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Overview<br>Accessory navicular syndrome is the painful This condition caused by the presence of the accessory navicularhas been observed in multiple family members and has propensity to occur slightly more in females than males. Well, For most individuals this condition is the statement a bit confusing? Let me explainnon-issue and most people who have them never have a problem with them. The accessory navicular is a bone in Over the foot years when x-raying patients for other problems I will point out that is not supposed to be present. But in some very rare cases, this they have an extra bone (sometimes can also be a cartilage piece) is present by birth. This bone exists in their foot and the arch of usual response from the foot. The presence of this bone though not common, patient is not abnormal either as most people are not even aware of its existence unless and until it begins to cause pain which we call accessory navicular syndromenothing more than a yawn.<br><br><br><br>Causes<br>An accessory navicular develops as a result of a congenital anomaly and is found more often in women. If the bone is large, it may rub against a shoe, causing pain. Because of its location, the posterior tibial tendon may pull on the bone during walking or running, causing the fibrous tissue that connects the accessory navicular to the navicular to tear and become inflamed.<br><br>Symptoms<br>It?s common for any symptoms to present during adolescence, when bones are maturing, though problems may not occur until adulthood. You may notice a bony prominence on the inner side of the midfoot. There may or may not be redness and swelling around this bump, especially if it rubs against footwear. You may be prone to blisters or sores in the area. Pain generally involves a vague ache or throbbing in the midfoot and arch as well, especially when you?re active. Many people with this syndrome develop flat feet, too, which can create additional strain in the foot.<br><br>Diagnosis<br>To diagnose accessory navicular syndrome, medical staff ask about the patient?s activities and symptoms. They will examine the foot for irritation or swelling. Medical staff evaluate the bone structure, muscle, joint motion, and the patient?s gait. X-rays can usually confirm the diagnosis. MRI or other imaging tests may be used to determine any irritation or damage to soft-tissue structures such as tendons or ligaments. Because navicular accessory bone irritation can lead to bunions, [http://angel9dixon3addictedlaborat51.exteensoup.com io/ heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Patients with a painful Fortunately, surgery is not the only answer when it comes to relieving symptoms of accessory navicular may benefit with four to six physical therapy treatmentssyndrome. Your therapist The physician may design recommend wearing a cast or walking boot for a series period of stretching exercises to try and ease tension on time so the foot can recover from the posterior tibial tendoninflammation. A shoe insert, or orthotic, Ice may be used to support the arch and protect the sore area. This approach may allow you to resume normal walking immediately, but you should probably cut back on more vigorous activities for several weeks to allow the inflammation and pain to subside. Treatments directed to the painful area help control pain and relieve swelling. Examples include ultrasound, moist heattoo, and soft-tissue massage. Therapy sessions sometimes include iontophoresis, which uses a mild electrical current to push anti-inflammatory medicine although it should be wrapped to avoid direct contact with the sore areaskin.<br><br><br><br>Surgical Treatment<br>If conservative care does not alleviate the problem then surgical intervention should be considered. The most common original procedure for advocated by Kidner involved shelling out of the accessory navicular bone from within the insertional area of the posterior tibial tendon and rerouting this condition is known as the Kidner procedure where a small incision is made over tendon under the navicular bonein hopes of restoring a normal pull of this tendon. The When treating younger children, history has shown us that simply shelling out of the accessory navicular is identified and dissected free bone from within the posterior tibial tendonand remodeling the tuberosity of the navicular bone can give you satisfactory results. The <br>In general, you want to reserve advancement of the posterior tibial tendon is then reattached to the remaining navicular bonefor adults or those who have a more significant flatfoot deformity. You may also use this approach after determining that quality custom orthotics are only resulting in a slight decrease of symptoms.