Treatment of Lisfranc Injury
A mild to moderate Lisfranc injury is treated much like a sprain. Rest, ice and elevation constitute the immediate first-aid measures you should take at home once this injury has occurred. If the injury is so painful that you cannot bear weight, however, it is important to seek the advice of a physician. At Sideline Orthopedics, Dr. Bart Eastwood has diagnosed and treated many Lisfranc injuries as well as foot sprains.
After proper diagnosis through examination and x-rays or other imaging modalities, the nonsurgical treatment plan includes wearing a non-weightbearing cast for six weeks. You must be very conscientious about not putting weight on your injured foot during this period. Once this period is complete, treatment will progress to a weight-bearing removable cast boot or an orthotic, a device molded to fit in your shoe which splints the Lisfranc joint and reduces instability in the midfoot region.
Sideline Orthopedics will follow up with you regularly and take additional x-rays to make sure your foot is healing well. In the course of your follow-up visits, if any evidence indicates that the bones in the injured joint have moved, then surgery may be needed to put the bones back in place.