Sprained top of foot, treatment adapted to each trauma
In case of a sprained top of the foot, a specific and adapted treatment is necessary to avoid possible complications. These sprains of the top of the foot are most often sprains touching the joints of Lisfranc or Chopard.
The ligaments are materialized in the form of connective tissue with some flexibility and resistance. They have the function of connecting several bones within the same joint.
The sprain of the ankle is caused by an eversion or inversion movement of the foot, it causes a lesion of the lateral or medial ligament. By stretching or tearing because of this non-natural movement inward or outward, a trauma is then caused.
A sprain can occur as part of your daily life during the practice of a sports activity, a sprain is a very common trauma of the foot in France with about 6000 cases per day. Basketball, soccer and handball practitioners, for example, are particularly vulnerable to foot trauma. This is mainly due to the many changes in force and rotations.
Depending on the number of ligaments affected, the state of tearing and whether it has a higher or lower level of severity, the treatment will have to be adapted accordingly.
In order to avoid a sprain of the forefoot, non-medical preventive treatment can be implemented. The sprain creates symptoms of several kinds, it can affect each joint and each ligament. The sprain is a stretching (or stretching) of the ligament in benign cases, it can lead to multiple ligament ruptures in the most severe cases.
Especially common in the large toe, the sprains of the forefoot affect the ligaments located at the metatarsal-phalangial joint. Considered as sports traumatologies (link to mother page: sports traumatologies), they most often occur as a result of a hyperextension on the toes. The practice of basketball or handball are particularly conducive to these injuries. They cause pain that spreads to the entire affected toe and some swelling.
Sprains in the midfoot can be characterized as “Chopard sprains” or “Lisfranc sprains.” Touching the spaces between several bones, they require the wearing of a walking boot in order to immobilize the foot completely. In the presence of high energy and force during the trauma, we can even witness joint dislocations.
Regarding ankle sprains, several stages exist to categorize these ligament injuries. A benign sprain known as a stage 1 sprain, also known as a “strain,” is caused by the elongation of one or more ligaments. A stage 2 mean sprain is caused by a distortion or partial rupture of the ligaments. A serious sprain known as stage 3 comes from a total rupture of one or more ligaments.
Depending on these different stages, the symptoms and treatments will be different. The stage 1 sprain causes rapid pain and swelling but does not interfere with the various movements of the foot. Stage 2 causes bruising, sudden swelling and increased pain. Movements are difficult to achieve but are still possible. The sprain with the highest severity level causes severe pain, swelling and bruising within minutes. As a result, the joint has become so unstable that it is impossible for you to use it.
But then, how do you avoid them? Occurring most often in daily life or during sports activities during changes of foot supports and twists, you must be particularly vigilant during these moments, in order to avoid these injuries.
Firstly, not forcing when performing any sport is preferable. Learn to recognize your limitations in order to stop when fatigue becomes too intense or you think you no longer have the ability to continue. Warm-up plays a critical role in preparing your joints for oxygen and nutrients. Strap and appropriate protections can also be worn to support your fragile joints.
In everyday life, make sure to wear good quality shoes and protect your feet well.
Consulting Doctor Julien Lopez will allow you to benefit from personalized support as well as real expertise in his sector. By asking relevant questions and making a complete and accurate diagnosis of your foot trauma, he can tailor the treatment to your specific case. Additional examinations such as X-rays, ultrasound or MRI may be performed to determine the associated potential lesions.
Treatment to reduce pain as well as rest and application of ice will also be advised. Partial or total immobilization of the ankle may also be considered depending on the severity of the sprain in question, for a duration also variable.
A sprained toe has a specific treatment depending on the gravity of the injury. Doctor Julien Lopez accompanies you so that treatment is specifically adapted to your ligament trauma.
Sprains of the foot have completely different treatments depending on their severity and their progress.
A slight sprain of the foot will require being raised, iced and immobilized in order to bring the rest the foot needs. A splint to immobilize it during your movements can also be put in place, sometimes requiring the use of crutches for 15 days. Physiotherapy sessions may also be prescribed as a treatment for a sprained foot and ankle. This way, you can resume your sports activity as quickly as possible.
A sprain of the so-called middle stage 2 leads to a loss of mobility of some importance. The basic treatment for a sprained foot will be cryotherapy coupled with the placement of a strap for 2 to 3 weeks. Rehabilitation sessions may also be prescribed for one month. Doctor Julien Lopez can also prescribe osteopathy sessions depending on your clinical condition.
A Stage 3 sprain is considered serious. This trauma will require immobilization of 4 to 6 weeks thanks to a boot in particular. This sprain of the medio-foot has for treatments cryotherapy and rehabilitation for a month and a half to restore mobility. Other treatments will be adapted according to patients such as taking anticoagulants in particular, to avoid phlebitis during the duration of the immobilization.
If the treatment of a mild sprain of the foot or a higher degree of severity is not adequate, complications may occur.
The treatment of the sprained foot should not be neglected at the risk of seeing complications. Healing a ligament takes about 45 days. It is then essential to keep the ankle immobilized day and night for at least 30 days. Then it will be possible to wear it only during the day. Doctor Julien Lopez will study each patient on a case-by-case basis to tailor his treatment and the essential steps leading to their recovery.
If the doctor’s recommendations are not followed and there is an irregularity in the treatment of the sprained foot and arch, the risk is recurrence or chronic instability. Treatments for ligament sprains on the top of the foot must then be followed seriously.
Potential complications include:
- Skin irritation due to heavy strap use or splint attachments
- Phlebitis due to prolonged foot immobilization
- Joint instability caused by ill-treated fragility
- Osteoarthritis caused in the long term by the mistreatment of all the elements previously mentioned especially instability
For example, ankle fragility will cause repetitive sprains as well as difficulty walking and playing certain sports.
In case of chronic disabling instability in the long term, despite the multiple medical treatments prescribed, a surgical operation will be discussed to rebuild the damaged ligaments and stabilize the joint. This is called ligamentoplasty.
Following this operation, a walking boot must be worn for 3 weeks then the use of an ankle splint for 3 additional weeks. Rehabilitation with physiotherapy and osteopathy will be prescribed to complete the recovery.
It is important not to neglect a sprained foot, even if it is benign. In fact, the absence of pain does not mean that you are completely recovered.
Without proper treatment follow-up, a sprain could weaken your ligaments. Doctor Julien Lopez accompanies you and advises you in your full recovery.