Sprains of the Tarsal Metatarsal Ligament

Definition:
An injury to the tarsal metatarsal ligament when the joint is carried through a range of motion greater than normal, but without dislocation or fracture. "Lisfranc" joint complex.
Purchase 3 Phases

Symptoms
  • Pain in the foot
  • Swelling in the foot
  • Point tender to the tarsometatarsal ligament
  • Unable to stand on tip toe
  • Loss of ROM
Causes
  • Axial load sustained with foot plantarflexed and slightly rotated
  • High-energy trauma
  • Fall
  • Motor vehicle accident
Treatment
  • Period of immobilization
  • Progress to ROM and stretching
  • Soft tissue massage
  • Foot intrinsic muscle strengthening
  • Lower extremity strengthening
  • Gait program
Sprains of the Tarsal Metatarsal Ligament Phase I

Purchase Phase

  • Foot Wedge
  • 3-D Runners Stretch
  • 100s
  • Passive Ankle Inversion
  • Passive Ankle Eversion
  • Windshield Wipers
  • Single Leg Balance
  • Toe Yoga
  • Tri Planar Knee To Wall
  • Nose To Wall
  • Stationary Bike
  • Contrast Bath

Sprains of the Tarsal Metatarsal Ligament Phase II

Purchase Phase

  • Heel Raises
  • Heel Offs
  • Slips Rocker
  • Step Overs In Mase
  • Step Downs
  • Backwards Step Ups

Sprains of the Tarsal Metatarsal Ligament Phase III

Purchase Phase

  • Heel Offs
  • German Dance
  • Heel Raises
  • Step Overs In Mase
  • T Band Walks In Mase
  • Tennis Ball Push
  • Jump Rope Routine
  • Toe Hops