A Lisfranc injury affects the middle part of the foot and can occur after a fall, sports injury, or sudden twisting movement. While some injuries are obvious, others may initially feel like a simple sprain and worsen over time if not properly diagnosed.
Because the midfoot plays a key role in stability and weight-bearing, early assessment is important.
Our foot clinic provides professional Lisfranc injury assessment and treatment in Toronto to support accurate diagnosis and appropriate care.
The Lisfranc joint complex is located in the midfoot, where several small bones and ligaments connect. This area helps maintain the arch of the foot and allows proper transfer of weight during walking.
A Lisfranc injury occurs when the ligaments supporting this joint are stretched, torn, or when small fractures occur in the midfoot bones.
Injuries can range from mild sprains to more significant instability.
Common causes include:
Twisting the foot while it is planted
Falling or missing a step
Sports injuries
Motor vehicle accidents
Direct impact to the midfoot
Even low-impact injuries can affect the stability of the midfoot joints.
You may notice:
Pain in the middle of the foot
Swelling across the top of the foot
Bruising on the top or bottom of the foot
Pain when standing or pushing off
Difficulty bearing weight
A feeling of instability in the midfoot
Midfoot bruising, especially on the bottom of the foot, can be a sign of a more significant injury.
Treatment depends on the severity of the injury and whether joint instability is present.
Clinical assessment and imaging referral may be recommended to confirm diagnosis and determine the extent of ligament or bone involvement.
Immobilization and offloading may be required to protect the joint and allow healing in mild to moderate injuries.
Custom orthotics may be recommended after initial healing to support the arch and reduce stress on the midfoot during walking.
Rehabilitation guidance may be provided to restore strength, mobility, and stability once healing has progressed.
Surgical referral coordination may be necessary in cases where significant joint instability or fracture is identified.
Early diagnosis plays a critical role in preventing long-term midfoot instability or arthritis.
Consider booking an assessment if:
Midfoot pain persists after an injury
Swelling or bruising develops
Walking becomes painful
You are unable to bear weight comfortably
Symptoms are not improving with rest
Prompt evaluation can help prevent complications.
If you are experiencing midfoot pain following a fall or twist, a professional assessment can help determine whether a Lisfranc injury is present and guide appropriate treatment.
Book an appointment today for Lisfranc injury evaluation at our Toronto foot clinic.
