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Big Toe Pain with Lisfranc Sprain

Discussion in 'Ask your questions here' started by Unregistered, Jul 15, 2009.

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  1. Unregistered

    Unregistered Guest


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    On 7/1/09, I had a mountain bike accident. I went over the handlebars while still clipped in. I immediately had intense pain in my foot, along the midfoot and toe joints. I was unable walk on it and was about five miles from the trailhead. I had to ride out in severe pain.

    On 7/3/09, my orthopedic diagnosed it as a Lisfranc Sprain. I was still unable to bear any weight at all. No fracture or displacement seen on 3 non-weightbearing x-rays. I had swelling and bruising from toes to midfoot. He put me in a removable walking boot and suggested non-weightbearing for 4 weeks with a gradual return to weightbearing using the pain as a guide. Could be shorter or longer. He suggested I return in three weeks if there was no improvement.

    Two weeks later, the swelling has substantially subsided, as has the pain, mainly in the last two days. I am still tender along the top of my foot but most of the other pain has subsided. Except I still have strong pain in my big toe joint, mainly on the bottom of my foot. I have been icing several times a day, along with near constant elevation to get the swelling down. Ibuprofen several times a day along with Vicodin at night for the pain. I feel that I am at least two weeks from being able to walk on the mid-foot region, if not more.

    My question is in regards to the pain from the big toe. I can't find any information that links this to a Lisfranc injury. I can bend my toe down, but it hurts to raise it upwards. It is slightly swollen, but the bruise is fading. There is still a sharp pain on the bottom of my foot if I press on the joint. There is no way I could bear weight on this joint, and the pain has only slightly decreased in the last two weeks. I expected that this would fade faster than the midfoot pain. I suspect turf toe, but it should be feeling better after two weeks non-weightbearing and immobilized. Should I return to the orthopedic doctor and have this examined again, or is it to be expected with a lisfranc injury? Any other possibilities?

    Sorry for the long post, just wanted to give you as much info as possible.
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    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 READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    Most traumatic incidents are multi-faceted, and it would be the rare trauma which produces only one injury. It is a false assumption to believe that simply because you had been advise of one diagnosis that all other symptoms flow from that singular problem. It is entirely possible that your toe was jammed, hyper-extended or in some other way injured in the same incident which caused the Lisfrancs injury and should be evaluated separately from that diagnosis. Certainly, you should return to your doctor for a re-evaluation.
     
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