Sprained Top Of Foot

Sprained Top Of Foot: It is essential to start treating your top of the foot sprain immediately to cut down the healing time. Follow this guide!



Sprained Top Of Foot Symptoms:

A sprain in the top of the foot or the arch is called a Lisfranc sprain. In most cases it is usually only a sprain that lasts a couple days to a couple weeks.

Sprained Top Of Foot
A sprained midfoot will usually result in swelling an pain in the arch or top of the foot region. It is essential to start icing, elevating and compressing this area as soon as possible.
  • pain in the mid-foot.
  • Instability.
  • Swelling & Redness that starts 30 minutes later.
  • Possible numbness, burning or tingling.
  • Bruising in the skin.
  • Big toe can experience tingling as well.


Sprained Top Of Foot
The injury occurs in the lisfranc joint. This is the base of the metatarsals, where the forefoot attaches to the rearfoot.


Causes Of A Top Of The Foot Sprain:

  • This is the region that is the responsible for bending of the midfoot..
  • This usually occurs as a results of a sports related fall or twisting of the midfoot.
  • In these sports related causes, it usually only lasts 1-2 weeks.
  • In very severe falls, injuries or motor vehicle accidents, it is possible to rupture the ligament.
  • It is even possible to break the bone.
  • At this point the injury definitely needs to be evaluated by a podiatrist.




Sprained Top Of Foot Healing Time:

  • The healing time is usually about 2-3 weeks if the midfoot is only stretched.
  • If there is a severe injury like a large fall, it can take 2-3 months. You may even need surgery.
  • If you cannot put weight on your foot after a couple days & there is severe swelling, consider a more severe sprain.
  • This needs to be taken to your podiatrist for imaging!



Sprained Top Of Foot Treatment:


A) Ice the Midfoot Sprain:

Sprained Top Of Foot
The earlier you can ice the injury the better!
  • This is most beneficial directly after the injury.
  • Icing 2-3x per day for about 15-20 minutes will decrease the flow of inflammatory cells into the muscle.
  • Afterwards the arteries will vasodilate further flushing out inflammatory cells from the region.
  • Ice has deeper penetrating power than heat.
  • Do not use heat immediately after the injury!



B)Elevation of the the Midfoot Sprain:

  • If possible elevate your leg while watching TV.
  • This will prevent as many inflammatory cells from reaching your ankle.
  • It will also drastically decrease the swelling.



C)Compression of the the Midfoot Sprain:

Sprained Top Of Foot
Compression decreases the swelling. This previous an increase in the inflammatory response & allows healing to begin earlier!
  • It will increase the back flow of venous blood and help flush out inflammatory cells.
  • Use an ACE bandage or any other type of compression wrap.
  • It should not be so tight that it cuts off blood flow!
  • Use ice over top.


D)Topical anti-inflammatories or analgesics:

Sprained Top Of Foot
Using a topical anti-inflammatory can replace a oral inflammatory & help healing!
  • There are anti-inflammatory creams that can be prescribed by your podiatrist that can decrease the inflammation and speed up your healing time.
  • Capsaicin & Voltaren gel works great.
  • Biofreeze or anything with menthol in it.


E)Oral NSAIDs:

Sprained Top Of Foot
Oral NSAIDs can help decrease the inflammatory response & start faster healing!
  • These include Ibuprofen & Aspirin.
  • This can be over the counter or prescription.
  • Do not take these unless instructed to do so by your physician or podiatrist.
  • Take a 1-2 week course to attempt to decrease the inflammation and speed up your healing time.
  • Take 2-3x doses per day as instructed, this builds up anti-inflammatory enzyme levels in your system.
  • Taking just 1-2 pills and then stopping does nothing for inflammation!


F)See Your Podiatrist!

  • If  the pain is not better in a few days, always go see your podiatrist.
  • Imaging is essential to properly diagnosing this injury!



Other Top Of the Foot injuries: