I have had numbness on the top of my foot and toes and between my toes which has not improved since the injury. Also, my dorsiflexion is extremely weak and shaky. I understand this is indicative of nerve damage, of which the prognosis is unpredictable at this point.
I'm a 30 yo athletic female and I am very anxious to begin physical therapy to resume my pre-injured life!! I've managed to miss only 4 days of work and I've been driving throughout, which I'm grateful for considering the posts I've read, but I'm going crazy being unable to walk, etc.
I'd love to what kind of experiences and outcomes with physical therapy others have had with similar injuries. I'm 6 weeks post op now and ready to go!
1. What was the date of your injury?
2. How many weeks after surgery did you begin PT?
3. What was the frequency/duration?
4. How much function have you regained?
Has anyone with similar nerve damage symptoms experienced improvement of these symptoms with PT (or other) treatment?
"It is easier to find men who will volunteer to die, than to find those who are willing to endure pain with patience." -Julius Caesar
I will try and remember what happened between the orginal injury and the fusion.
PT for me was about 8 weeks after surgery. I went 2 times per week. I was only about to go for 2 months. That is all my insurance would cover.
I had (and still have) that nerve damage you are talking about. Along with the Lisfranc injury I had a dislocated large toe that also did not help. My large toe and the one next to it never really recovered. It sort of feels numb like it would if your foot fell asleep. The pins that were in my two first toes also caused stiff toe joints that I was not able to ever get fixed afterwards. I really wish they never had put those pins through my toes.
I had bad arthritis develope in my foot and one year later I had the foot joint fused. The nerve damage is still there but no more arthitis pain.
Hopefully you will have a better outcome. Just follow all that your doctor and PT say to do. The worse thing you can do is to "rush" this kind of injury to heal.
I did not require surgery as the bones popped back into place each time, and I just wore a roboboot (pet name) for about 7 weeks (bar the 1997 injury which went undiagnosed for 9 months).
I was able to return to competitive irish dancing each time after about 3 or 4 months of rest, the first 7wks in the boot. However I have residual weakness, and perpetual nerve issues. When I get nervous my feet tingle, and when I snowboard, they go completely numb within 10 minutes. I just went snowboarding 5 days ago and have retained numbness to the skin on my entire right big toe. Im sure feeling should come back soon!
Lisfranc's leave you with slight permanent disablements, but, seriously, if you think positively, and kiss your feet, they will love you back. I believe I have regained about 90% irish dancing capacity in each foot, and that really means 99% capacity for normal everyday activities. Unfortunately for me, its that latter 10% capacity that helped me win comps!
I've been reading posts non stop all over the internet about lisfranc injuries and it is amazing to hear all of the different stories and recovery times. Here is my brief story. I'm 30 year old male and I injuried my foot June 9, 2010 and had surgery on June 24th at Duke University. I am currently 3 weeks past surgery and in a cast. I have 3 more weeks until I get this cast off and they will take an x-ray to determine if they can put me in a walking boot. My confusion lies here: After surgery the doctor told me I would be non-weight bearing for 3 months, just like most links to Lisfranc injuries say. but when I read peoples stories, I hear how people are out of their cast as early as 4 or 5 weeks and into therapy? Most of the stories I read, the people have way more screws, bolts, wires, pins in their foot than me. I have 2 screws in my left foot.
I am trying to stay positive. My problem is that I keep reading these posts about this injury. I am praying to start weightbearing before 3 months.
anyways, if anyone is going through this injury or has been through this injury and wants a pen pal to keep uo with during the process, please feel free to email me at ***this post is edited by moderator *** *** private e-mails not allowed **
I hope everyone heals quicker than expected.
1. Find ortho specialist who has experience.
2. Ask about nerve block during surgery. This lasts anywhere from 6-36 hours.
3. Begin pain meds as soon as any feeling comes back from the nerve block. My son had very little pain if at all.
4. If you need to be pretty mobile, get a lighter weight knee cart along with your crutches to get around. He attended a large high school.
5. If getting a knee cart, ask the person applying the cast to add a little more cushion to your shin.
6. Follow doctors orders. I was more than a little worried about this with a teenager, but he did quite well and it has paid off.
As I had read many of the horror story posts that you all have read, I promised myself that, should we come out of this with a positive story, I would post it, in order to show that there is life after a lisfranc injury. I wasn't real sure there for a while! But I am now very happy to say there is.
I just had my Lisfanc surgery. 4 screws added. Chris, have no worries. I live in the same area but had my surgery at WakeMed. It sounds like you are getting the same basic advice I am getting. I have a partial cast now to allow for swelling and get the full cast next week. Then 3 more weeks, they put me in a soft cast that I can take off only for driving and then put back on. So, I won't be putting any weight on this foot for a while either. They said they wouldn't take the screws out for 6 months and from what I hear, you don't want to do much weigh bearing before those screws come out because you don't want to break them. Did they say anything about whether or not you should take your screws out? I think there are different thoughts on that. There has been no mention of Physical Therapy to me yet... I think that is way down the road. I am sure there are lots of factors that go into the decisions of when you can progress to the next stage. For me, I waited 2 months from the injury for the surgery, so most of my swelling and muscle damage had healed... just the bones weren't where they belonged and couldn't support any weight. This is definitely not a fun process, but from what I have read, the surgery is worth doing to avoid arthritis down the road. Plus, I hope to get the functioning of my foot back so I can get back into my active lifestyle.
So, I plan to relax, survive and put in the time for an optimal recovery. Hope everyone feels better soon.
***this post is edited by moderator *** *** private e-mails not allowed **
I had the Lisfranc injury in Feb 2008. I am here to tell everyone that is currently going through it now to just be patient. I was a college baseball player (graduated now) when my injury occurred, and I had the works. I completely ruptured my ligament, dislocated my 2nd metatarsal, and even fractured my second cuneiform as well, so its safe to say that I suffered the most severe form of this injury. I had 3 pins inserted laterally through my first 3 metatarsals, along with fixation, and repair of the ligament. I am proud to say that I was able to make a full recovery, and even played out the 2 remaining years of my baseball career after the injury. After my surgery in early March, I was total non-weight bearing until June when I got the pins removed, and did not start weight bearing until I started physical therapy in mid-July. I went to PT for about 2 1/2 months, 2-3 times a week. I was not able to fully sprint until about january (possibly due to the fact that our athletic trainer did not clear me until then). Also, I was prescribed to wear an orthotic (a custom made shoe insert that my insurance, and most insurances should cover). My best advice is to follow the Physical Therapist's orders DIRECTLY. They know what they are talking about!. And please, you have to just be patient; if you try to rush your recovery, then thats where the problems start, and they will never go away. I am not sure this is what you want to hear as far as recovery length is concerned, but it was well worth it. I am completely active still, with almost no pain or trace of an injury to my foot. There is the occasional soreness after a rigorous workout, but nothing major. Hope this helps. P.S.-- I am now in physical therapy school because of my experience, and love everything that this profession provides. Any more questions? Feel Free to ask!
Eight years later I am 24 now, and I have arthritis in my midfoot and I am having pelvis problems from limping. I have had two ''flare ups'' once just the beggining of last year in mexico ( I was wearing crappy shoes ) and another when I was doing hot yoga ( bending my big toe in the heat). Just recently I went to the best surgeon in the provice and he said that the longer I wait for surgery the better (WTF) since it is such an invasive surgery ( joint fushion where they take out one of the joints and drill it all back together). He said it is better when I am 30 or 40 years old also there will hopefully be some medical advances. Pretty horrifying. I am a bit depressed but I am trying to take this all in and learn from it. Buddhism has really helped. It has gotten me to meditate, become more spirtual and realise how fragile we all are and that the human body is an amazing gift. I am trying to be positive and the more I really try the better things seem to be. I currently am in phyiso once a week, ( its free ) and I see a chiropractor for my pelvis/ foot. I somehow go to school full time and have just until now realised that I have a life long disbility. I am currently working on the grieving process. After the second flare up, which happened right before school in September of last year, I had to drop all but one class and I was in a wheel chair for a month or so when we walked our dog ( my husband pushed me! ) I am a member of the Arthritis Society---- they have helped me out so much, all for free. I take Glucosamine, MSM,Chondrotin,WildFishOil, Vit E, Vit D and a really good calcium. They seem to help. I convinced myself that running sucks for your body anyway--- It helped me with coping without a good run. I have a pull up bar and work on my upper body ( totally helps with my mood ) and use the gym at my school to work everthing else out, even my feet. I am in pain everyday though somedays less. For example the pain I am in right now is a 4 out of 10. I walked a lot. I don't smoke cigarattes but I do smoke marijuana once a week and I find that the pain gets a bit worse but I just ignore it. I heard that it does something to your circulation? I am getting used to it though! I have a rolling backpack which is great, I use Nortic Walking Sticks ( They are the best! You look funny and people say a lot of comments about you liking to skii. They help with taking 20% weight off the and knees-- my friends at the arthritis society taught me--- plus it keeps my back straight and hip rotation to a minimum--less limp. They have removable feet- when you remove the feet there is a metal rod sticking out for when you go for a hike, for stability too.
One last thing. I have also thought of an actual amputation. If the pain keeps up like this and I get all miserable for 10+ years I will seriously think into it. I have talked to a lady with a similar problem ( she is 58 years old ) and she said it is the best thing she has ever done and that she shouldn't have waited so long. OKAY. Enough typing. Anyone have anything to add to help would be greatly appreciated. I hope this helps anyone out there. Anyone that has had a Lis Franc injury for 10 + years I would love to hear from you. Thanks for reading.
Recomended readings: Eckhart Tolle- ' A New Earth '
David S. Butler- ' Explain Pain '
Hey all! I have been reading alot about les franc injuries and I feel as though my experience has been slightly different than most. I am a 24 year old male and up untill my injury I was very active, I was competing in 5k races, mini marathons, bike rides, triathalons and had completed my first half marathon. Then on July 24th I was playing indoor soccer and took a sharp turn and felt my foot twist inside my shoe, it swelled up to the size of a ballon and after xrays and MRI's I was diagnosed with having seperated my les freanc ligament in my right foot. The doctor scheduled surgery on August 8th and he went in and put an elastic band in my foot stretching from the left side of my foot to the top middle. Two inscisions were made and post surgery swelling and pain was pretty terrible. After a week I was in a cast. After the surgery and after the injury I had lost feeling inbetween my two biggest toes and the whole time I was in the cast my nerves were going crazy and I lost alot of sleep. It was pretty awfull. I stayed in that cast for two weeks and then they took it off and removed the stiches. Then I was givin a walking boot to use ( I was still on crutches for I could not bare any weight nor was I supposed to). The swelling was still pretty evident and when I asked the doctor he said that my foot would be like that for a couple of months. Two weeks after that I went in and he said I can start walking with the boot on only and I was to start physical therapy. The two weeks after I had my cast off I did not wear my walking boot because I really wanted to move my foot. I wore it whenever I went out to protect it but I was more concerned with mobitlity. It has now been a month and a half after surgery and I am now able to put weight on it and I can feel myself getting better everyday. I even believe the feeling is returning to my toes. It is so hard not to push it when I really want to be active again, and work and drive and just walk!!!! I know I am young and should heal fast and be fine, I just will never take walking or any physical activity for granted ever again, I cant wait to start swiming again, I believe that will do my foot alot of good. If anyone has any tips for rehabing a foot I am all ears. Please let me know
Hello all. I had a full lisfranc on my left foot (all five metatarsals). Happened on August 6th and had surgery on August 11th. No weight bearing for 2 whole months, then a walking cast with a slight/little by bit weight bearing, then after another month, a walking boot. On December 6th I had a secondary surgery to remove the hardware so the ligaments and nerve damage can heal properly. I had five screws inserted one on each metatarsal as I had all of them misplaced and a nasty injury.
The research and information on the internet can be helpful but also daunting . . . I had amazing care in regards to doctors go and will start physical therapy next month, January 2012. So all in all, it has been almost a half year (6 months) injury process and I still can't walk. I have dragged my foot around when I had the boot off at home for a short distance and had a better feel for my foot. I have severe nerve damage and numbness. Stiffness is pretty bad and athrophy is pretty bad as well. I'm a tall woman (6 feet tall) and was extremely active prior. The most discouraging feeling is not being able to move and do the things that hinder your lifestyle (we all need to move). I have joint, nerve and pain obviously from the surgery. I have friends in the sports athletic medicine field and am around pro athletes . . . the best suggestion that was/is given to me is to be patient and do what the doctor say/says. It is extremely difficult and the desire to push myself to walk is there and to move and do more, which I have every now and then, but at the end of the day, the longterm result is affected if you push your foot to move prior to when it should. The catch is if you do too much at the beginning to walk/and get moving, you hinder your longterm healing . . .
My biggest concern is the longterm affect and the longterm healing . . . from what I've seen and heard full mobility is hard to attain after such a serious injury, but I'm confident that doing what the doctors, surgeons and physical therapists tells us to do, things will move along. It is an injury that requires patience, which we all tend to not have, because we all want to move on with our lives (at least that is my main frustration). One of my doctors tells me that swimming can be a big player in helping your/our/my healing process when it comes to a lisfranc fracture/dislocation. I am willing to deal with the pain at this point for as long as it takes so I can get my foot moving and back to where it was.
All the screws are now out. I will need some toe correction on my big left toe since the injury was pretty extensive, but that is the least of my concerns at this point. All metatarsals are back in place (yes all five were moved and dislocated), I don't feel most of my foot, I can't move much of it other than a slight up and down motion even if I try and push it to go anywhere. I also had a few fractures along with the lisfranc, and I don't even have a cool fun story of how the injury happened. I simply slipped on the tile floor of my house and voila . . .
If any of you have had this injury and a significant time has elapsed, a few years, I'd be interested in knowing of how your lifestyle in regards to activity and mobility have been affected and if you have gained full motion and kept the standard of living in regards to activity the same as prior to injury. I get discouraged every now and then when I think of the longterm effect of this . . . but am trying to stay positive and obey doctors orders so I can restore my lifestyle prior to the injury.
I'm just so anxious to go back to my normal life of being active and on the go. It's such a bizarre experience; I never paid attention to the small things in my body that kept me going and now that a single 'split-second' move crippled me, I dearly appreciate the seemingly simple functions of my body. I wish godspeed to everyone who is suffering with this injury and I hope I have the patience to get through this like the rest of you.