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Pediatric Tarsal Coalition in New Jersey

With offices in Cedar Knolls, NJ, Advanced Foot & Ankle Surgeons offers some of the most effective and advanced treatment options for tarsal coalition, a deformity that affects the bones of the foot in children and teens.  

What is Pediatric Tarsal Coalition?

Tarsal bones are located in the foot at the top of the arch, the heel and the ankle. An abnormal connection between two or more of these bones is a tarsal coalition. These abnormal growths decrease or entirely prevent range of motion and cause pain.

Signs & Symptoms

  • Pain & stiffness particularly when your child is walking on an uneven surface such as sand or gravel
  • Your child is prone to ankle sprains
  • Pain, usually on the outside and top of the foot
  • Muscle spasms in the leg
  • Tired or fatigued legs

Benefits of Pediatric Tarsal Coalition Treatment

When it comes to tarsal coalition, everyday physical activities (i.e. standing, walking, and running) can result in pain, thereby affecting activites of daily living. Benefits of treatment include:

  • Reduced pain
  • Reduced foot and ankle stiffness
  • Improved range of motion
  • Ability to engage in physical activity
  • Walking without a limp

Tarsal coalition is usually an inherited condition that occurs when individual bones in the foot do not form properly when the fetus is developing..

How is Pediatric Tarsal Coalition Treatment Performed?

Depending on the progression of the condition, there are non-surgical and surgical treatment options.

Nonsurgical treatment requires the patient to wear a knee-to-toe walking cast for 2-4 weeks. The cast reduces irritation and inflammation, which decreases pain. Once the pain is under control, the patient will wear  custom-made orthotics that fit into their shoes. The orthotics support the affected joint, decrease pain and restrict movement. If the patient continues to feel pain after non-surgical treatment, surgery may be necessary.

There are two types of pediatric tarsal coalition surgery: excisions and fusions.

  • Excision surgery removes the abnormal tissue, restores motion and limits bone regrowth. Excision is usually the choice for younger patients.
  • Fusion surgery permanently fuses the joints together in order to stop motion in the rear foot. A fusion is usually reserved for severe cases, such as a large coalition or a significantly maligned foot.

Preparing for Pediatric Tarsal Coalition Treatment

Pain or other problems related to tarsal coalition typically do not manifest until about age 9 or 10, and in many cases conditions go undiagnosed for long periods. Treatment options may depend on:

  • Patient age
  • Bone age
  • Extent of pain
  • Location of pain
  • Size of the coalition
  • Type of coalition
  • Presence and severity of a flat foot and presence of arthritis

Pediatric Tarsal Coalition Treatment Recovery

Surgery is commonly required for effective treatment related to tarsal coalition; your Advanced Foot & Ankle physician will talk with you in detail about the steps needed in order to recover quickly.

Driven by a Pursuit of Excellence

Dr. Solomon and Dr. Stinson will approach your child’s treatment with sensitivity and work with you to develop a treatment plan to meet your child’s needs. Using cutting-edge techniques and state-of-the-art equipment, you can rely on our physicians for the most effective foot care.

They work collaboratively with your team of physicians, physical therapist and other health care providers to ensure the most accurate diagnoses and comprehensive treatment. The doctors spend time listening to our patients, listening to their concerns and getting to know them on a personal level.

Dr. Mark Solomon serves as the team podiatrist for the New York Jets. Dr. Solomon and Dr. Stinson offer an unsurpassed ability to diagnose and treat sports-related foot and ankle conditions/injuries. In addition, Advanced Foot & Ankle Surgeons has been voted the top podiatrist in Morris County.

How Much Does Pediatric Tarsal Coalition Treatment Cost?

Advanced Foot & Ankle Surgeons accept Medicare and Atlantic Health System’s local health insurance. We are considered an out-of-network provider with other insurance plans.

Some insurance plans include an out-of-network provision. If your insurance plan has this provision, it is likely to cover a portion of the eligible charges. As a courtesy, our knowledgeable and friendly office staff will submit your claims on your behalf.

If you do not have medical insurance, our knowledgeable and friendly office staff will review the various payment options we offer. We offer CareCredit® financing and accept major credit cards.

It is ultimately the patient’s responsibility to know and understand what services are covered under their individual insurance policy.

Board certified by the American Board of Foot and Ankle Surgery and Fellows of the American College of Foot and Ankle Surgeons, both Dr. Solomon and Dr. Stinson represent a new generation of foot and ankle specialists.

Good foot and ankle healthcare should begin early in life. We take pride in making you and your child’s experience as comfortable as possible. Contact us to schedule your initial appointment today!