Exploring the Benefits of Surgery for Tarsal Coalition: A Patient's Guide

Introduction

Tarsal coalition is a condition in which two or more of the bones in the foot fuse together, resulting in pain and limited mobility. While the condition can often be managed with non-surgical treatments such as physical therapy, orthotics, and medications, in some cases, surgery may be necessary to provide relief. In this article, we will explore the benefits of surgery for tarsal coalition and provide a patient’s guide to the procedure.

What is Tarsal Coalition?

Tarsal coalition is a condition in which two or more of the bones in the foot fuse together. This fusion can occur in any of the seven tarsal bones, but it most commonly affects the calcaneus (heel bone) and talus (ankle bone). The condition is caused by a failure of the bones to separate properly during fetal development, and it is more common in males than females.

Signs and Symptoms of Tarsal Coalition

The signs and symptoms of tarsal coalition vary depending on the type of coalition present. Common symptoms include pain, stiffness, and limited range of motion in the foot. Other symptoms may include swelling, a visible lump or bump in the foot, and an abnormal gait.

Diagnosis of Tarsal Coalition

Tarsal coalition is typically diagnosed through a physical examination and imaging tests such as X-rays, CT scans, and MRIs. The imaging tests can help to confirm the diagnosis and determine the type of coalition present.

Non-Surgical Treatments for Tarsal Coalition

Non-surgical treatments for tarsal coalition include physical therapy, orthotics, medications, and lifestyle modifications. Physical therapy can help to improve range of motion and strength in the foot. Orthotics can be used to provide support and cushioning to the foot. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) can help to reduce pain and inflammation. Lifestyle modifications such as avoiding high-impact activities and wearing appropriate footwear can also help to reduce symptoms.

Benefits of Surgery for Tarsal Coalition

Surgery is often recommended for patients with tarsal coalition who have not responded to non-surgical treatments. Surgery can help to relieve pain and improve range of motion in the foot. It can also reduce the risk of developing further complications such as arthritis and deformity.

Types of Surgery for Tarsal Coalition

The type of surgery performed for tarsal coalition depends on the type of coalition present. The most common surgical procedure is a tarsal coalition resection, which involves removing the fused bones. Other procedures include arthrodesis, which involves fusing the bones together, and osteotomy, which involves cutting the bones to realign them.

Preparing for Surgery

Before undergoing surgery for tarsal coalition, it is important to discuss the procedure with your doctor. Your doctor will explain the risks and benefits of the procedure and answer any questions you may have. You should also discuss any medications or supplements you are taking and arrange for transportation to and from the procedure.

Recovery from Surgery

After undergoing surgery for tarsal coalition, it is important to follow your doctor’s instructions for recovery. This may include wearing a cast or brace, taking medications to reduce pain and inflammation, and avoiding high-impact activities. Most patients will need to use crutches or a walker for a few weeks after the procedure.

Conclusion

Tarsal coalition is a condition in which two or more of the bones in the foot fuse together, resulting in pain and limited mobility. While non-surgical treatments such as physical therapy, orthotics, and medications can help to manage the condition, in some cases, surgery may be necessary. Surgery can help to relieve pain and improve range of motion in the foot, and reduce the risk of developing further complications.