HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Done With Percutaneous Surgery. Screw Inserted Are Not Removed. Bottom Of Foot And Arch Are Painful.

default
Posted on Tue, 5 Nov 2013
Question: I sustained a lis franc injury on March 30, 2013. Went to orthopedist immediately and was non weight bearing until surgery on April 30. One screw was inserted between first and second metatarsal, and I believe cuboid bone. Screw has not yet been removed.

Bottom of my foot (no shock absorption) and arch are extremely painful - since I work five to six hours a day, five days a week at a horse barn.

What orthotics and shoes are best for me to wear to ease the pain? Are paddock boots good sources of arch support?
doctor
Answered by Dr. Dr. Praveen Tayal (8 hours later)
Brief Answer:
Get the screws removed to reduce pain.

Detailed Answer:
Hello,
Thanks for posting your query.
After a Lis Franc injury, the screws that are put in to stabilize the joints are across the joints so they are painful. It is best to get these removed 5-6 months after the surgery.
The best way to manage this pain is to request your orthopedician to remove the screw. Impact activities, such as running and jumping, should be avoided until the hardware has been removed.
You need a thick padding under the Lisfranc joint and make sure the medial edge of orthotics is higher than normal for support. Paddock boots will help in reducing the pain. You can get the required orthotics made from a podiatrist.
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.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Done With Percutaneous Surgery. Screw Inserted Are Not Removed. Bottom Of Foot And Arch Are Painful.

Brief Answer:
Get the screws removed to reduce pain.

Detailed Answer:
Hello,
Thanks for posting your query.
After a Lis Franc injury, the screws that are put in to stabilize the joints are across the joints so they are painful. It is best to get these removed 5-6 months after the surgery.
The best way to manage this pain is to request your orthopedician to remove the screw. Impact activities, such as running and jumping, should be avoided until the hardware has been removed.
You need a thick padding under the Lisfranc joint and make sure the medial edge of orthotics is higher than normal for support. Paddock boots will help in reducing the pain. You can get the required orthotics made from a podiatrist.
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.