What is a Lisfranc injury?
A Lisfranc injury involves damage to the bones or ligaments in the middle of the foot. These structures help stabilise the arch, so injuries here can affect your ability to walk comfortably.

What causes a Lisfranc injury?
Common causes include twisting the foot, falling, missing a step, or sports injuries. Even a minor misstep can lead to this type of injury.
What are the most common symptoms?
Key symptoms to look for
- Swelling on the top of the foot
- Pain that worsens with walking or standing
- Bruising on the bottom or top of the foot
- Difficulty bearing weight
- Instability in the midfoot
Is bruising on the bottom of my foot a warning sign?
Why this symptom matters
Yes. Bruising on the sole of the foot is one of the clearest indicators that midfoot structures may be injured.
Can I walk on a Lisfranc injury?
Some people can still walk with a Lisfranc injury, but it is typically painful. Walking on the injury can worsen damage and delay healing.
Do Lisfranc injuries show up on X-rays?
Imaging considerations
X-rays can detect many Lisfranc injuries, but some are subtle and need advanced imaging, such as an MRI or CT scan.
When should I see a podiatrist?
You should schedule an appointment if you have midfoot pain after an injury, swelling, bruising, or trouble putting weight on the foot.
How are Lisfranc injuries treated?
Treatment options
- Immobilization and non-weight bearing for mild cases
- Custom orthotics as healing progresses
- Surgery for severe or unstable injuires
Can Coastal Podiatry Associates diagnose and treat Lisfranc injuries
What patients can expect
Our team provides in-office X-rays, thorough exams, and personalized treatment plans. If surgery is required, our physicians guide patients through every step.