Treatment: Non-Surgical Approaches

Treatment depends on the severity of the talar dome lesion. If the lesion is stable (without loose pieces of cartilage or bone), one or more of the following non-surgical treatment options may be considered:

  • Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus. During this period of immobilization, non-weight bearing range-of-motion exercises may be recommended.
  • Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing pain and inflammation.
  • Physical therapy. Range-of-motion and strengthening exercises are beneficial once the lesion is adequately healed. Physical therapy may also include techniques to reduce pain and swelling.
  • Ankle brace. Wearing an ankle brace may help protect the patient from re-injury if the ankle is unstable.

When Is Surgery Needed?

If non-surgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. Surgery may involve the removal of loose bone and cartilage fragments within the joint and the establishment of an environment for healing. A variety of surgical techniques are available to accomplish this. The surgeon will select the best procedure based on the specific case.

Complications of Talar Dome Lesions

Depending on the amount of damage to the cartilage in the ankle joint, arthritis may develop in the joint, resulting in chronic pain, swelling, and limited joint motion. Treatment for these complications is best directed by a foot and ankle surgeon and may include one or more of the following

  • Non-steroidal or steroidal anti-inflammatory medications
  • Physical therapy
  • Bracing
  • Surgical intervention

Our board-certified foot and ankle surgeons will assess your condition and develop the best treatment plan for you.

Eric Harmelin, DPM
Connect with me
Experienced Amputation Prevention Specialist and Podiatrist in Annapolis and Stevensville, Maryland.