Diagnosis and treatment.
Tarsal coalitions are abnormal connections between two or more tarsal bones. They can restrict normal movement without necessarily causing symptoms in early childhood.
Growth or increased activity may bring stiffness, fatigue, pain or repeated sprains. Sometimes the first sign is that one foot moves less or tires sooner than the other.
We combine examination of movement with the symptom history. Imaging may be used to locate the coalition and understand its effect on the joint.
Treatment depends on age, location, symptoms and remaining mobility. Each case may need a different intervention and follow-up.
Persistent pain, stiffness or frequent sprains warrant specialist assessment to establish whether a coalition exists and discuss reasonable options.
How it may present
Some children initially have no discomfort. Others develop stiffness, fatigue, repeated sprains or pain as physical activity increases.
What we investigate
Examination, case history and necessary tests help us identify the joints involved and the most helpful option.
How it is assessed
We assess range of motion, support and how symptoms develop. Imaging can supplement the examination to clarify the relationship between the bones.