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Tarsal Coalition: Causes, Symptoms, Treatment

Tarsal Coalition is a medical condition associated with the bones of the foot. This condition generally develops when the bones of the rear foot gets fused together causing intense pain and discomfort. Tarsal coalition is primarily considered as an inherited condition and can be easily found in children and adolescents. When not treated in time, tarsal coalition can also lead to flat feet.

Read on to know more about Tarsal Coalition:

Causes: Listed below are a few causes and risk factors of tarsal coalition:

  • Genetics: There is growing evidence suggesting the association between tarsal coalition and genetics. According to orthopedic doctors, people with a family history of tarsal coalition are more susceptible of developing this condition. In some patients, this condition is present at the time of birth, while in others it may develop later in life.
  • Medical conditions: It has been proven that people with medical conditions like arthritis, infections, trauma and abnormal bone growth are more prone to tarsal coalition.
  • Other conditions: Sometimes abnormal motion or physical activities involving stress on foot joints may also lead to this condition.

Symptoms:
Following are the early and late symptoms of tarsal coalition:

  • Intense pain on the outside and top of the foot
  • Stiffness in the foot
  • Chronic pain and stiffness in the ankle
  • Muscle spasms in the leg
  • Fatigues legs
  • Inflexibility of the foot
  • Limited range of motion
  • Affected foot appears flattened
  • Irritation in the tendon on the outside of foot

Diagnosis:
It is vital to consult an orthopedic doctor, if the aforementioned symptoms are noticed. The doctors are more likely to conduct physical examination to determine the accurate cause of symptoms. They may also perform imaging tests like X-Ray, MRI and CT to rule out other foot related medical conditions.

Treatment:
The most often recommended treatments for tarsal coalition include:

  • Medication and orthotics: The doctors may prescribe you oral anti-inflammatory medication to reduce pain and inflammation. They may also recommend the use of foot orthotics to maintain the stability of the foot joint. Protective pad may also be prescribed to prevent the irritation from the shoes.
  • Physical therapy: The doctors may also refer you to a physical therapist to help you regain the muscle strength and motion through exercises. The therapists may recommend you a range of foot strengthening, stretching and motion exercises to improve the muscle flexibility.
  • Surgery: In severe cases, tarsal coalition surgery may be recommended by the doctors.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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Written by Dr. Harun Ar Rashid, MD - Arthritis, Bones, Joints Pain, Trauma, and Internal Medicine Specialist

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices. Born and educated in Bangladesh, Dr. Rashid earned his BPT from the University of Dhaka before pursuing postgraduate training internationally. He completed his MD in Internal Medicine at King’s College London, where he developed a special interest in inflammatory arthritis and metabolic bone disease. He then undertook a PhD in Orthopedic Science at the University of Oxford, conducting pioneering research on cytokine signaling pathways in rheumatoid arthritis. Following his doctoral studies, Dr. Rashid returned to clinical work with a fellowship in interventional pain management at the Rx University School of Medicine, refining his skills in image-guided joint injections and minimally invasive pain-relief techniques.