1 year after lisfranc surgery

3 min read 10-03-2025

Meta Description: One year post-Lisfranc surgery? Learn about the recovery process, potential lingering issues, and what activities you can safely resume. We cover rehabilitation, pain management, and long-term outlook. Get expert insights to help you navigate this stage of your journey. (158 characters)

Understanding the Lisfranc Joint and the Surgery

The Lisfranc joint is a complex articulation in the midfoot, connecting the tarsal bones to the metatarsals. A Lisfranc injury, often involving dislocation or fracture, requires significant surgery to stabilize. Recovery is a long and challenging process, extending well beyond the initial healing period.

One Year Post-Op: What's the Normal?

At the one-year mark, most patients experience significant improvement. However, "normal" is subjective and varies based on the severity of the initial injury, the surgical procedure performed, and individual healing rates.

Pain Levels and Function

While you may not be entirely pain-free, significant pain should be minimal. You should be able to walk comfortably, and many activities should be possible without excessive discomfort. However, some lingering discomfort is common, especially after prolonged activity or in certain positions.

Range of Motion and Strength

Full range of motion may still be a work in progress. Some stiffness or limited flexibility might persist. Similarly, strength will likely be improved but may not be fully restored to pre-injury levels. This requires continued effort and commitment to rehabilitation.

Return to Activity

By one year, you should be able to participate in many activities, including moderate exercise and some sports. However, high-impact activities that put excessive stress on the Lisfranc joint should be approached cautiously, potentially under the guidance of a physical therapist. Avoid activities that could lead to re-injury.

Common Lingering Issues After One Year

Even with successful surgery, some issues can persist beyond the one-year point.

Persistent Pain: Lingering pain is relatively common. This often requires ongoing management with physical therapy, medication, or other treatments.
Limited Range of Motion: Full restoration of mobility may take longer than a year, especially in more severe cases. Ongoing stretching and range of motion exercises are crucial.
Stiffness: Stiffness can be a significant issue that limits function. Regular stretching and targeted physical therapy can help improve flexibility.
Weakness: Weakness can affect balance and stability. Focused strength training exercises are needed.
Post-Traumatic Arthritis: This is a risk associated with Lisfranc injuries. Symptoms may not manifest until later, and preventative measures may be necessary.

What to Expect at Your One-Year Checkup

Your one-year post-operative appointment is an opportunity to discuss your progress and address any lingering issues. Your doctor will likely:

Assess your pain levels and function.
Evaluate your range of motion and strength.
Examine the surgical site for any signs of complication.
Discuss your activity levels and any limitations.
Adjust your treatment plan as needed.

Continued Rehabilitation: Beyond the One-Year Mark

Rehabilitation is a key factor in long-term recovery. Even at one year, continued physical therapy is beneficial. This may include:

Strengthening exercises: Focus on strengthening the muscles around the Lisfranc joint for improved stability and support.
Range of motion exercises: These help maintain and improve flexibility.
Proprioceptive training: This improves balance and coordination.
Return-to-activity programs: Gradually increase activity levels under professional supervision.

Maintaining a Healthy Lifestyle

A healthy lifestyle contributes to optimal healing and long-term well-being.

Maintain a healthy weight: Excess weight puts extra stress on the joint.
Eat a balanced diet: Provides essential nutrients for tissue repair and overall health.
Avoid smoking: Smoking negatively impacts healing and increases the risk of complications.

When to Seek Further Medical Attention

Contact your doctor immediately if you experience:

Increased pain
Swelling or redness at the surgical site
Loss of function
Signs of infection

Conclusion: The Long Road to Recovery

A year after Lisfranc surgery marks a significant milestone but doesn't signify the end of the recovery journey. Continued commitment to rehabilitation, a healthy lifestyle, and regular follow-up care are essential for optimal long-term outcomes. With patience and persistence, many patients can return to a high level of function. Remember to always consult with your doctor or physical therapist before resuming strenuous activities. They can provide personalized advice and guidance.