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Foot & Ankle Services

Orthopedic Expertise to Treat Tarsal Coalition

The tarsal bones are located where the arch, heel and ankle meet. Normally, the seven tarsal bones are not joined. If one or more of the bones grows into another or becomes connected by cartilage, the condition is called tarsal coalition.

Tarsal coalition is most common in children, with symptoms first developing between the ages of nine and 16. For some, the condition has no effect on the function or appearance of the foot. For others, there can be mild to severe symptoms that require treatment.


Schedule an Appointment

The orthopedic specialists at University Hospitals have the advanced skills and experience to treat all foot and ankle conditions, including tarsal coalition. To schedule an appointment, call 216-220-9088 or schedule online.

Causes and Symptom of Tarsal Coalition

The primary risk factor for tarsal coalition is genetics. Considered a type of birth defect, most cases of tarsal coalition occur when the fetal foot bones have developed improperly during pregnancy. Most people with congenital tarsal coalition have the condition in both feet.

The condition can also develop in adults due to arthritis or after an infection or injury to the foot.

Many people with tarsal coalition will not experience any symptoms and the condition goes undiagnosed. If symptoms develop, they can range from mild to severe and may include:

  • Difficulty walking.
  • Pain or stiffness in the back portion of the foot.
  • Flat feet which can increase the risk for ankle sprains and other injuries.

Diagnosis and Treatment of Tarsal Coalition

If symptoms develop and interfere with a person’s ability to walk or carry out the tasks of daily living, evaluation by an orthopedic foot and ankle specialist is recommended.

In addition to taking a medical and family history, our experts will perform a thorough physical exam of the foot and ankle. Imaging tests may also be ordered to confirm the diagnosis, including X-ray, CT scan or MRI.

Depending on the severity of symptoms, treatment may include:

  • Rest and elevation of the affected foot.
  • Steroid injections.
  • Custom shoe inserts to stabilize the foot and provide arch support.
  • Immobilization of the foot with a cast or medical boot.
  • Weight loss, if overweight.

If these treatments don’t relieve pain and other symptoms, surgery may be recommended.

Make an Appointment

Our orthopedic experts offer in-person and virtual visits. Call 216-220-9088 or schedule your visit online today.