Dr Blake's comment: Tell me what happened. A misstep off a ladder? Or what? If you can send any image that shows the injury that would be helpful. Were you all swollen? Black and blue? This area is called Lisfranc's and it is known for not showing on x-ray.
Dr Blake's comment: The secret is to keep the pain level between 0-2 as you begin to wean out of the boot. Typically, you need crutches, orthotics, taping, gait instruction, etc. You need to work on the inflammation with ice pack twice daily, and contrast bathes each evening. Where is the fracture? Half healed? They need a new CT scan.
Then yesterday, my x-rays were clear ( no MRI or CT done) I am unable to kneel or get up from kneeling, and unable to walk down stairs. Also, my foot wont roll properly upon walking and has pinpoint pain and occasionally snaps above the 3-4 metatarsal. Its extreme pain when I do these activities.
Dr Blake's comment: That is okay, these activities can take longer than running to feel right. Forget the stairs, and it sounds like you need to progress to long walking in the boot for now while they get another CT scan, design some orthotics, teach you several ways of taping, and help you get the inflammation under control.
Well, at my appt ortho surgeon yesterday, suddenly surgery is back burned and cortisone shots are being scheduled. In your opinion, is these shots used post fracture with possible damage to tens and ligs?
Dr Blake's comment: Yes, stay away from the shots for your cartilage and ligaments may be trying to heal. I would get alot of more info with CT and MRI if possible. I hope this helps some. The list below is an excerpt from my book entitled "Secrets to Keep Moving: Guide from a Podiatrist".
- Arch supports (typically custom) with as high of a medial arch as possible/comfortable.
- MRI for ligament testing. Also make sure patient can do a one sided toe raise. This can be impossible with complete ligament tear.
- Kinesio taping in a circumferential wrap around the entire foot for 2 months longer than you think you need to.
- Avoid activities that lift the heel off the ground initially.
- Ice Pack 2 times daily for 20 minutes to reduce the inflammation.
- Create a pain free environment with crutches, removable boots, and other assistive aids.
- Pain over 5 in the area of the Lisfranc’s Joint should be over protected until you are certain it is not a ligament rupture.
- Begin metatarsal doming, 2 positional inversion/eversion Therabands, and Single Leg Balancing. Go to YouTube and type drblakeshealingsole foot strengthening exercise playlist. Remember no exercise should hurt.
- There is really no stretching for this injury that helps directly. However, massaging the arch to move the swelling that collects there can be very helpful.
- Stretching the achilles tendon indirectly takes the tension off the arch. When done, do both gastrocnemius and soleus stretchs but only with the heel firmly on the ground. Go to YouTube and type drblakeshealingsole achilles stretches.