Tarsal Coalition

Welcome! Since 1994, Nashville Podiatry has been working with patients to provide the best podiatric care for patients in the North Nashville area. Dr. Daniel Mendoza's experience in podiatry is coupled with genuine concern for his patients. All our staff is dedicated to your comfort and prompt attention as well. Our goal is to help you maintain healthy feet.

This web site provides you with an overview of our practice and the field of podiatry. As you navigate the site, you'll find information about Dr Mendoza's practice philosophy, our office locations, insurance policies, and appointment scheduling procedures. Please browse the site at your convenience and feel free to contact us with any questions. You can also request an appointment by clicking here.

You'll find a lot of valuable information on the web site about foot problems, diagnoses and treatments. We believe informed patients are better prepared to make decisions about their health and well being. We encourage you to review this information to help you understand any health concerns you may face.

What is a Podiatrist?

A podiatrist, also called a doctor of podiatric medicine, is a specialist who provides medical diagnosis and treatment of foot and ankle problems, such as bunions, heel pain, spurs, hammertoes, neuromas, ingrown toenails, warts, corns and calluses. A podiatrist also renders care of sprains, fractures, infections, and injuries of the foot, ankle and heel. In addition to undergraduate medical school training, podiatrists also attend graduate school for a doctorate degree in podiatry. Podiatrists are required to take state and national exams, as well as be licensed by the state in which they practice.

According to the American Podiatric Medical Association, there are an estimated 15,000 practicing podiatrists in the United States. Podiatrists are in demand more than ever today because of a rapidly aging population. In addition, according to the association, foot disorders are among the most widespread and neglected health problems affecting people in this country.

Typically, podiatrists:

  • Consult with patients and other physicians on how to prevent foot problems.
  • Diagnose and treat tumors, ulcers, fractures, skin and nail diseases, vascular problems and deformities.
  • Perform surgeries to correct or remedy such problems as bunions, clawtoes, fractures, hammertoes, infections, ruptured Achilles, and other ligaments and tendons.
  • Prescribe therapies and perform diagnostic procedures such as x-rays, MRI, CAT scans, ultrasound and lab tests.
  • Prescribes or fits patients with inserts called orthotics that correct walking patterns.
  • Treat conditions such as: bone disorders, bunions, corns, calluses, cysts, heel spurs, infections, ingrown nails, and plantar fasciitis.

Tarsal coalition is a bone condition that causes decreased motion or absence of motion in one or more of the joints in the foot. The bones found at the top of the arch, the heel, and the ankle are referred to as the tarsal bones. A tarsal coalition is an abnormal connection between two of the tarsal bones in the back of the foot or the arch. This abnormal connection between two bones is most commonly an inherited trait.

The lack of motion or absence of motion experienced in a tarsal coalition is caused by abnormal bone, cartilage, or fibrous tissue growth across a joint. When excess bone has grown across a joint, it may result in restricted or a complete lack of motion in that joint. Cartilage or fibrous tissue growth can restrict motion of the affected joint to varying degrees, causing pain in the affected joint and/or in surrounding joints.

Symptoms usually include an aching sensation deep in the foot near the ankle or arch, accompanied by muscle spasms on the outside of the affected leg. Nonsurgical treatments, such as corrective shoes or custom orthotics, physical therapy, and anti-inflammatory medication, are the first courses of action. Note: Please consult your physician before taking any medications. Surgery is sometimes performed in severe cases to allow for more normal motion between the bones or to fuse the affected joint or surrounding joints.