Midfoot Sprain: Foot Sprain and Lisfranc

Midfoot Sprain: Lisfranc Sprain, a Common Foot Sprain or Foot Injury.

A foot sprain occurs in the midfoot, which connects the metatarsals to the tarsal bones creating the Lisfranc joint. A Lisfranc or foot sprain at the midfoot is a common ankle injury. Injuries to the midfoot include Lisfranc fractures and a sprain of local ligaments.
The midfoot is a group of five bones including the cuboid, navicular, and first three cuneiforms. The midfoot operates to transition body weight from the foot to the ankle, and a foot sprain can alter this vital process.


Midfoot sprains are a common foot sprain that occurs when the foot or ankle is quickly twisted while the foot is pointing downwards in plantar flexion, creating a sprain of the ligaments of the midfoot.

  • Grade 1- micro-tearing
  • Grade 2- partially torn
  • Grade 3- complete rupture

When there is a midfoot fracture this is known as a Lisfranc fracture. This foot fracture takes months to recover and may require surgery


  • Pain in arch and top of foot pain
  • Swelling and bruising (grade 2 or 3)
  • Pain weight bearing

Treatment- Non-surgical

For Grade 1 and 2 injuries of the foot and ankle conservative therapy including manual therapy and exercise should be a part of a complete rehabilitation program.

Treatments should include:

  • Intrinsic foot exercises and strength training for tibialis posterior and peroneal longus
  • Proprioceptive exercises for injuries ligaments and  foot retinaculum
  • Mobilization of cuboid, navicular and cuneiform joints to return proper movement
  • Restoration of ankle mobility in all axis of motion
  • Integration of compound movements
  • Ballistic and plyometrics (advanced or return to sport)


Like most ankle sprains or foot injuries healing time can take 2-6 weeks for minor injuries and more severe conditions can take 3-6 months to return to full health.

Our editorial practices include evidence-based practices, interventions, and recommendations.


YOU should be able to move the way you’d like to move without experiencing pain. YOU should be able to experience freedom and energy knowing there’s nothing holding back from giving your life 110%. Dr. Dean would like to learn more about your challenges with a quick phone or email before beginning treatment. Contact him today.

By |2022-01-03T10:48:38-08:00January 3rd, 2022|Foot and Ankle|0 Comments

About the Author:

Dr. Justin Dean is a clinical educator and Chiropractor based in Los Angeles.
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