Phone: 817-697-4038 Fax: 877-409-3962


If you suffer from tarsal coalition, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is Tarsal Coalition?

Tarsal coalition is a condition characterized by an abnormal connection or fusion between two or more bones in the foot, specifically in the tarsal region. The tarsal bones are the seven bones that make up the back of the foot, and they play a crucial role in supporting the arch and facilitating movement.

In tarsal coalition, there is typically an improper fusion between two adjacent tarsal bones, most commonly between the talus and calcaneus or between the talus and navicular bones. This abnormal fusion can be present at birth (congenital) or develop over time due to an injury or repetitive stress.

Indications Of Tarsal Coalition

The fusion or connection between the bones restricts normal movement and can lead to various symptoms, including:

  1. Foot and ankle pain: Persistent pain in the affected foot, which may worsen with physical activity or prolonged standing.
  2. Stiffness: Limited range of motion in the foot and ankle due to the restricted movement between the fused bones.
  3. Flatfoot deformity: Tarsal coalition can contribute to the development of a flatfoot deformity, where the arch of the foot is reduced or absent.
  4. Muscle spasms: In some cases, the abnormal motion in the foot can trigger muscle spasms or cramping.
  5. Fatigue: The limited mobility and altered mechanics of the foot can lead to increased fatigue during walking or physical activities.

Treatments For Tarsal Coalition

Tarsal coalition is often diagnosed through a combination of physical examination, medical history review, and imaging studies such as X-rays, CT scans, or MRI scans. Treatment options depend on the severity of symptoms and may include:

  1. Conservative measures: Non-surgical approaches such as rest, immobilization with a cast or boot, physical therapy to improve flexibility and strengthen surrounding muscles, and the use of orthotic devices or shoe inserts to provide support.
  2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or pain medications may be recommended to alleviate pain and inflammation.
  3. Steroid injections: Corticosteroid injections into the affected area may help reduce pain and inflammation temporarily.
  4. Surgical intervention: In cases where conservative treatment fails to provide relief, or if the condition is severe, surgery may be considered. The specific procedure will depend on the location and extent of the tarsal coalition and may involve removing the abnormal connection, fusing adjacent bones, or correcting associated deformities.

It is important to consult with a healthcare professional, such as an orthopedic specialist or podiatrist, for an accurate diagnosis and appropriate treatment plan based on individual circumstances and the severity of the tarsal coalition.


If you would like to speak to an Orthopedic Foot and Ankle Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.