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Is A Bruise On The Bottom Of The Foot A Symptom Of Lisfranc?

Posted on Tue, 14 Jun 2016

Question: I broke 3 bones in my foot and initially I was placed in a non-weight bearing cast for a few days until the specialist could see me. An xray ruled our a lisfranc injury and there was no bruising on the bottom of my foot. I was placed in a weight bearing cast for 6 weeks and the cast came off 5 days ago. I have a bruise on the bottom of my foot - could it be possible I do have a lisfranc or is the bruise from the placement of my foot within the cast? Ankle is swollen too and I was told to expect swelling for a few months... The xrays indicate the bone breaks have healed...

Answered by Dr. Dr. Praveen Tayal (33 minutes later)

Brief Answer:
Can be due to swelling or fracture.

Detailed Answer:
Hello,
Thanks for posting your query.
The bruise at the bottom of foot is likely to be due to fracture or the swelling. The stasis of blood in the area has caused bruising. Now that the cast has come off, gradually with movement and exercise the bruising and swelling will subside. It is best to keep the foot elevated in two pillows while resting and do a regular hot compress and a light massage to restore normal circulation in the area.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (23 hours later)

Thank you- that is what I assumed- and following the removal of the walking cast they have placed me in a walking shoe- velcro- strap around the top and around the ankle- OR they said I could place a steel plate inside a shoe (foot too swollen just yet)...

But honestly, while my foot still hurts, it seems to feel better with the walking shoe off and either my slippers around the house or my slide sandals that have a bit of arch support.

The walking shoe just makes my ankle and foot hurt and swell worse. Am I doing harm by not wearing it?

Answered by Dr. Dr. Praveen Tayal (14 minutes later)

Brief Answer:
You can remove the shoe.

Detailed Answer:
Hello.
Thanks for writing again.
If you are more comfortable with the walking shoe off and there is no acute pain in the foot then there is no need to worry. You can remove the shoe and see that your foot is well supported and avoid any injury in the foot. You can wear a crepe bandage also for a good support.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Deepak