Unraveling Tarsal Coalitions: Understanding This Hidden Foot Defect

Tarsal coalitions are an often overlooked but significant condition that can cause persistent foot pain and mobility issues. At Bellagio Foot and Ankle, we believe that understanding this hidden defect is the first step toward effective treatment and improved quality of life. Let’s dive into what tarsal coalitions are, their symptoms, and how they can be managed.

What Are Tarsal Coalitions?

Tarsal coalitions occur when two or more of the tarsal bones in the foot fuse together abnormally. This congenital condition can limit the range of motion in the foot and lead to pain and other complications. The two most common types of tarsal coalitions are:

• Talocalcaneal Coalition: Fusion between the talus and calcaneus bones.
• Calcaneonavicular Coalition: Fusion between the calcaneus and navicular bones.

Recognizing the Symptoms

Tarsal coalitions can often go undiagnosed for years because symptoms may not appear until adolescence or early adulthood when the bones fully mature. Here are some common signs to watch for:

• Persistent Foot Pain: Pain, often in the back of the foot, that worsens with physical activity.
• Stiffness: Reduced flexibility in the foot and ankle, leading to difficulty with movements such as running or walking on uneven surfaces.
• Frequent Sprains: Recurrent ankle sprains due to instability caused by the fusion of the bones.
• Flat Feet: A noticeable flattening of the arch in the affected foot.

Diagnosing Tarsal Coalitions

If you experience persistent foot pain or stiffness, it’s important to seek a professional diagnosis. At Bellagio Foot and Ankle, we use the following methods to diagnose tarsal coalitions:

• Physical Examination: A thorough examination of your foot and ankle to assess pain points, flexibility, and any visible deformities.
• Imaging Tests: X-rays, CT scans, or MRIs may be used to get a detailed view of the bone structure and identify any abnormal fusions.

Treatment Options

Treatment for tarsal coalitions varies depending on the severity of the condition and the level of pain or discomfort experienced. Here are some common treatment options:

Non-Surgical Treatments:

• Orthotic Devices: Custom-made shoe inserts can help provide support and alleviate pain.
• Physical Therapy: Exercises to strengthen the muscles around the foot and improve flexibility.
• Medication: Anti-inflammatory medications to reduce pain and swelling.
• Activity Modification: Avoiding high-impact activities that exacerbate symptoms.

Surgical Treatments:

• Resection Surgery: Removing the fused bone to restore normal movement.
• Fusion Surgery: In severe cases, fusing the surrounding bones to stabilize the foot and reduce pain.

Living with Tarsal Coalitions

Managing tarsal coalitions involves a combination of medical treatment and lifestyle adjustments. Here are some tips for living with this condition:

• Wear Supportive Footwear: Choose shoes that offer good arch support and cushioning.
• Avoid High-Impact Activities: Opt for low-impact exercises such as swimming or cycling.
• Stay Active: Engage in regular physical activity to maintain overall foot health and mobility.
• Follow Your Treatment Plan: Adhere to the recommendations provided by your podiatrist to manage symptoms effectively.

Book Your Appointment Today!

If you’re experiencing foot pain or suspect you might have tarsal coalitions, don’t wait to seek professional help. Contact Bellagio Foot and Ankle at +1 480-717-5011 to schedule an appointment with our experienced podiatrists. We’re here to provide comprehensive care and help you take the first step toward pain-free living.