What is it?
A tarsal coalition is an abnormal bridge of bone, cartilage or fibrous tissue between two bones at the back or middle of the foot. It is present from birth but usually causes symptoms in the teenage years as the bridge hardens.
What causes it?
- A developmental difference present from birth.
Common symptoms
- A stiff, flat foot.
- Repeated ankle sprains.
- Aching in the back or outer side of the foot, especially after activity.
How is it diagnosed?
X-rays may show a coalition, but a CT or MRI scan is usually needed to confirm it and see its size.
Things you can do now
- Rest from high-impact sport during flare-ups
- Use supportive insoles
- Wear supportive shoes
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include rest, a boot or cast for a period, insoles, physiotherapy and surgery to remove the bridge or, in some cases, fuse the joint.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Repeated ankle sprains or pain in the back of the foot, often starting in the teens
- A stiff, flat foot
- Pain is not settling with rest
What to expect
Symptoms often settle with rest, insoles or a period in a boot. If not, removing the bony bridge or fusing the joint can relieve pain.
Common questions
Where can I see a specialist about tarsal coalition in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with tarsal coalition at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.