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Sural nerve location diagram
HEALTH TIPS

What is the sural nerve?

[vc_row][vc_column][vc_column_text] The sural nerve is a sensory nerve in the lower leg that lies close to the small saphenous vein, situated...

05/10/2016
A spine model | Featured image for Pivotal Motion Physio.
HEALTH TIPS

The issue with body alignment

[vc_row][vc_column][vc_column_text] Two words. Alignment; symmetry. As a physiotherapist in Brisbane (a city populated by relatively health conscious people), have discovered that...

09/07/2016
Diabetes logo with spoon of sugar | Featured image for the Diabetic Foot blog.
HEALTH TIPS

Diabetic Foot

[vc_row][vc_column][vc_column_text] DIABETES MELLITUS - THE DIABETIC FOOT The number one request for allied health professionals is to perform a diabetic check and...

04/06/2016
Basketball player spraining his ankle.
HEALTH TIPS

Ankle Sprain Poem

An ankle sprain is such a pain! A Poem by Lydia Bartram (Past) Pivotal Motion Physiotherapist Ankle sprains, ankle sprains, how common they...

27/05/2016
talocalcaneal coalition
HEALTH TIPS

Tarsal Coalition – Identification and Treatment Options

People are different. This couldn’t be more accurate in the case of a tarsal coalition.

What is a Tarsal Coalition?talocalcaneal coalition

Tarsal coalitions are a variation found in some people where some of the tarsal bones of the foot are fused together.

The tarsal bones are the seven larger bones that make up the back of the foot; behind the toes and the attached metatarsal bones.

Tarsal coalitions, while not impossible, are a quite uncommon condition. They can be genetically inherited and can be found in one or both feet.

HOW are Tarsal Coalitions PRESENTED?

In childhood or adolescence, they usually present as a flat or rigid foot. Pain from the extremity is usually the main symptom and is caused from a restriction of natural movement of the foot.

The two most common tarsal coalitions include:

  • Calcaneonavicular Joint – the joint between the calcaneus and the navicular bones.
  • Talocalcaneal Joint – the joint between talus and calcaneus bones.

HOW ARE THEY DIAGNOSED?

Specific x-ray views can pick up tarsal coalitions. However, a CT scan is most accurate at identifying the specific location of the coalition.

HOW ARE THEY TREATED?

Tarsal coalitions can be treated in a number of ways. Often a cortisone injection may be enough to settle a painful joint or a Podiatrist can routinely use orthotics and design or recommend a specific type of supportive footwear. Orthotics and footwear are designed to minimise unnatural movement of the joint. Thus, will minimise discomfort and pain.

Some coalitions may still remain problematic, surgical intervention is often an option. This will either include a resection (separation) of the bones, or an arthrodesis (fusion) of the surrounding bones to limit painful movement.

Do you have a potential tarsal coalition injury? Pivotal Motion can assist with tarsal coalitions and the exercise physiotherapy required for healing. Call the physiotherapist Brisbane residents rely on, on 07 3352 5116 or book an appointment online today!

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27/05/2016
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