Ace Physiotherapy and Sports in Singapore
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ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Tarsal Tunnel Syndrome
Tarsal Coalition Resection Surgery
Tarsal coalition surgery is performed to correct a condition where two or more bones in the midfoot or hindfoot are abnormally joined, either by bone, cartilage, or fibrous tissue. This abnormal connection can cause stiffness, pain, and difficulty walking, and is usually present from birth, though symptoms may not appear until adolescence. Surgery is typically considered when non-surgical treatments, such as orthotics, physiotherapy, and activity modification, fail to relieve pain or improve function. The aim of surgery is to restore normal movement between the affected bones, reduce pain, and improve walking and overall foot function.
Tarsal coalition is a congenital (inherited) condition in which two or more bones in the foot, usually in the midfoot or hindfoot, have fused together during the ossification process (when cartilage turns to bone). Because these bones are normally meant to remain separate to allow movement, the fusion reduces flexibility in the foot. The condition often becomes symptomatic in adolescence, as the bones fully ossify and the foot assumes its adult, more rigid structure. This can result in pain, stiffness, abnormal walking patterns, and recurrent ankle sprains.
Tarsal coalition is often misdiagnosed as ligament or muscle pain, because the stiffness and discomfort can mimic more common foot problems. A full clinical and imaging assessment is usually required to identify the true cause. People with tarsal coalition lack normal flexibility in the foot, which can lead to abnormal stresses and altered movement patterns. Clinically, this often presents as a flatfoot deformity.
Tarsal coalition surgery involves removing the abnormal bone connection between the affected tarsal bones. Once the coalition is excised, the resulting gap is filled with tissue—usually muscle or fat—to prevent the bones from fusing together again. This procedure aims to restore normal movement in the foot, reduce pain, and improve function, particularly in activities that involve walking, running, or uneven surfaces.
Following tarsal coalition surgery, physiotherapy plays a vital role in recovery. It helps to reduce pain and swelling around the incision site, restore range of movement in the affected joints, and strengthen the surrounding muscles to support the foot. Physiotherapists also focus on retraining normal walking patterns and functional movements to ensure the patient can return to full activity safely and effectively. The rehabilitation programme is tailored to each individual, taking into account the type of surgery performed, the patient’s age, and their personal recovery goals, ensuring a structured and progressive approach to regaining full foot function.
Symptoms following tarsal coalition surgery
During the initial period following tarsal coalition surgery, it is normal to experience some residual pain and swelling around the incision site. Our physiotherapists recommend resting the foot and applying ice (Cryotherapy) to help manage swelling and discomfort, while allowing the tissues to begin the healing process.
Physiotherapy following tarsal coalition surgery
0–2 Weeks During the first two weeks after tarsal coalition surgery, ice and elevation of the foot are essential to promote healing and reduce pain and swelling. You will likely be placed in a surgical boot and provided with crutches, with instructions to keep all weight off the operated foot to protect the surgical site. While your foot is non-weight bearing, it is important to maintain strength in the other joints of your legs. Our physiotherapists will provide a seated exercise program designed to maintain your leg strength and overall stamina during this period.
2–6 Weeks During this period, while still wearing your surgical boot, you will be able to begin partial weight-bearing through your foot. You will continue to use crutches, and our physiotherapists will guide you on the correct technique for walking safely. It is important to continue with the seated exercise program prescribed in the initial phase to maintain strength and mobility in the other joints of your legs.
6–10 Weeks Once your boot is removed at around 6 weeks, you will begin putting full weight through your foot. Some discomfort is normal at this stage, so our physiotherapists will guide you on the correct technique, frequency, and amount of weight-bearing to ensure safe progression. You will receive a personalised programme tailored to your goals. Active weight-bearing range of movement exercises will help restore mobility, while in-clinic sessions allow you to discuss any concerns. AcePhysioSports.com will work closely with you to resolve any issues and help you return to full function as quickly and safely as possible.
Summary
Tarsal coalition may require surgery if non-surgical management fails to relieve pain. The surgical procedure involves removing the connecting segment of bone to separate the affected bones, and the resulting gap is filled with muscle or fat to prevent recurrence. Physiotherapy is essential following tarsal coalition surgery: initially to reduce pain and swelling, and later to restore range of movement and correct walking patterns.
Call AcePhysioSports.com now on +65 81535374 for more information or to book an appointment.
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The Benefits Post-Surgery