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Lisfranc Injury and Prolotherapy

Discussion in 'Ask your questions here' started by Ginger, Nov 28, 2009.

  1. Ginger

    Ginger New Member

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    Over a year ago I missed a few stairs and landed on my left foot. The pain was immediate and intense, so I iced it and next morning went to see a doctor, had a non-weight bearing x-ray and since the x-ray didn't show any fractures the doctor diagnosed a Lisfranc ligament sprain. I was told to take it easy for 2 weeks and then resume with regular activities. I was able to limp on the injured foot and since I had no clue how serious this injury is I actually walked on it more than should have and more than likely did more damage.

    To make a long story short after a month I did see the orhtopedic surgeon and he did a weight bearing x-ray that showed a fleck, so he put me in a walking air cast boot and ordered a CT scan which showed a fracture between the lateral and intermediate cuneiforms and some separation between the first and second metastarsal - no dislocation.

    I was in the boot for over six weeks and transition into runners with orthodics. My foot has had the same intensity of aches and pains since the day of the injury, some swelling, which got worse if I stood or walked on it for a longer time.

    Prior to my injury I was a ballroom dancer and I have slowly started to dance again, but my foot doesn't feel quite right, although I do have full range of motion. I recently saw a podiatrist who said that the more I use my foot the sooner I will get arthrits and he said that no physio/massage/prolotherapy would help. He told me not to wear runners, becase there is to much flexion in the arch with runners, but to wear a 2inch shoe with rigid orthodics and to keep the foot taped as much as possibe. To my suprise the heels do feel better.

    I have read up a lot on prolotherapy and have talked to several people who told me that prolotherapy helped them, so I have made an appointment to see a prolotherapist.

    Has anyone had prolotherapy for this injury? I have noticed that very few lisfrancers mention this procedure, so I would really love to hear from you that have had it done.
  2. Unregistered

    Unregistered Guest

    I remember reading about Prolotherapy when I had my injury. Haven't give it much thought since then as there wasn't that much info available over in the UK.

    Did you go for it & did it help?

    Would be great if you could give some feedback on your experience of it.
  3. Doug

    Doug Guest

    Hello, I suffered a tear of the Lis Franc Ligament and Dislocation August 26. It was a freak accident in which I feel as twisting my foot. I felt a snap and severe pain with bruising and swelling occuring almost immediately. An x-ray shortly thereafter the same day showed the space between my big toe and the second, as well as the dislocation of bones in my middle foot. I had surgery September 2. Two screws were placed in my foot to hold the dislocated bones in place. I was placed in a soft splint for three weeks then a walking boot, which I must wear all the time. I still am unable to put weight on my foot, but the swelling and pain have subsided to some degree. I missed one week of work. I found a great substitute for crutches while unable to bear weight and that is a knee walker. Give it a try and you will not be dissapointed. It has made this experience much more bearable.

    I go back September 21 and expect to progress to 50% weight at that point. Given it still hurts when I accidently put any weight on it, the thought of walking on it (even 50%) is of concern. I hope the pain continues to lessen and such will not be an issue. I still have pain in my arch and big toe when I irritate it.

    I am not sure the next step after this visit. The stitches were removed after three week and the screws are supposed to come out after about six months according to my doctor. I was never placed in a hard cast, just this walking boot, which I am unable to walk on. I think such is better than a cast though.

    Can anyone provide their experience returning to weight bearing and any physical therapy they experienced? Also, what is the level of pain to be expected upon return to weight bearing / walking and does it eventually go away? I would imagine it will be painful to have the screws removed. Can anyone provide their experience with such and level and length of time the pain persisted?

    I would appreciate feedback and best luck to all experiencing such an injury. I am thankful, it was not worse. Doug
  4. Ginger

    Ginger New Member

    To Doug and the Prolotherapy question guy:

    It has been 2 years now since my injury and since then I have had 9 sessions of prolotherapy which were very painful and expensive, but they did help to an extent. My pain has not become worse, I don't know if this is due to prolo; my daily arch strengthening exercises, keeping my weight in check...etc... however I am aware of my injured foot all the time, night and day and I get very depressed; I am not as active as I was before this injury. I know that the dreaded arthritis will probably set in and I pray that all my efforts will delay and lessen it's severity.

    Doug, I had no surgery because I was not diagnosed early enough and I am certain that had I had surgery I would have a better prognosis. You are lucky to have had the surgery, it will help your foot heal, but it will take time and yes putting weight on it will hurt, but it will get better. Your muscles and ligaments have to regain their elasticity and strength and that can take up to a year.

    I would definately try prolotherapy, it can only strengthen the ligaments and even if they are completely torn, prolo can strenghten other ligaments that are there and they all contribute to make the foot stronger.

    I wish you both a good recovery...
  5. Ginger

    Ginger New Member

    Hello to my fellow Lisfrancs:

    It's been a while since I wrote on this forum, however I thought I would give an update on how I am almost 3 years from my injury. To recap I was misdiagnosed, never had any surgery and walked on the injured foot, after a month had the boot, but was fully weight bearing in the boot, since I had no significant pain.

    Of course I wish I had the surgery, as mine would have been an easy fix, no dislocation, some avulsions and a small separation between the first and second metatarsal and some space between the intermediate and lateral cuboid.

    I am still able to walk, shorter distances, I still do ballroom dance, with some discomfort and pain and I do hot yoga, which seems to make it somewhat better.

    However, the top of my arch will shift if there is any shoe strap pressing on it, this results in a bump on top of it. When I take the shoe off this gradually evens out and my poor injured foot looks like the good one. I am also developing some sensitvity in the ball of the foot, specifically under the big toe, seasamoid ?

    I am aware that arthritis is imminent and I would be grateful to hear from those that have the arthritis or those that have had the salvaging fusion.

  6. vee

    vee Guest

    I suffered a liz franc fracture and dislocation of my right foot. In all, the injury I sustained during this sporting event, caused 8 broken bones. I did not get the surgery when it happened 7 years ago. I wish I had, I think it would have healed better. I was in a non weight bearing cast for 9 months and a boot for 3 months. The last 7 years of my life have been agony. I am on strong pain medicine just so I can walk. Before the injury, I was a runner, a dancer and I was in nursing school. Over the years I have gained weight from lack of excersize and I find myself depressed.

    I started sugar water injections 2 months ago.. and I have seen a reduction in my pain level with every set of shots. This is a new technique where they inject the solution into the actual nerves surrounding the area. As far as I know, I am the first American to receive these shots for this injury. I have had 4 series of about 10 shots each time I visit. It is very painful, and my pain increases for the first 5 days following the shots. It is also expensive. But this is a last ditch effort for me before I go in to have a fusion of the foot.

    So now the good stuff. It isn't just that my pain level has decreased...it is that my range of motion has increased. I can now stand up on the ball of my foot with all my weight with just minor discomfort. I can bend all my toes downward, as if I was a ballerina that slipped forward off of her toes. I can now prop my foot up and when I put it down, my pain is so little that I barely wince. (Anyone with this injury, knows that propping the foot up helps but is agony when you put it back on solid ground)

    I can now walk for a longer time, without really noticing that my foot hurts. With this type of injury, you go until your foot starts screaming at you. And I can now go longer before it screams. I think that I can say, for now, it works for me. I base this not just on my pain reduction, but on the range of motion I now have. I mean mentally we can fabricate pain levels because we believe something works(think sugar pills). But to be able to move my foot in ways that I literally could not do before and now after 4 sets of shots I can, indicates true help and healing. I don't know if this will last long term... but I will keep people posted about that, If you are interested in talking more..I can be reached at orangevickie@gmail.com
  7. Gary

    Gary Guest

    God bless all of you that are having to go through this linsfranc injury. We’re all going to get through this. I’ve been going through it for a year and a half now. I’m about to try prolotherapy. I’m praying for a miracle.

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