What is it?
A Lisfranc injury affects the bones or ligaments in the middle of the foot. These injuries can be subtle and are easily mistaken for a sprain, but missing them can lead to arthritis.
What causes it?
- A twisting fall.
- The foot being trapped or landed on.
- High-energy injuries.
Common symptoms
- Pain and swelling in the middle of the foot.
- Bruising on the sole of the foot.
- Difficulty putting weight on the foot.
How is it diagnosed?
X-rays taken while standing are important, along with a CT or MRI scan.
Things you can do now
- Don't walk on a painful, swollen midfoot after an injury
- Keep the foot raised
- Seek an X-ray, ideally taken standing, if pain persists
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include a boot with protected weight bearing for stable injuries and surgical fixation or fusion for unstable injuries.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Pain and swelling across the middle of the foot after a twist or fall
- Bruising on the sole of the foot
- Midfoot pain that hasn't settled after a sprain
What to expect
These injuries are easily missed, and early diagnosis matters. Stable injuries heal in a boot, while unstable injuries need surgery to protect the foot in the long term.
Common questions
Where can I see a specialist about Lisfranc & midfoot injuries in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with Lisfranc & midfoot injuries at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.