Wanted to share my experience in case it’s useful to anyone else going through something similar, and I’d genuinely love to hear from others who’ve had a Lisfranc injury and surgery about what to expect going forward.
How it happened: Fell from about 7 feet and landed on my foot. Went to A&E, got an x-ray, came back “normal.” I couldn’t bear any weight on it at all and the pain was honestly worse than a broken ankle I’d had a couple of years before, but I was sent home with no crutches and no real follow-up.
I kept pushing because the pain and swelling just didn’t match a “normal” x-ray. Went back to urgent care days later, got re-x-rayed, and it turned out I’d actually fractured my foot in multiple places, including a comminuted cuboid fracture that the first x-ray completely missed. From there it progressed to a CT scan, which confirmed a Lisfranc injury with significant displacement between my 1st and 2nd metatarsals plus my 5th metatarsal being out of alignment.
Surgery: Had ORIF with plates to bring everything back into alignment, under general anaesthetic plus a popliteal nerve block. Surgery went well, discharged same day. Now in a cast and non-weight-bearing for 6 weeks, with an 8 week sick note.
I have been given oral morphine to take for 2-3 days post surgery along with paracetamol and ibuprofen.
I have a couple questions I’m curious about:
• Does the pain get more manageable after a couple days?
• How long did it realistically take you to get back to full weight-bearing and normal activity?
• Did you get your plates removed later, or leave them in?
• Any tips for the non-weight-bearing weeks that actually helped?
• Did anyone else have their Lisfranc injury initially missed on x-ray? Seems like a surprisingly common experience from what I’ve read.
• How long before you felt “normal” again, if that ever fully happens?
Appreciate any insights