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Old 02-09-2005, 08:32 AM   #1
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Unhappy Delayed Lisfranc Diagnosis...help

Hi-
I'm new here and looking for info. I fell down stairs one year ago and injured my ankle/foot. Dr told me then I had sprained my ankle and fractured bone on top of my foot. I heard a pop when I fell, had tremenous swelling of the foot (not ankle), and couldn't move my toes for about a month. Was on crutches for 8 weeks and gradually was able to walk again. It is now 1 year later and I still have pain in my foot, minimal range of motion, and a limp. My Dr now told me I had lisfranc fracture, but joints looked good and I should get better. Told me to take Tylenol and come back in 6 months. He did x-ray and there is a piece of bone in my foot sticking straight up. My gait has changed and my back is killing me (I assume from walking differently). Found out now that he never x-rayed the foot at time of injury, only ankle. About 6 months into injury, he switched and x-rayed the foot. So, long story short, went to another Dr who did MRI and is sending me to Foot/Ankle Specialist. Any ideas what can be done at this late date? Am I just stuck with a bum foot for the rest of my life? I'm "only" 41 and wonder what this is going to be like when I'm 60...

 
Old 02-14-2005, 07:28 PM   #2
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Re: Delayed Lisfranc Diagnosis...help

Just bumping it up again. Anybody have any info????

 
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Old 02-15-2005, 10:38 PM   #3
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Re: Delayed Lisfranc Diagnosis...help

Might want to ask your orthopedic surgeon about fusion. I am 14 months post op for lisfranc still in pain and am going to check on this option next

 
Old 03-26-2005, 04:35 PM   #4
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Re: Delayed Lisfranc Diagnosis...help

I have lisfrancs, took 3 months to get a diagnosis. I had a fusion of the 1st 2nd and 3rd Tarsometatarsal joints straight off, once diagnosed. Year and a half later, not much pain from the midfoot, but I have lost the fat pads and I'm walking on the metarsal bone heads. Still limping but orthotics have helped immensely. Unfortunately I now have nerve pressure problems caused by the way I have been walking, as well as muscle weakness.

 
Old 03-28-2005, 09:22 AM   #5
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Re: Delayed Lisfranc Diagnosis...help

Thanks for the info. I haven't been able to find many people who understand all this. I'm still struggling. Foot Specialist did CT scan and found that two joints were out of place and that's the way it healed. I've been in physical therapy now for nearly a month. Have a little more range in motion and I think the foot is stronger but there's still alot of pain and my hips/back seem to get worse by the day. I now walk differently..turn my foot out and all the weight is on the inside of my foot. Now this last week my heel has been killing me. I'm so tired of all this and beginning to feel like I'm crazy. I have to keep reminding myself that I had 10 pound kids with no drugs so I know I can take pain!!

 
Old 03-28-2005, 05:26 PM   #6
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Re: Delayed Lisfranc Diagnosis...help

I twisted my foot walking down a steep hill. I think I may have stepped in a rabbit hole it was dark at the time and I was a volunteer firefighter. One doctor told me it was sprained, another told me I had gout, third one asked me if I was sure my foot just wasn't deformed and sent me for a CT. She then referred me to a foot and ankle surgeon. The foot was fused about a month later, 3 and a half months in a cast and 9 months of physical therapy. Custom made orthotics have helped with the way I walk and with the pain of walking. Also have taken the pressure off my metatarsal heads. My hip is quite painful as is my back. Certainly not so bad, that I need pain medication, so I'm very lucky.

My understanding of the condition is that the movement in the joints causes arthritis and with my delayed diagnosis, fusion of the joint was the best option, it was the only option that the surgeon offered. From everything I've read, and the pain some people are suffering, I think he did the best thing.

My surgeon just did an MRI for heal and ankle pain, he thought it was plantar faciitis, but it seems that it is caused by pressure on the nerve when I walk. Again the pain has eased alot with the help of orthotics, I'm walking more correctly. I hope this is helpful.

 
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