Table of Contents
What is a tarsal coalition?
What is the cause of tarsal coalitions?
How are they diagnosed?
How are coalitions treated?
Non-surgical treatments are focused on limiting movement to reduce stress of the rearfoot. This is accomplished with the use of stiffer motion controlling shoes and custom functional orthotics. In some cases of severe pain, cast immobilization, braces are considered.
Surgery is a consideration when there is continued pain after conservative care. In many cases the coalition is simply removed. In children with coalitions, the foot can at times adapt very well to removal of the coalition. In other cases a more involved procedure is necessary and this depends upon the location, type of tissue involved, and percentage of the normal joint anatomy that is damaged by the bridged tissue.