Tarsal Coalition Treatment Guidelines Handout

Tarsal coalition affects the tarsal bones of the mid and hind foot and ankle, most commonly between the calcaneus (heel bone) and navicular bones.

Over time, children and adolescents may experience increases in pain, making it hard to enjoy everyday activities such as sports and play. They also may develop stiff feet (a sign that a strong coalition exists). If the coalition becomes too stiff surgical repair will not be possible anymore. These are just some of many reasons why it is important to assess and treat tarsal coalition in a timely manner.

The use of orthotic shoes such as heel cups and wedge shoes can improve foot stability and relieve pain. Temporal boots can help immobilise the foot to remove stress from the tarsal bones. It is necessary to have an orthotic expert analyse the child's specific needs and create a custom orthotic solution.