A tarsal coalition describes an abnormal connection or fusion between two or more tarsal bones of the foot. The connection between the two tarsal bones can be bony, cartilaginous or through fibrous tissue. There are seven tarsal bones located at the rear of the foot which include:
The bones and joints most often affected are the calcaneus and the navicular (calcaneonavicular joint) and the talus and the calcaneus (talocalcaneal joint). One or both feet can be affected.
Tarsal coalition commonly occurs in the womb during development and results in improper bone formation. It is thought to be linked to a gene mutation that affects the cells that produce the tarsal bones. Other causes of tarsal coalition include:
For the majority who are born with tarsal coalition, the symptoms often don’t begin until the ages of around 8 to 16 years. This is when the bones tend to mature and ossify (harden). Not all tarsal coalitions are symptomatic, but symptoms can include:
You can learn more about children’s foot problems here.
Before treatment begins, the presence of a tarsal coalition is confirmed radiographically. Because the coalition of the bones cannot be reversed, treatment looks to manage the symptoms and control pain. The initial focus is on limiting the movement still available at the affected joints in order to relieve painful symptoms. This may include:
In more severe cases where conservative therapies do not alleviate the painful symptoms, surgery may be indicated.
At Perform Podiatry, we specialise in conservative, evidence-based treatments that are safe, effective, and suitable for patients of all ages. One of the most successful options we offer is high-strength salicylic acid therapy.
When most people think of podiatry, they picture orthotics, skin/nail care, or sports injury treatment. But podiatry isn’t just about what’s
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One treatment that’s gaining popularity in podiatric care is acupuncture — a technique with ancient roots and modern
scientific backing.
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Read this blog to find out more about the benefits of Foam rolling.
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We explain the differences between walking and running shoes and how to determine which one is best for your feet. When it comes to buying a new pair of shoes, most people walk into a store expecting to just “find something comfy.” Then, suddenly, you’re asked: Are you looking for
walking shoes or running shoes? And that’s where the confusion begins. Because for many people, the answer isn’t that simple.
You could walk a lot – to work, around the block, chasing after the kids, or while catching up with friends. You could have also just joined
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Discover why foot health is so important as we age and how Perform Podiatry supports seniors in staying mobile, independent, and pain-free. From diabetic care to personalised treatment plans, we’re here to help keep your feet happy and healthy, every step of the way.
Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.
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122 Remuera Rd, Remuera
Auckland 1050, New Zealand
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