Several years ago I experienced a foot injury after missing the last step on my deck stairs. I had my left foot in a stepping position when I went down on the concrete patio. My left foot immediately puffed up on top, turning red and blue. I was in excruciating pain. I had also twisted my right ankle when I fell, so my husband had to put me on his back to get me up the stairs and to the car. After spending several hours in the ER with nothing for pain, the young intern diagnosed me with a sprained foot. I am a nurse and I realize the swelling might have minimized the radiology image showing a fracture, but somehow knew this was more than a sprain. The next day, I self referred to an Ortho Surgeon in my area. They repeated the xray and he immediately recognized the abnormal gap between the first and second metatarsal bones, indicating a tear of the lisfranc joint. I had also cracked the 3-5 metatarsals. He recommended surgical repair of the lisfranc which entailed the temporary placement of a screw to hold the joint and allow the ligament to heal, and I obliged. It has now been 4 years since the ordeal and I still have occasional numbness and tingling in my toes, but it is less and less each year. My understanding is that if I had accepted that diagnosis of the sprain and not had the surgical repair, I might have had this tingling and numbness in my foot for the rest of my life.
I hope someone else who may be unfortunate enough to have experienced this same type of injury will gain insight from my story to also seek a second opinion when it comes to these odd, but severe "sprains.";)