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DCO diagnosis should be considered in cases with unresolving shoulder pain. DCO can be difficult to diagnose given its limited etiological understanding, low incidence, and poor radiographic sensitivity. DCO diagnosis should be considered in cases with unresolving shoulder pain. This study describes the radiographic diagnosis and nonoperative chiropractic management for a case of a chronic calcaneonavicular coalition in an adult patient. Calcaneonavicular coalition is a congenital/acquired condition of the tarsal bones often diagnosed