Lisfranc/mid Foot Damage - Ligament - Misdiagnosed - Fusion?

Aug 2, 2015

Two years ago I fell onto my big toe, and heard a loud SNAP. The arch of my foot had collapsed immediately. There was a bruise on the top and bottom of my foot over the lisfranc joint. I couldn't bear weight for 1-2 weeks, can't remember exactly.

I had x-rays that showed nothing. I still don't know exactly what I did. The arch has collapsed and my foot aches all the time. I was told to have physiotherapy and wear an orthotic.

I fear I either tore slightly or completely the lisfranc ligament. Hopefully I didn't fracture anything. Recently I had a weight-bearing x-ray that showed loss of arch height and exaggerated space in the joint complex, but this was brushed off - I think, because the injury is so old. 

I was told I couldn't have suffered a lisfranc or I'd still be in terrible pain; however, I have read online similar misdiagnosed subtle injuries like mine that only become painful YEARS later, by then, with more damage done.

This is how it is: I can move the cuneiform (?) quite easily with my fingers, whereas I can't with the other foot. It feels loose, but not painful when I do this. It's slightly painful if I go on the tip of my toes, just feels strained. It's also much more prominent than my other foot. The arch sags from this point, as it did when I first heard the snap.

Has anyone else had an old ligament tear, gotten by with orthotics, and had no significant problems? 

I worry about arthritis setting in. Should I pursue and find out EXACTLY what I did? Or should I get by with the orthotic and if/when arthritis sets in, then have a fusion? Ignorance being bliss?

I know whatever I did, at this stage, the only thing left is fusion. I'm not sure whether this is something I should be doing sooner rather than later.

Could someone shed light on fusion? Especially if they had it young (I'm 20) and how it holds up long term etc.

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I am 30 weeks pregnant. I broke my foot on July 4 stepping off a curb. I had surgery on it July 16. It is a lisfranc (midfoot) fracture requiring fusion of 1 joint and 6 screws and 1 plate. I am to be non weight bearing for 6 weeks and partial weight bearing for 6 more weeks, which puts me at full weight bearing a week after my baby is due. Has anyone ever been through something like this? How did you get any sleep? Sleeping on my back is difficult since I'm pregnant. How soon were you walking by yourself? Any help, advice, or encouragement is appreciated.

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I had a modified brostrom ligament reconstruction back in October of 2013. I am still having a LOT of pain in my ankle. It is very much more stable now that it used to be... Before the surgery it was like every step it was close to popping out of place due to the ligament, however I still have severe pain in my ankle and shin... Does anyone else experience the same issue, and any advice on what I need to do? I called the OS and they recommended me going back to the brace and although that works, I would like to at some point be without the brace, because it hurts even with the darn brace on!!!! It just feels more protected while in the brace but it doesn't stop the pain from happening.... It aches like when you have the flu, I feel achy in the ankle all the time, but w/o the brace it HURTS about a 5 out of a 10.. I have a very high pain tolerance and would say the pain is about the same as it was before the surgery.. The pain before the surgery was never so bad I couldn't deal, but it was like all day nagging pain... I am still having that pain. Is that normal 6 months after surgery?

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Has anyone had a replacement that is younger than mid-50s? Any recommendations regarding which surgery would be better?

Any help would be greatly appreciated. Just very frustrated with the lack of function and level of pain at this point after 4 surgeries.

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I was diagnosed with a hyperflexible big toe via a weight bearing scan. Two years ago now, my surgeon fused the first and second metatarsals and removed a mild bunion in the hopes that this would sort out pain and swelling in that area. Swelling around the hardware (specifically the plate) lasted a while but has calmed down now. However, my big toe is completely stiff. My surgeon was surprised as he didn't expect so much scar tissue to form (I was 27 when I had the surgery and very active). This doesn't cause pain so much as discomfort on a regular basis and I've had to completely change what activities I do now (no running or long hikes without causing swelling and a stiff feeling). My second toe is also now significantly longer than the first (it wasn't before). This doesn't cause pain either but again discomfort when it takes the load for the big toe and it sometimes sets me off balance eg in yoga. I'm not sure if this is due to the length or simply that the big toe isn't taking weight anymore because it's so inflexible.

My surgeon recommended surgery to: shorten the second toe, remove the hardware, remove the scar tissue, AND loosen the fusion (if that's the correct term).

Due to the intense recovery period last time and general concerns about surgery risks including that I'll end up either worse off or with the same stiffness, I'm not sure whether this is a good idea. I feel I can "manage" with my foot, but it's certainly not in the best condition to return to the activities I want to do, and I'm only 29.

It's scheduled for the week after next but I'm not sure whether I should go ahead. Neither my GP nor my surgeon seems overly confident, I think there's no real answer but I'd love to know your opinions on whether this second surgery might end up better or worse.

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They said either the tourniquet or nerve block has caused it. I can't believe that this can happen, surely they know about these nerves and how to prevent problems.

Has anyone else experienced this and what has the recovery been like. I'm just wondering what my life is going to be like from now on.

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I am not sure how long it takes the soft tissue to heal to a point where it does not hurt when you are not walking. Or is what I am feeling nerve pain. I started PT this week and am PWB. My doctor thinks I will be in a shoe in 3 weeks and I don't know at this rate how that could be possible. I am icing a majority of the day for sure after I do my PT exercises.

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I posted this in foot and ankle but am getting no responses.

I have contacted my surgeon and he is out of town and I am stressed.

So trying this here.

1.5 weeks ago I had ligament tightening surgery. I am still in a sling.

The sling seems to be very loose already as it moves around and I can fit my entire hand down the sling.

I keep getting sharp pains like little lightning bolts. At first it was from where my incision is but today I also feel it in another part of my foot where I think they did work but not totally sure.

I just want to know if these sharp pains are normal or if I should be going to the hospital.

I am supposed to get my cast in one week by now concerned as it will not be as flexible as the sling.

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post op I've found it quite painful especially the back wall repair but they said some of the pain was down to urine retention. I'm super sleepy and have no attention span what so over.

wishing everyone well who is waiting for this op, It's been so helpful to have people to speak to, it's such an lonely condition.

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I am currently 8 weeks post op from a very extensive flat foot reconstructive surgery . I was excited to start partial weight bearing this week starting w 25 percent in a boot.

My problem is I have sharp pains coming from the bottom of my heel which I am thinking may be from the screws from the calcaneal osteotomy. This is making it very difficult to put any pressure on my foot when weight bearing ?

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The swelling has been bad as expected with full weight bearing, but the real pain is in the ball of my foot and my big toe does not lie flat, but rather sits elevated. I think the ball of the foot under the big toe is swollen so that may be the cause? I can only walk for a few minutes properly before the pain becomes too much and I am limping and walking on the outside of my operated foot. I can usually cope with pain so know this must be fairly severe.

I am doing my toe bending exercises and think that already the range of motion is not too bad.

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The ball of my foot hurts also when I do toe exercise such as curling in and out.

Each visit to the doctor he tells me not to walk and put put weight on my foot. I tell him each time that I can't if I wanted to as it hurts to barely try.

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I have suffered with plantar fasciitis in my right foot for about a year now.

It originally started after a knee operation and a torn calf muscle after an accident.

The pain in my right foot is so unbearable that I opted for a steroid injection last year. I watched some of the youtube videos to see that some numb the area first then inject.. Not my GP...Straight in with the steroid and it was so painful I kept saying "Oh my god oh my god". Well it didn't work and I know that I will NEVER have another one. The pain is more than before.

My left foot has now got a pain across the top of the foot.inferior extensor retinaculum I think it's called.

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I had PTTD reconstructive surgery on Feb. 24th. I am still NWB and in the hard cast.

I have been good about icing and elevating, and now the swelling is rarely an issue. However, now that the cast is much looser, I am very aware of the feeling that my foot is turning inwards... as in...It feels like i'm "standing" on the outside of my foot. If I prop the foot up so that the bottom of my foot is all fully touching the bottom of the cast, I have significant pain along that outside area from what feels like right under my ankle to just below the ball of my foot. Is there any chance that I am healing "crookedly" due to the cast being loose? Although I can't put weight on it, just straightening my leg completely will cause that "rolling out" and pain.

On an unrelated note:

Is there anything that I can do for nerve pain at this point in my recovery? I am no longer taking the "heavy" pain medication. I am just taking Advil and Tylenol. I am finding, however, that these do nothing for the nerve pain. Is there anything that I can do besides going back to narcotics? I'm wary of taking them for too long, but the real issue is that I would rather be clear-headed.

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