home with my children and it has been impossible to find shoes appropriate for work. A trip to orthopedic specialists helped and I now know what to look for - shoes with removable insoles. I also need wide shoes so the orthotics fit so that can be a challenge. Propets are great and Footsmart (can be found online) has wonderful shoes. I have days where the pain does not bother me and others that do. Walking on uneven ground is a challenge - and I live in a mountain state. My challenge is that I am trying to lose weight (I think by getting 70 pounds off I would feel better), but trying to find routines that don't hurt or add weight, as swimming can, is a challenge. I do not want to accept that I will be unable to do things that I was able to do before - but I am learning. It is important to ask your doctor lots of questions, get advice on exercise and footwear. I also have been told to take antiinflammatory medicine when the pain bothers me.

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HI,

I was injured Sat am On March 17th 2007. I fell down steps. On saturday i went to my dr's office as i work there and had a x-ray done. Then I went to orthopedic Dr. on Monday. He referred me to a foot surgeon and i have a air boot that i have to wear always exceept when showering. I also take it off to drive to work which is 3 mins away. I aalso have crutches. I am working but am only sitting answering the phone. Problem I will not have surgery unless they just use a block and no anesthesia. My family has bad results w/anesthesia. I am scared. Also after getti ng the boot and crutches the swelling is down alot. I have not used crutches. I am glad this is here. This has all benn helpful info on something I have never heard of.

Ty Rae

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I fell down one step on Friday night, Feb 23rd. I knew immediately that one foot was sprained and the other one was broken. I couldn't put any pressure on the one foot. I went to the ER on the 24th and they did Xrays and said nothing was broken. I was diagnosed with a sprain on the left and a severe sprain on the right. The PA said it would be less painful if I had broke it. I went to a family friend who is a podiatrist the Tuesday after my fall. He suggested after looking at the Xrays that I go get an MRI to access the soft tissue damage. I went for an MRI the next week. The following day I went to see my doctor. He said before looking at my foot that I had a torn ligament but since I wasn't a professional athlete we would do Physical Therapy. Then he looked at my foot (swelling was down), and I had this bone poking at the side. He then did some weight bearing XRays. These showed that my 1st, 2nd and 3rd were dislocated. I had my first surgery on March 14th. He put a plate and 6 screws in. I went back to the doctor for my post op-on March 19th. He did an Xray and as soon as we saw it, we knew something was wrong. The screw in the 1st metatarsal was convex and wasn't set and the bone was floating. I went back in for surgery on March 21st. I am very confidant that my post op tomorrow will be positive. Crutches are getting old. I can't wait to get my Roll-A-Bout so that I can be independent again.

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I was diagnosed with a lisfranc fracture but never had surgery. I was in a hard cast for 10 weeks and a boot for 6. Im in physical theropy but I havent noticed any real changes. My foot still hurts when I walk and its been about six months since the original break. Does anyone know what determines who needs surgery and who doesn't? Ane how long the before you should be able to run after this fracture?

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it seems like lisfranc fractures are different for everyone as far as surgical procedures, healing time, etc. I broke three bones in my foot when i fell down some stairs and was diagnosed with a Lisfranc Fracture 2 days later. I had surgery 3 days after my injury and had 3 pins placed in my left foot. It's been 3 wks since my injury and next week I have an appointment to get x-rays and possibly get the pins removed. My doctor said that it would be no more than 2 wks from now to get my pins removed.

I am concerned at my doctor's optimism bc from everyone else's posts they spend months with pins/ screws in their foot. my pins will be out 4-6 wks after my surgery! is this normal??? should i be so optimistic that my recovery will be fast? i am 21 and athletic, maybe this makes the healing process go quicker? I am currently wearing a boot which i am allowed to remove in order to 'air out my foot'. after my pin removal i will be using the boot to walk but i am not sure if i will need physical therapy.

I am also concerned that my doctor will not be using anaesthesia to remove the pins with pliers!!! does anyone know if pin removal hurts??? my pins are about 1/8" in diameter, how can this possibly not be painful?!

I will keep eveyone posted on my recovery, hopefully everything does go quickly. it might provide some optimism for others with this same injury:)

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Hi,
someone stept on my r foot 10 years ago, went to hospital- soft tussue and send me home, 2 months later i still could not weightbear, then a cast for 6 weeks, after the cast i could still not weightbear, and was very painful, after almost getting addicted to pain meds, and extended physio after 6 months i took a step, still with a lot of pain, i have been carring on like this, cant run, dance walk fast, i limp now and do not know what to do anymore, i was pregnant last year and the excess weight made me stay in bed most days, has my injury been missed diagnosed? what am i to do. i live in London

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I sustained a Lisfranc's injury last August. First doctor put me in unaboot for about five weeks and then into regular shoe. While the students in his office were looking at my "rare" injury, he ignored my symptoms. I went for a second opinion in late Nov. This dr. said from the beginning that surgery would probably need to be done, but since I had teaching responsibilities, he wanted me to choose the best time. I decided that Apr. would work making it possible for me to return to the classroom in Sept. I was wrong! Am missing the end of the year. I wasn't cleared by my GP for surgery until last week, and now will see my podiatrist on Thurs. I'm wondering if there are others of you who have waited this long (nearly 10 mos.) and then had full recovery. I'm not in a lot of pain but can't do normal everyday activities. Riding in a car for a short while is uncomfortable. Also wonder if others have experienced the medical bureacracy before being okayed for surgery because of a possible medical problem. My dr. has already been straight with me that full recovery will take from 9 mos. to a year, and that arthritis in my foot is inevitable. At nearly 60 yrs. old, I'm not willing to spend the rest of my life as a couch potato if I have anything to say about it.

Thanks to Anne, Kelly, Timmy and all those who have posted to help the rest of us out here with this very painful, invisible injury! :-D

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I know that folks have mentioned this periodically in this thread, but just as a reminder, there is another good lisfranc thread at https://www.steadyhealth.com/topics/lisfranc-foot-fracture-thread-part-ii&name=Lisfranc_Foot_Fracture_Thread_PART_II

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Hi Riekie

You sound very uncomfortable. I FEEL YOUR PAIN. Did the doctor do a CAT scann on your foot? Are you having swelling still and bruising on the top of your foot? Usually they will do a CAT scan with you putting a little weigt on your foot to determine, because an XRAY really doesnt detect any abnormalities in your foot. I fell off a curb in March, and my foot went backward with my entire body weight on it until I went to the ground. They said at the hospital that I had a bad sprain, but fractured. They also said they wanted me back to orthopedics to have a CAT scan done for further evaluation. Come to ifnd out, I shattered several bones in my foot, and the doc said he thought the damage was equivalent to a 55 mph car crash. I had surgery on May 9 and they put 11 screws, a plate, a bone graft and stretched the tendon out. Honestly, 3 weeks post surgery, and i dont really have pain, except when my foot swells. The occasional 5 second "bee sting" feeling, but I am not taking pain meds.

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464 posts
This topic is closed due to the having too many posts. You can continue conversations related to the LISFRANC FOOT INJURIES on the following links:

https://www.steadyhealth.com/topics/lisfranc-foot-fracture-thread-part-ii&name=Lisfranc_Foot_Fracture_Thread_PART_II

https://www.steadyhealth.com/topics/lisfranc-mid-foot-injury

https://www.steadyhealth.com/topics/wife-in-5th-week-of-lisfranc-fracture-left-foot-help

https://www.steadyhealth.com/topics/lisfranc-injury-concerned-and-scared

https://www.steadyhealth.com/topics/lisfranc-injury-need-to-hear-some-happy-endings

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