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Lisfranc fracture

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Old 4th September 2008, 10:06 PM
aw1234
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Exclamation Lisfranc fracture

I have had x-rays. It shows a break on my first tarsal at the lisfranc joint and a fracture on either my second or third metatarsal. The x-rays showed that my bones were still touching each other and surgery is not needed at that time. It has been two months and I now have much of my dexterity back. I have been trying to walk lightly on my foot but the pain is still extremely unbearable. My entire leg suffered muscular atrophy and I would like to know some exercises that can strengthen my foot and leg to try to get the process moving faster. I am scared to put any pressure on my foot because I think it can break again, but the pain does not feel like bone stress, it feels more like tendons/ligaments/nerves and muscles.

Bottom line, is there any light exercising I can do to speed the process of healing this without causing any damage to my bones?
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Old 12th September 2008, 08:22 PM
FootDoc FootDoc is offline
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Default Re: Lisfranc fracture

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THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE
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A Lisfranc fracture is a serious injury. Any recommendations for therapy related to mitigating your situation should come from the doctor whom you have chosen to attend your case or, alternatively, an appropriate specialist intimately familiar with your situation.
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  #3  
Old 2nd December 2010, 07:21 AM
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Default Re: Lisfranc fracture

Quote:
Originally Posted by aw1234 View Post
I have had x-rays. It shows a break on my first tarsal at the lisfranc joint and a fracture on either my second or third metatarsal. The x-rays showed that my bones were still touching each other and surgery is not needed at that time. It has been two months and I now have much of my dexterity back. I have been trying to walk lightly on my foot but the pain is still extremely unbearable. My entire leg suffered muscular atrophy and I would like to know some exercises that can strengthen my foot and leg to try to get the process moving faster. I am scared to put any pressure on my foot because I think it can break again, but the pain does not feel like bone stress, it feels more like tendons/ligaments/nerves and muscles.

Bottom line, is there any light exercising I can do to speed the process of healing this without causing any damage to my bones?
Hello
I was in an MVA and suffered Trauma to the foot. As a result the foot subluxes or dislocates in the middle of the foot. It can stay that way for up to two weeks so far.
Very Painful, I sometimes have to walk on the side of the foot because it is so locked that the ankle will lock. I have to get the physiotherapist to work it out if possible.
Doctors are finding it difficult to see the problem because by the time I go for x-ray it seems to pop back into place. Very hard to figure out. Be careful I am gong on 3 years after the accident. This problem is re-occuring and painful. So if you can't get any answers get another specialist to look at your foot. Although, I don't want the surgery with pins, it may not be an option for me down the road... if I want to walk.
Also, I was told if you have a Lisfranc "Ligament" injury this can cause instability of the foot. Once the ligament is gone there is no support of the bones.
If you exercise use a firm tensor around the middle of the foot and do not stand on toes and come back down this can cause instability to the foot, this can cause dislocation or subluxation and if you have a fracture be extremly careful when exercising. If you are getting swelling put ice on it. If it dislocates try to get an x-ray at that time and compare to the regular x-ray it could help. Everyone is different.
My regular doctor dismissed it as arthritis for 1 year so this wasted time for me to get the proper help I needed. I switched doctors. I hope the new one will help.
I wish you all the best. Remember no pressure on the foot when you exercise. If you feel any pressure or resistance type training stop and try something else.
A physiotherapist understanding a Lisfranc injury should be able to help you.
Good Luck to you, Take care of the foot! You need to walk.
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Old 3rd December 2010, 12:35 AM
rnkmp rnkmp is offline
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Default Re: Lisfranc fracture

Guest,

I can't think of any exercises that would help strengthen your foot or calf without hurting your foot. You might try isometrically flexing your calf without moving the foot. It seems to help my calf while I am NWB due to a Lisfranc injury.

I would imagine you might be able to strengthen your quad and hamstring using leg extensions and hamstring curls on a machine. Single-leg raises could help also.

Note, however, that the advice I am giving you should be considered anecdotal. I am not a trained therapist and just because hamstring curls strengthens my hamstrings does not mean they will strengthen yours. Nor can I suggest that leg raises might strengthen your quads. They did mine, but that's only in a single case, so take my advice with a grain of salt.
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