The Subtalar joint is between the talus and the calcaneus bones in the hind foot, underneath the ankle joint. It helps with side to side motion of the hind foot especially when walking on uneven ground, such as sand and particularly when walking bare footed. It also helps to dissipate forces associated when the heel strikes the ground. If arthritis is present, there will be damage or degenerative changes to the joint cartilage which can become thin and eventually allow bone on bone contact. This can cause pain, swelling and stiffness of the affected joint. Therefore it is most noticeable when walking or running. Generally symptoms wax and wane but eventually worsen over time. There are a variety of nonsurgical and surgical options available to help you return to a more normal, active lifestyle.
This surgical procedure is used to help relieve pain in the joint beneath the ankle joint and correct deformities in the hindfoot caused by injury, arthritis, or genetic defect. The procedure fuses the calcaneus (the heel bone) to the talus, the bone that connects the foot to the ankle.
In the subtalar joint it can be due to:
Other problems which may necessitate surgery to the subtalar joint are:
May depend on the specific underlying cause. Usually involve pain especially with activity and particularly first thing in the morning, progressive stiffness and difficulty walking on uneven ground.
Usually gradually gets worse over time. Symptoms may wax and wane.
Weight bearing X-rays are required with additional views.
At times: long leg X-rays, CT scans or MRI scans are required.
Considered if symptoms are progressing and function is decreasing after a trial on non surgical treatment. Sometimes these procedures may be combined with other procedures.
Depending on the extent and nature of disease, surgical options may include:
All surgery has risks involved, however every effort is made to reduce these risks. Risks include but are not limited to:
Welcome back to the Salus Foot Surgeon Blog! By now
Today we are going to talk more about walking. Yes,