Lisfranc Injury ORIF Starter Exercise Guide

1. Toe Curls

What it helps: Strengthens the small muscles under the foot that support your arch and grip the ground.

How often: 2 sets of 10-15, daily.

1. Seated with your foot flat, curl your toes downward as if gripping the floor.
2. Hold briefly, then relax.

Tip: Keep the motion gentle and controlled.

2. Toe Spreading Exercises

What it helps: Gently activates and separates the toes, restoring control of the small foot muscles.

How often: 2 sets of 10, daily.

1. Seated with your foot flat, try to spread your toes apart.
2. Hold briefly, then relax.
3. A small foam toe-spacer between the toes can help guide the movement.

Tip: Numbness in the web space is expected after this surgery — move within comfort.

3. Ankle Pumps

What it helps: Keeps blood moving to reduce swelling and the risk of clots while you're less active — small, frequent, and important early on.

How often: 20 repetitions, several times a day.

1. Flex your foot up, pointing your toes toward the ceiling.
2. Point your toes down, away from your body.

Tip: Move slowly and with control.

4. Straight Leg Raises

What it helps: Builds quad and hip strength while the knee stays straight, so the muscle works hard without stressing the joint.

How often: 2-3 sets of 10, once or twice a day.

1. Lie down with one leg bent and the other straight.
2. Tighten your thigh and lift the straight leg a few inches.
3. Lower slowly.

Tip: Keep the knee straight as you lift.

5. Hip Abduction

What it helps: Strengthens the outer-hip muscles that keep your hip level and steady — strength you can build without putting any weight through your healing foot.

How often: 2-3 sets of 10, daily.

1. Lie on your side with the surgical leg on top and both legs straight.
2. Rest your head on your lower arm and your upper hand on the floor in front of you.
3. Lift the top leg a comfortable distance, keeping it in line with your body.
4. Lower slowly.

Tip: Keep your toes pointing forward, not up toward the ceiling — that is what keeps the work in the outer hip.

6. Hip Extension

What it helps: Strengthens the glutes and the muscles behind the hip that power each step — built while staying off the foot.

How often: 2-3 sets of 10, daily.

1. Lie on your stomach, or stand holding a counter for support.
2. Keeping your leg straight, lift it gently backward.
3. Lower slowly.

Tip: Move from the hip and avoid arching your low back.

7. Seated Knee Extensions

What it helps: Keeps the thigh strong and the knee straightening well while you stay off your feet.

How often: 2-3 sets of 10, once or twice a day.

1. Sit tall in a chair with your back supported and your foot resting on a low stool.
2. Straighten your knee, lifting the lower leg until it is level with your thigh.
3. Hold for a moment, then lower it slowly back down to the stool.

Tip: Let your thigh do the work — the lift comes from straightening the knee.

8. Core Activation

What it helps: Switches on the deep core muscles that stabilize your pelvis and spine, giving your hips a solid platform to move from.

How often: 2-3 sets of 10, daily.

1. Lie or sit comfortably.
2. Gently draw your belly button toward your spine.
3. Hold a few seconds while breathing normally, then relax.

Tip: Avoid holding your breath.

Recovering from a broken bone

How bone healing works and how long it usually takes — fracture and trauma recovery.

What to expect in recovery

The full recovery guide for this procedure: Midfoot Injury Repair (Lisfranc) recovery.

Recovery reading

• Bunion Surgery Recovery
• Achilles Tendon Surgery Recovery
• Ankle Fracture Surgery Recovery
• Walking After Foot Surgery
• All Foot & Ankle recovery guides