Guest wrote:
I had a rock climbing fall on 28th Dec 06 (my fault, it was too cold to climb but i just had to try the new gear i got for xmas :-) I had 3 screws put in on new yrs eve. After 11 weeks off work the doctor decided he'd leave the screws in and i was fit to go!!! its now 6 sept and it's still really swollen and very painful but the doc said this is as good as it gets, to quote his words. I havent climbed since, hell i cant even run! i also tend to find that the joint and muscles around my ankle seem to ache a lot. It's picked me up knowing i'm not alone. Thanks everyone.
Just an update on my progress. It's may 07 (nearly 18 months since i had the accident) and i'm in as much pain as i was when it first happened. been for x-rays and mri scans and it turns out the screws that are holding my 2nd toe are cracking the bone in the big toe!!! I'm on the waiting list to have the screws out and the bones fused. If the doc ever tells you it's ok to leave the screws in shove something very large and blunt up his arse. Nick.
another update.... it's nigh on 2 yrs since my accident all screws are removed, i'm discharged from the hospital and life is going on. I know that foot will never be 100% but it's 75%. it doesn't hurt in normal use. i can twist it and put pressure on to make it hurt but i've learned not to!! I have climbed since but VERY nervous and a bit painful. I've found cold REALLY aches but i guess this is as good as it gets. To anyone who has this injury, it does get better but this is a lifelong club I'm afraid. Nick.
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The original appointment with the orthopedic surgeon (Dr. Landaker, who did my surgery) was two weeks after the MRI’s were read (which was three weeks after they were taken) and I wanted to see someone ASAP, so I made an appointment with another orthopedist because he was able to take me right away. That was a mistake. The Lisfranc injury is difficult to diagnose and my surgeon told me only about 2% of ortho’s will diagnose it properly. The first surgeon took x-rays with me sitting on a table (NWB) and determined I had a sprain. He told me to wear a walking boot for a few weeks and return for a check up.
I saw the second orthopedic surgeon, Stephen Landaker Chico, CA a few weeks later at the scheduled appointment- I wanted a second opinion. On my first visit with Dr. Landaker he took X-rays with me standing on a box, weight bearing (WB) so he could see the separations and misalignments between the metatarsals and cuneiform bones. He took X-rays of my right (injured) and left foot in order to compare the angles of the first tarsal to metatarsal and second etc and to see the gap between the first metatarsal and the first cuneiform bones. The Lisfranc ligament normally connects the first cuneiform to the second metatarsal- forming the structure for an arch. Mine was only torn, but it nearly disabled me. Dr. Landaker explained that the improper alignment causes the bones to rub at odd angles causing pain and long term, potentially severe arthritis. He scheduled me for surgery a week later. I called the first orthopedist and cancelled my follow-up appointment.
My ORIF surgery was done 9-17-08. I was admitted overnight for pain management and to complete a course of antibiotics. During the ORIF I was under general anesthesia. Dr. Landaker placed four screws through my first and second metatarsals and first cuneiform and second metatarsal. I actually had very little pain after surgery. I had a conventional cast that was cut down both sides to allow for expansion due to swelling. This wasn’t too bad. It had a lot of packing gauze, which cushioned the sutures and it didn’t itch- much. It was tough taking a shower, but I just stuck my leg out like some kind of mutant ballet dancer (nice visual). I wore the cast for two weeks during which time I was instructed to keep my foot elevated and take ibuprofen for pain. I kept my foot up as much as possible, but stopped taking the ibuprofen a few days after surgery- except when my foot really swelled. I didn’t want to split the stitches, so I was really careful with it. When my foot swells I sit back with it elevated above my heart on a pillow. That works almost immediately.
After surgery I had very little pain. The pain I do have is related to swelling, which Dr. Landaker tells me can continue for several (up to six) months. The first week after surgery was difficult, mostly due to using crutches. They take awhile to get used to. Mine were adjusted before I was discharged from the hospital (Enloe in Chico), so I never experienced bruising under my arms. The difficulty was purely from using my arms to ambulate. My triceps and sides ached for awhile. I did have the option of renting or buying a scooter that allows the user to kneel on and push with the non injured foot. I decided it wasn’t practical. Looking back, it would have been much easier to use the scooter than to deal with the crutches. A walker would not have worked to keep me Non Weight Bearing (NWB).
I saw Dr. Landaker again two weeks after surgery. He took another set of x-rays (NWB) to confirm the correction and placement of the screws. He removed the stitches and instructed me to continue with crutches, to use a hard boot like a walking cast, to continue to use crutches, remain NWB and to keep my foot elevated.
I traveled by air for the first time on business three weeks post surgery. Dr. Landaker was concerned about me over doing it, but I had a coworker drive and I was very careful not to bear weight on my injury. He prescribed me some Vicodin, just in case. I took them with me on the trip, but only took one on the flight back. The toughest thing about flying was getting my suitcase through the airport. The flying and riding in the car was a little uncomfortable, but I elevated my foot every evening at the hotel. I did get rid of my briefcase and bought a backpack for my computer and files. I used curb-side check in so I wouldn’t have to muscle my suitcase far.
I saw Dr. Landaker again four weeks post surgery when I returned from my trip. He told me I could wear a shoe told me to remain NWB and continue with crutches. He did not take x-rays at that visit. He said everything looked good. The incision was healing and the scab was beginning to fall off.
I am six weeks post surgery now. I saw Dr. Landaker this morning and he took x-rays (WB) on the box for the first time since the ORIF. Everything is holding. I was surprised since I am up to about 240 lbs now. All of this sitting on my @*$ is not doing me any benefit there. He wrote me a prescription for custom othoses which I will have to wear for a year or longer. He told me I can begin to gradually walk this week- with the crutches at first. He also said I can ride a bike. I am looking forward to some exercise! I have very little pain and am not taking the Vicodin or Ibuprofen. There is some swelling, but I think that will improve with time and measured activity. I have an appointment to see Dr. Landaker again in six weeks. I should be able to walk easily without the aid of the crutches by then. He plans on taking out the screws six months post surgery.
The injury was very painful up until I had the surgery. I have read many cases of people with Lisfranc injuries and though I am no expert, I think I would have been seriously disabled, if I had not had the ORIF. I am very positive about the outcome and my future ability. My goal is to ride my bike and begin walking, be jogging in a few weeks/ months, and snowboarding with my wife and kids winter 2009/ 2010. I am thankful for a careful and talented surgeon and a very kind and professional staff at Enloe Hospital.
I hope this helps those of you having problems with the Lisfranc injury.
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I broke my foot in December 2007, snapping 4 metatarsals. I had surgery in May and am still suffering from pain, swelling, and no answers. A rash is developing on my foot which completes the picture nicely.
Reading these stories is quite depressing. I had hoped that I would recover most of the ability to walk, hike, and swim quickly but here I am nearly a year later, still in pain.
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Thanks.
CC
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Eleven years ago (Dec. 1997) I was in a severe car accident. I was only 17 at the time and a senior in high school. Six hours later, one X-ray, and seven doctors later I was told I had a severe LisFranc fracture to my right foot. In fact, at that time it was so rare there were only a few doctors in the entire state of CO that would operate on me. The first surgery was over five hours and they inserted three pins into my foot. I had the pins taken out the following April (after four months of non-weight bearing and crutches and hte use of wheelchairs--since I also had to lug around an oxygen tank from other complications). A year or so later (in May) they had to put in pins again due to the degeneration of the foot and the overall terrible increase in pain--I was back on crutches by this time. Although that was to be a quick surgery, it ended up taking over four hours and another three months was spent non-weight bearing.
During the past eleven years, I have had several complications with my feet. I now have arthritis in both--one from the stiffness, the other from being overactive and compensating too much. The pain I still have is sometimes unbearable. I also still require the use of a wheelchair when I know I have to walk long distances (i,.e. trips to disney, the mall, or amusement parks). I wake up in pain and still have swelling most nights. I love aerobics but I know if I do an hour of it, I should plan on icing and resting my feet for the rest of the day or night. My feet both have poor circulation and get very cold, very quick.
My situation was pretty bad and the complications I have had are also rare. However, the fracture is serious and has altered my life in more ways then I could imagine. My Doctor warned me about this and when I initially was diagnosed the doctor told me I would be lucky if I walked ever normally again. I do walk--it is altered at times, but it is walking. Now eleven years later, the pins that were to be permanent are pushing up against the bones and they want to take them out this summer. It actually worries me, because I do not want a repeat of the first time they took them out. On the flip side, I don't want them to "drill" into my other bones!
Best of luck to each of you that have this fracture---I know it is rare--but most of you sound like your outcome has been better than mine and I also know that so much information is known about this fracture and mine was before they knew this much.
Please feel free to contact me...it is a very lonely fracture when you go at it alone--very few people understand the pain and life changes you may have to eventually make.
Email: _[removed]_
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so stick in there im feeling your pain
and im bored
brettCode:
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I have just had my cast taken off the be given a big monstrosity of an air boot, i can take it off at night, but it just feels so weird and the scars freak me out a bit. I know I am heading in the right direction, and I know there is no point of moaning about it but some days are bad.
My advice would be to take her out in the car, take her for a meal, don't ask her what she wants to do, because quite frankly, we just don't know because everything seems to be such a hassle, so if you show her that its not a case and want to spend some quality time, this will help her feel much better and time will go by faster.
Give her my best wishes, and I hope you are baring up too!!!!
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thanks
HW
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On the 8th of July after the honeymoon my stitches were removed and I had another cast put on. In the 5th of August I had cast and two of the wires removed without anesthetic. It was really sore. Then they gave me a big boot to wear (like a cast but I could take it off).
My leg was tiny in comparison to the other one when the cast came off, My foot was really stiff and hard to move. I did stretches each day to loosen it up a bit. It was bad in the mornings but as the day progressed it got better. A week and a half later I was feeling a bit better and decided to take boot off. My foot was still swollen so I wore sandals. Progress Is slow.
At the moment I can walk 3 miles on the flat, slowly. Can go up stairs normally but I still cant go down properly yet. I have to put the bad foot down and then bring the good foot to the same step. My calf muscles are still not as flexible as they were. Ill have to keep up the stretching. My foot feels tired If im on it for 4 hours without a break.
Its still swollen and I cant wear ordinary shoes. Does anyone know how long it takes for your foot to look normal again? I worked in a laboratory and have to wear safety shoes and Im on my feet all day. Im wondering when I can return to the lab. Also when will be able to run again?
I was supposed to return to the hospital on the 2nd of September but I haven't been called yet, Irish health system is great!!! I will ring them and find out whats the story, I have no idea how ling this thing takes to fix.
Any info would be appreciated.
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Wish Me Luck!
&& Glad to find this topic!
- Josh (13 years old)
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I was in a head on car accident 5 years ago and suffered a severe lisfranc fracture and shattered ankle. The next morning had my first operation where the orthopedic surgeon inserted pins to stabilize my foot. A month later I went back and his prognosis was not good! He suggested amputation!!! I was literally speechless and was not willing to accept that as my destiny. I scheduled with two more ortho's for their opinion. Unfortunately, they all agreed that that my injury was so severe that the best solution was to amputate!!! Are you kidding? I just thought it was a broken foot....!!!! I was devasted but did not give up.
I did some serious research until I found the TOP orthopedic surgeon in my area and went to see him. He said that my injury was one of the most traumatic he had ever seen however he was willing to operate!!! 8-| 8-| That was music to my ears although he did explain that there were no guarantees. He said that even after surgery that I may never be able to walk on it again. I was willing to TRY ............anything was better than the alternative.
I had my second surgery a month and a half after the first one. It literally took me a year and two months to become weight bearing. I went from being bed bound, to a wheel chair, to a walker, to crutches, to walking cast, learning to walk again and finally walking! Talk about an eye opening experience!
Today, I am pretty much back to normal...I do suffer from minor aches and pains but feel blessed to be able to walk! I am now spinning, jogging, jumping rope and function quite well. Looking at me you would NEVER know.
I am so thankful for all the blessings and decided to share some of the following things that worked wonders for me:
1. Right after my second surgery I had an acupuncture doctor come to my home. He inserted needles in my toes (the only part of my foot that was visible) to help with blood circulation.
2. I had an extreme burning sensation at the bottom of my foot that felt like it was being slowly burned with a torch. I talked with my Dr and he gave me more pain pills ! This did NOT help! My saving grace was: Ethyl Chloride Spray It must be prescribed..it is the ONLY thing that helped take the burning sensation away. Ironically this was not given to me by my Orthopedic.
3. After the hard cast came off -- I went to a clinic that did light lazer therapy!!! This was absolutely AMAZING! My Orthopedic wasn't big on the idea but I really think this is why I do not suffer from arthritis! I combined eastern and western protocols and got amazing results!
4. The only shoe that my foot could initially stand was the Merrell Encore Breeze Slip On Clog ...eventually I graduated to New Balance. Now I wear any shoe I want with a few exceptions.
5. Telescoping Back Scratcher - I used this to get into my soft and hard casts to relieve the itching sensationg....be careful not to scratch too hard as the skin is very delicate. I never had an issue with this device. Mine was bought at Z Gallery. I looked for it on there site but couldn't find it. I did a google search and found them on this site: (I do not get any kickbacks...just trying to help)
6. In therapy, my only advice is to push it to the LIMIT.....do as much as you can despite the pain!!! It will be worth it and I truly believe it helped me recover more!! (Trust me there were moments I didn't think I could endure the pain) This advice was given to me from a lady I met on my first day of therapy. She suffered a simliar injury and when she went through therapy she did the bare basics and shared her regrets with me. She now has very limited movement and has a hard time walking. My only advise: BELIEVE IN YOURSELF!and PUSH THE PAIN LIMIT!! I always took a pain pill before therapy....just so I could push it even harder. THERAPY IS KEY!
Well....if I think of any other tips I will post them. I feel for all of you that are currently in this situation and my prayers go out to you!
I hope this helps someone out there!!! It is a long journey but don't give up and BELIEVE IN SUCCESS!!!
One other thing that may help those that are bed bound....you can have someoen buy the new DVD player that has Netflix/Blockbuster built in. You will need to subscribe to their service for apprx $10 a month, go online an pick the movies you want and add them to your instant que. The movies are instantly streamed via the internet to your DVD player and you can watch as many of them as you want! (some minor set up is required) This will help pass time and the movies are at your finger tips!!! I wish this was around when I was in bed!!!
Best Wishes!!!!!
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Healing from this injury takes alot of time and patience with your self , but it does get better . Keep walking!
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