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Overview<br>The An accessory navicular is an extra piece of cartilage or bone that is on the inner side center arch of the foot. It is found in about 10 percent Up to 2.5% of individuals and is present at birth. Many people who have an are born with the accessory navicular are never aware of it because they do . Throughout early childhood, this condition is not experience symptomsnoticed. However, aggravation of in adolescence, when the accessory navicular or begins to calcify, the bump on the inner aspect of the posterior tibia tendonarch becomes noticed. For most, which it is attached tonever symptomatic. However, for some, there is some type of injury, can develop as whether a result of traumatwist, stumble, irritation from shoesor fall, and excessive overusethat makes the accessory navicular symptomatic.<br><br><br><br>Causes<br>Accessory An accessory navicular syndrome develops as it is called can a result from of a number of causes, excess or overuse syndrome as seen congenital anomaly and is found more often in an athletewomen. Trauma to If the foot as in an ankle sprain or direct trauma to the navicular bone. chronic irritation from shoes rubbing is large, it may rub against the extra bonea shoe, over time, may cause causing pain. Excessive pronation which strains Because of its location, the attachment of tibialis posterior muscles into tibial tendon may pull on the navicular bone. Keep in mindduring walking or running, causing the larger fibrous tissue that connects the actual accessory bone, navicular to the greater the chance of it becoming an issuenavicular to tear and become inflamed.<br><br>Symptoms<br>Adolescence is a common time for the symptoms to first appear. This is a time when bones are maturing and cartilage is developing into bone. Sometimes, however, the symptoms do not occur until adulthood. The signs and symptoms of accessory navicular syndrome include a visible bony prominence on the midfoot (the inner side of the foot, just above the arch) Redness and swelling of the bony prominence. Vague pain or throbbing in the midfoot and arch, usually occurring during or after periods of activity.<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://Micamccollom.Blogrobustbunch7063.Fc2hazblog.com/blog-entry-4.html heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>If symptoms have been aggravated by an increase in activity level, backing off on activities in the short term can be helpful. The foot is subject to a lot of repetitive loading during walking, and therefore minimizing this force will often help symptoms to settle. After symptoms have settled, the activity level can then be gradually increased.<br><br><br><br>Surgical Treatment<br>If your pain and discomfort don’t go away with treatments like thesenon-surgical treatment fails to relieve the symptoms of accessory navicular syndrome, then it surgery may be time to consider surgeryappropriate. If you decide to go through with itSurgery may involve removing the accessory bone, your surgeon will probably remove reshaping the accessory navicular once and for allarea, and will tighten up repairing the posterior tibial tendon in order to make it better able to support your archimprove its function. You’ll probably have to wear a cast This extra bone is not needed for a several weeks, and a brace for some months after that, but with patience, you may be able to say goodbye to your symptomsnormal foot function.