Daily Mobility Exercises by Dr. Kelly Starrett Forums Foot/Ankle Dealing with a talus coalition

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    • #71659
      AvatarSharief Ferris

      I was recently diagnosed with a talus coalition in both of my feet. In each foot, the talus is fused to the calcaneus. The right foot is worse than the left foot, but the problem definitely exists in both feet. This prohibits me from achieving anything more than few degrees of dorsiflexion in both feet along with only a few degrees of pronation and supination. Because of this, I cannot squat without turning my feet out very wide. Wearing lifting shoes helps to compensate for the problem, but only a little. I would estimate that to achieve a proper squat in lifting shoes, I have to position my feet at about a 90 degree angle, if not wider. I cannot keep my feet pointed forward in a squat position. Also, to achieve any outward knee drive in a squat, I have to continue to rotate my feet to compensate for the lack of ankle mobility.

      Does anybody have experience with this issue? It makes it difficult to squat and I find that I focus so hard on my feet and ankles that I can’t maintain control of my back or hips. It is frustrating me to no end!
    • #76500
      AvatarPatrick Thomas

      Since it is structural there are limitations with some aspects.
      There may be some movements/skills which aren’t going to be possible without deviations in technique.
      The question then becomes the compensations are made at what cost. May not be worth the cost.

      Identify the movements which cause stress in the area and feed slack to the area.
      Steroid medications paired with additional protocols may help.

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