The Beak Is The Breadcrumb: Tarsal Coalition and the Pain That Points the Wrong Way
A 24-year-old middle distance runner came in with dorsal midfoot pain – just distal to a little lump at the dorsal talonavicular joint.
By the time she reached me she’d done the full lap. Foot strengthening. Mobilisations. Expensive custom orthotics. Shockwave. Dry needling. None of it moved the needle.
Her running told the same story every time. Fine off the line but pain starting 2 to 3 km into a 5 km run. Every session.
She’d already had an MRI from a previous healthcare provider.
In a classic case of ‘junk in = junk out’ - there wasn’t much on the report.
The referral: ‘ankle pain’…
The skinny
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