Midfoot Sprain

Midfoot Sprain: Causes, Symptoms, and Treatment

A midfoot sprain, sometimes called a tarsometatarsal sprain or Lisfranc injury, occurs when the ligaments that connect the tarsal and metatarsal bones in the middle of the foot are stretched or torn. This type of injury often happens during sports or physical activities that involve a sudden twist, fall, or rolling of the foot. Symptoms of a midfoot sprain may include pain in the middle of the foot, swelling, tenderness, bruising, and difficulty walking or bearing weight. If left untreated, it can lead to long-term pain and instability. Diagnosis is usually made through a physical examination and imaging tests such as X-rays or MRI. Treatment typically involves rest, immobilization with a brace or cast, pain management, and physical therapy to restore strength and flexibility in the foot. In more severe cases, surgical intervention may be necessary to repair the ligaments and stabilize the joint. With proper treatment and rehabilitation, most individuals can recover from a midfoot sprain and return to their regular activities within a few weeks to months.