Non-surgical treatment for Lisfranc dislocation

I have been diagnosed myself with peroneal tendinitis, plantar fasciitis (which I may say is a definite!), ankle arthritis from an injury 30 years ago. The only pain I experience is in the Lisfranc area. I have had MRI and X-rays, all negative, wore a boot for more than 3 months! It's been a year Father's Day for me with ongoing pain. I've tried Mobic, ibuprofen, heat, therapy, seen 3 podiatrists. I have one specific area that is painful, burning. I have tried new shoes even. I just don't know anymore. PCP wants to try a bone scan. Maybe.

I had a Lisfranc injury (ligament ruptured) but no bones fractured. I was told I could get surgery, wear a cast for 6 weeks and put NO weight on it, and then gradually adding weight using a walking boot (two crutches as first, then one crutch, then a cane..) - a 2-3 month process. Or, I could skip surgery and do the SAME regimen of cast/crutches/cane and then assess if my foot had healed well in its own. If it hadn't done well, I would have to get surgery at that point and start all over again with cast/crutches, etc. I figured if it's same ordeal either way, just get surgery done and over. So glad I did. Had it yesterday. I now know, as I'm healing and hobbling on crutches, that it's not with all the uncertainty of "will
It work?" I am active (skier, snowboarder, hiker) and we just moved to CA. We have a four year old. Yes surgery seems like a pain in the short term, but I consider it an investment in my body for the long term. The surgery stabilizes the joint so the ligament can properly heal and you don't risk reinjuring it beyond repair. It has best prognosis for a return to full mobility and usage without pain or later development of arthritis. I put this here to offer another perspective. Yes surgeons like to operate but they totally explained it's up to me. They also do a lot of these surgeries so they know what they are doing. If this was an elbow or pinkie I might be more open to seeing how my body recovers in its own. But this is my foot, I will need it for the rest of my life and surgery is part of healing because it stabilizes foot so it can do the work of healing ligament. It's not a dichotomy of surgery vs healing for me. Yes it's a pain to get around (our house is in a hill, I have a preschooler, etc) but it would be a worse pain to have an incompletely healed joint for rest of my life. If you're going to have to wear a cast and/or boot ANYWAY, why not endure that with a little more certainty that you've done everything you could? All that said, ask your foot surgeon how many of these he or she has done. Good luck!

Hi I have a question about lisfranc.. How was your injury ?
After injury, I could't walk
I chose conservation therapy
How was your distance with bones?

Hi, just wanted to know how you are doing and how did the injury progress eventually. I hurt my foot playing in the field and doctor suggested it is a lisfranc injury. I have had my mri taken. There is no displacement of the joint but suspected tear in the lisfranc ligament( not sure partial or complete). I am thinking of opting for non-surgical route. My foot does not hurt much and I have been very careful and mages to not put any weight on the injured foot since the first day. I really hope the non-surgical route worked well for you and others.

Hi, just wanted to know how you are doing and how did the injury progress eventually. I hurt my foot playing in the field and doctor suggested it is a lisfranc injury. I have had my mri taken. There is no displacement of the joint but suspected tear in the lisfranc ligament( not sure partial or complete, lisfranc was not clearly visualized). I am thinking of opting for non-surgical route. My foot does not hurt much and I have been very careful and managed to not put any weight on the injured foot since the first day. I really hope the non-surgical route worked well for you and others.

I believe that too. My podiatrist put me in a cast for protection then boot with crutches & after 6 months total (no surgery), I was back to normal. That was 25 years ago.

Hello,

I am a physical therapist seeking options on a likely lizfranc sprain. Has anyone here done prolotherapy, PRP or regenerative injections to the midfoot during sub-acute or chronic injury phase. I am hopeful to try non-sugical options for best quality of life with active lifestyle since I had no fracture.