Some patients space born through an extra bone, well-known as an accessory navicular bone, situated on the inside of the foot just over the arch. In plenty of cases, this extra bone reasons no problem and also requires no treatment, but in part patients it might enlarge, leading to pain, specifically during or after go or strong activity. Patients impacted in this means are claimed to have actually accessory navicular bone syndrome. They existing with a red, puffy protrusion in the middle of the foot that may reason them come limp. Patients through accessory navicular bone syndrome may additionally develop plantar fasciitis, bunions or hoe spurs. Many often, accessory navicular bone syndrome can be treated nonsurgically, yet occasionally surgical intervention is necessary.

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Reasons because that Accessory Navicular Bone Syndrome

Accessory navicular bone syndrome commonly develops as soon as the abnormal bone, or the posterior tibial tendon come which that attaches, space irritated. This may be the an outcome of:

Traumatic injury come the foot or ankle consistent rubbing the footwear versus the bone extreme exercise or overuse

Many patients with accessory navicular syndrome also have level feet which, due to the fact that a flat foot puts more stress on the posterior tibial tendon, exacerbates the condition.

Nonsurgical therapy of Accessory Navicular Bone Syndrome

There are several treatment choices for accessory navicular bone syndrome. These may incorporate some or all of the following:

Immobilization with a cast or walking boots Applications of ice packs Non-steroidal anti-inflammatory medicine (NSAIDs) Injected steroids Physical therapy Orthotics

They very first four methods provided are design to minimize swelling and also alleviate pain. The goal of the continuing to be two is to combine muscle, reposition the foot correctly, and also prevent recurrence of injury.

Surgical treatment of Accessory Navicular Bone Syndrome

The Kidner procedure is the most usual surgical therapy for accessory navicular bone syndrome. This procedure involves detaching the bone from the posterior tibial tendon and also then removing it entirely from the foot. The tibial tendon is then reattached and the scratch is closed v stitches. Patient will most likely wear a irradiate cast and use crutches after ~ surgery.

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Castle will call for some physics rehabilitation concentrated on extending the influenced tendon and also should have the ability to resume common physical task after about 6 weeks.

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