![]() Foot and ankle surgeons have more education and training specific to the foot and ankle than any other healthcare provider.įoot and ankle surgeons treat all conditions affecting the foot and ankle, from the simple to the complex, in patients of all ages including Accessory Navicular Syndrome. As doctors of podiatric medicine – also known as podiatrists, DPMs or occasionally “foot and ankle doctors” – they are the board-certified surgical specialists of the podiatric profession. Why choose a foot and ankle surgeon?įoot and ankle surgeons are the leading experts in foot and ankle care today. This extra bone is not needed for normal foot function. Surgery may involve removing the accessory bone, reshaping the area and repairing the posterior tibial tendon to improve its function. If nonsurgical treatment fails to relieve the symptoms of accessory navicular syndrome, surgery may be appropriate. When this happens, nonsurgical approaches are usually repeated. Custom orthotic devices that fit into the shoe provide support for the arch and may play a role in preventing future symptoms.Įven after successful treatment, the symptoms of accessory navicular syndrome sometimes reappear. The exercises may also help prevent recurrence of the symptoms. Physical therapy may be prescribed, including exercises and treatments to strengthen the muscles and decrease inflammation. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce pain and inflammation. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be prescribed. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area. Placing the foot in a cast or removable walking boot allows the affected area to rest and decreases the inflammation. The goal of nonsurgical treatment for accessory navicular syndrome is to relieve the symptoms. If there is ongoing pain or inflammation, an MRI or other advanced imaging tests may be used to further evaluate the condition. X-rays are usually ordered to confirm the diagnosis. Foot structure, muscle strength, joint motion and the way the patient walks may also be evaluated. The doctor may press on the bony prominence to assess the area for discomfort. To diagnose accessory navicular syndrome, the foot and ankle surgeon will ask about symptoms and examine the foot, looking for skin irritation or swelling. Vague pain or throbbing in the midfoot and arch, usually occurring during or after periods of activityĭiagnosis of of Accessory Navicular Syndrome.Redness and swelling of the bony prominence.A visible bony prominence on the midfoot (the inner side of the foot, just above the arch).The signs and symptoms of accessory navicular syndrome include: Sometimes, however, the symptoms do not occur until adulthood. This is a time when bones are maturing and cartilage is developing into bone. Signs & Symptoms of Accessory Navicular SyndromeĪdolescence is a common time for the symptoms to first appear. Having a flat foot puts more strain on the posterior tibial tendon, which can produce inflammation or irritation of the accessory navicular. Many people with accessory navicular syndrome also have flat feet (fallen arches). Chronic irritation from shoes or other footwear rubbing against the extra bone.This can result from any of the following: However, some people with this extra bone develop a painful condition known as accessory navicular syndrome when the bone and/or posterior tibial tendon are aggravated. People who have an accessory navicular often are unaware of the condition if it causes no problems. It is not part of normal bone structure and therefore is not present in most people. It is incorporated within the posterior tibial tendon, which attaches in this area and can lead to Accessory Navicular Syndrome.Īn accessory navicular is congenital (present at birth). The accessory navicular (os navicularum or os tibiale externum) is an extra bone or piece of cartilage located on the inner side of the foot just above the arch. Accessory Navicular Syndrome What Is the Accessory Navicular? Please enable Javascript in your browser. Javascript is required to view the content on this page.
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