Doctor insights on:
Can I Swim With A Lisfranc Fracture
You should not.: This really depends on how long you have had the fracture and how displaced it is, and how you have been treating it since the injury. If you are waiting for it to heal without surgery, you should not be bearing weight on that foot at all. This would include getting in and out of a pool and using your foot to kick in the pool. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
See doctor: A lis-franc injury is a serious condition occurring between the base of the 1st and 2nd rays which if left untreated will affect the way you use your foot and walk. See a podiatrist or a foot/ankle orthopedist. Stabilizing the injury usually involves surgery but rehabilitating it afterwards is just as important to regain full function and strength. ...Read more
Often missed in ER:
Swelling, development of clearly asymmetrical deformity in one foot vs the other, pain in the midfoot
definitely need to see your foot surgeon for proper assessment. ...Read more
CT ; r-rays: It is named after dr lisfrank during the napolionic wars, caused by soldiers who fell from their horses ; had a foot caught in the stirrup. Nfl has quite a few of them. Usually missed or often missed due 2 the fact that they reduce themselves, ; if no fractures ; only dislocation, an MRI is needed in those cases of high suspicion. ...Read more
3-6 months: Lisfranc injuries unfortunately have an long recovery. I tell my patients it takes 3 months to heal and 3 months to rehab. ...Read more
When your: Surgeon tells you it's okay.Get a more detailed answer ›
6 weeks to 3 months: Lisfranc injuries range from sprains to complete dislocations. Immobilization in cast can take up to 3 months. Stable sprains can be treated nonoperatively but displaced injuries require surgery. Both are treated with nonweight-bearing cast for 6 weeks then progressive weight bearing in removable boot or walking cast for another 6 weeks, advancing as comfort allows. Patients are advanced to a supportive shoe and reconditioning when comfort allows. ...Read more
Usually surgery: Most lisfranc injuries require surgery, as this can be an unstable midfoot injury which can lead to chronic midfoot pain and arthritis. If the fracture is in normal alignment, you may be able to treat this with a cast, but if there is any degree of displacement (which there usually is) then fixation is preferable to help prevent long term midfoot problems. ...Read more
Most require surgery: Only non-displaced or very minimally displaced lisfranc injuries will heal successfully without surgery. Most others need surgery. Most often, surgery means putting several screws and/or pins across the injured areas. This is a tough injury to treat in that it often results in some residual pain/dysfunction. ...Read more
Frequently: Probably 20-50 percent of subtle lisfranc fractures are missed in the er. Significant swelling, bruising on the bottom of the foot and pain lasting more than 2-3 weeks are indications to seek evaluation from an orthopedic surgeon trained in foot and ankle. ...Read more
Fractured lisfranc joint and had it fused. During surgery they said a bone was really soft and had to put a plate on it, what could cause this?
What can I do other than surgery for the pain associated with a lisfranc fracture that went untreated for seven years? I have custom orthodics.
ORIF 6/15 for lisfranc & nutcracker injuries. Diffuse osteopenia in midfoot now. Advise hardware removal or would it pose risk of re-fracture? Age 44
The osteopenia: May be from not using the foot during the rehab period as I'm sure you were in a cast or splint. I would advise checking your bit d levels and pending their result take vit d supplementation based on blood work and also supplement with vitamin k2 and hopefully as you are walking more and more the bone will build up. ...Read more
Prior Lisfranc fracture. Now have significant pain and swelling, with some redness and unable to bear weight on foot?
I have a fractured foot and Lisfranc injury. Almost fell and flexed my foot in the plaster cast - having bad ankle pain. Did unmake it worse?
Unmake it worse-: -means it got it better. But I kno what U mean. Lisfrank fractures R quite unstable, and is Cn in football, or other sports when the foot is hyper flexed, & often needs surgery depending on Ur activity level. It should B followed by an ortho surg, not an ER Doc or PCP. If it is acute, get in 2 have it rechecked even if it did not cause an increase in pain. They need close watching & a tight cast. ...Read more
Hard to say: There are several ways to address the lisfranc injury/fracture. These are complex and require complex information and diagnostics as an operating surgeon to make the treatment decision. Treatment ranges from casting and immobilization to internal fixation to fusion of the joint. A specialist would need to do a thorough evaluation to make that call. ...Read more
5 months ago I fell. Original diagnosis sprain, then diagnosis stress fracture, now the dr thinks lisfranc is tight and gave cortisone shot. It still hurts. Help!
Lisfranc: A lisfranc injury is not treated with a cortisone shot but surgical repair. I'd recommend seeing a doctor who knows what they are doing. A lisfranc injury needs to be repaired or your midfoot will suffer chronic pain. ...Read more
I have a comminuted intra articular fracture of the 2nd metatarsal, oblique 3&4, medial cuneiform all nondisplaced lisfranc injury. Cast or surgery?
I am recovering from lisfranc fracture 3 bones were fractured in my left leg 2 months back. My left foot is weak. Big toe lost stifness. How to avoid?
Should I return to the ER to have my fractured pinky re-splinted? I fractured my pinky yesterday and went to the ER to have it splinted. However, I believe the splint was put on incorrectly (it's weirdly bent and was cutting off circulation).
If you are concerned about circulation you should return to the er right away. If you cannot, you can try to gently loosen the splint, however if your fracture was reduced (put back in place) the splint may be there to hold the fracture in that new position and you should NT just take it off.
Typically one splints the distal and proximal interphalangeal joints (near the nail and the joint above it) in extension or straight and the metacarpal phalangeal joints (what we commonly refer to as our knuckles) in flexion.
However swelling after a fracture can make a bandage get tighter and even if the bandage is not tight a flexed joint can compromise circulation if the finger swells too.
Best to go back to the er or follow up with a hand surgeon in your area quickly. But if your circulation is compromised do not wait. ...Read more
Not always: Based on degrees of offset. Fractures need to be "set" if there is more than a 2 mm. Gap or obviously malaligned. The idea is to get the fragments as close together as possible, along with as normal alignment as can be obtained. If healed already, then revisiting the fracture is done only if it is causing some other problem. ...Read more
I had a severe injury in may of this year. Fractured ulna and dislocation of elbow. Any comments re: surgery?
Monteggia?: A fracture of the ulna w/ associated radial head subluxation / dislocation (@ elbow) is known as a monteggia fx./ dislocation. If recognized treatment is orif of the ulna (plating) and reduction of the radial head dislocation. (it usually reduces spontaneously after fixing ulna)... ...Read more
Is it possible to re-injure healed spinal compression fractures. Did not have pain until accident but doctor says fractures are chronic not recent.
Compression fxs: Yes you can, but at your age would consider that you have injured other parts of the spine (facets, disc, ligaments, muscles) ...Read more
Fractured my foot about 8 months ago and it started throbbing again after I smacked my other foot yesterday. Normal? I'm assuming they're not related
Foot pain: "Sympathy" pain. Unless you had recent trauma to that leg/foot - NOT related. You may have sprained it after hobbling around from the recent opposite foot injury but otherwise did no harm. Good luck. ...Read more
Possible: You re-fracture recently healed fracture or old healed fracture if you apply enough force on it to break the bone. Thank you. ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
- Talk to a doctor online
- How long after a lisfranc fracture can walk normally?
- How long after hysterectomy can i swim?
- How to swim with a stress fracture?
- How long after c-section can i swim?
- Can i swim in chlorine after getting my appendix out?
- Is it ok to swim when i have gout attacks but can walk?
- Can a child swim with a fever?
- Can i swim with a cold sore?