FAQs for Lisfranc Injury

Posted on 05-24-2024 in Ankle Pain & Lisfranc Injury by Dr. Erik Nilssen

What is a Lisfranc Injury?

A Lisfranc injury can occur in the form of a sprain, fracture, or dislocation.

Where does a Lisfranc Injury hurt?

A Lisfranc injury can occasionally be mistaken for an ankle sprain, therefore a proper diagnosis is important. Your Pensacola foot and ankle surgeon will ask you a series of questions about your injury and will give you an examination of your foot in order to determine how severe your injury is and come up with a diagnosis.

He may take x-rays or some other type of imaging study to get a full evaluation of the severity of your injury. Additional examinations might be needed while you are under anesthesia to evaluate a weakening of your joint and surrounding bones or fracture.

What Causes a Lisfranc Injury?

One of the most common causes of Lisfranc injury is a car accident. You can get this injury for other reasons such as:

  • Running
  • Horseback riding
  • Playing football
  • Playing contact sports
  • Military injuries

The direct or indirect force to your foot is what leads to this injury. If you drop a heavy object on your foot this is known as a direct force. Twisting your foot is an example of indirect force.

What is a Lisfranc Sprain?

On the bottom of your midfoot, you have the Lisfranc and other ligaments that are stronger than the ones found on the top of your midfoot. When you get a sprain or your ligament stretches and they become weakened, it can result in your mid-foot joint becoming unstable.

What is a Lisfranc Fracture?

This is when a bone is broken in your Lisfranc joint and can be either a break through the bones of your midfoot or you pull off a small piece of bone (avulsion fracture).

What is a Lisfranc Dislocation?

A dislocation is when your Lisfranc joint bones are forced from their regular positions.

How to heal a Lisfranc Injury?


If you are experiencing symptoms of this injury, it’s important you set up an appointment with your Pensacola orthopedic specialist immediately. If you can’t, elevate and keep off your injured foot. You should also apply an ice pack to the injured area every 20 minutes, which will help keep your pain and swelling down.

Other types of nonsurgical treatments for a Lisfranc injury might include:

  • Immobilization. A cast and crutches might be used to keep your foot immobile and avoid any added weight on it.
  • Oral Medications. To reduce inflammation and pain, the doctor might recommend ibuprofen and other nonsteroidal anti-inflammatory medications.
  • Elevation and Ice. You can reduce swelling by keeping your foot elevated and applying ice to the affected area.
  • Physical Therapy. Once your pain and swelling have subsided, your doctor might prescribe physical therapy.


In some cases, particularly when there is significant displacement of the midfoot joints with instability, you might require surgery for your Lisfranc injury, which may include internal fixation or fusion, followed by rehabilitation. Your orthopedic surgeon will work with you to decide which type of surgery will best suit your individual case. Emergency surgery might be needed for more extreme injuries.

To learn more about Lisfranc Injuries, visit our conditions page here.

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