Tarsal coalition might not be as common as some of the other issues patients face. It involves pain and stiffness in the back part of your foot. At McDowell Orthopedics & Podiatry Group, we offer a variety of treatment options to have your painful symptoms relieved.

There are two different ways that we can approach tarsal coalition treatment – conservative and surgical. As with any of the foot or ankle issues we treat for our patients, we prefer to use nonsurgical tarsal coalition treatment options first. These can include:

  • Custom orthotic devices. We may recommend orthotic devices—including wedges, heel cups, and other supports—to relieve pain by stabilizing the affected foot.
  • Steroid injections. When used in conjunction with other conservative options, corticosteroid medications can help by providing pain relief.
  • Temporary cast or boot. These treatments can work because they take stress off of the tarsal bones by immobilizing your foot.
  • Rest. Taking a temporary reprieve from high-impact physical activities for a certain period of time can relieve stress on the joints. During these weeks, we may approve of low-impact activities (swimming, yoga, cycling) so you can maintain physical conditioning.

The hope, naturally, is that conservative care provides sufficient relief and alleviates any painful or undesirable symptoms for our patients. There are instances, though, where surgical procedures are needed to address the issue:

  1. Resection. This procedure tends to be the most common type of surgery for this condition. We remove the coalition and replace it with fatty or muscle tissue from a different area in the body. The advantage of this procedure is the fact that it preserves normal foot movement.
  2. Fusion. When the coalition is larger and more severe—evidenced by arthritis and/or significant foot deformity—joint fusion becomes the better option. The aim is to place the tarsal bones in the correct position and restrict movement in painful joints.

If you are experiencing unexplainable pain, stiffness, or muscle spasms in the foot, particularly in the back region, it is possible that you have tarsal coalition and would benefit from the care we provide. Come see our medical professionals here at McDowell Orthopedics & Podiatry Group. We will perform an accurate diagnosis and then create a treatment plan to properly address the issue.

Contact our Carmichael, CA office today for more information. Either give us a call at (916) 961-3434 or take advantage of our online form to schedule your appointment with us.

 

Dr. Brian McDowell
Dr. Brian McDowell, board-certified podiatrist, provides cutting-edge foot and ankle care in Carmichael, CA.
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