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Overview<br>The accessory In an ideal situation, the navicular is an extra piece of cartilage or bone on and the inner side of the footaccessory bone will fuse together to form one bone. It The problem that occurs is found in about 10 percent of individuals and is present at birth. Many people who have an accessory navicular are never aware of it because they that sometimes the two bones do not experience symptoms. However, aggravation of fuse together and the accessory navicular or the posterior tibia tendon, which it patient is left with what is attached to, can develop known as a result fibrous union or basically a non solid union of trauma, irritation from shoes, bone to bone. This fibrous union is more like scar tissue and in theory can cause pain when excessive overusestrain is placed upon it.<br><br><br><br>Causes<br>Accessory Just having an accessory navicular syndrome as it bone is called can result from not necessarily a number of causes, excess bad thing. Not all people with these accessory bones have symptoms. Symptoms arise when the accessory navicular is overly large or overuse syndrome as seen in when an athlete. Trauma to injury disrupts the foot as in an ankle sprain or direct trauma to fibrous tissue between the navicular bone. chronic irritation from shoes rubbing against the extra bone, over time, may cause pain. Excessive pronation which strains the attachment of tibialis posterior muscles into and the accessory navicular bone. Keep in mind, the larger the actual A very large accessory bone, navicular can cause a bump on the greater the chance of it becoming an issueinstep that rubs on your shoe causing pain.<br><br>Symptoms<br>The majority of Most people with an accessory navicular experience no do not have symptoms, since, for because the most partbone is so small that it causes no harm, the little extra bone simply isn?t large enough to cause problemsor only develop symptoms after a trauma such as a break or sprain. UnfortunatelyWhen symptoms are present they could be a visible bony prominence, some people lose on ?accessory navicular roulette,? pain and the bone begins to mess things up with the foot. These problems usually show up sometime in adolescencethrobbing, when bones inflammation and cartilage in the body are settling into their final shapes (although occasionally people make it all the way through childhoodredness, only to start experiencing discomfort and pain in adulthood)flat feet.<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://ickyprogression13nostalgicdepict29.Hazblogsosblogs.com heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>The goal of non-surgical treatment for a symptomatic accessory navicular can syndrome is to relieve the symptoms. The following may be divided into nonsurgical treatment used. Placing the foot in a cast or removable walking boot allows the affected area to rest and surgical treatmentdecreases the inflammation. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area. In Do not put ice directly on the vast majority of casesskin. Nonsteroidal anti-inflammatory drugs (NSAIDs), treatment usually begins with nonsurgical measures such as orthoticsibuprofen, may be prescribed. In some cases, strappings oral or bracinginjected steroid medications may be used in combination with immobilization to reduce pain and inflammation. Surgery usually is only considered when all nonsurgical measures have failed Physical therapy may be prescribed, including exercises and treatments to control your problem strengthen the muscles and decrease inflammation. The exercises may also help prevent recurrence of the symptoms. Custom orthotic devices that fit into the shoe provide support for the arch, and may play a role in preventing future symptoms. Even after successful treatment, the pain becomes intolerablesymptoms of accessory navicular syndrome sometimes reappear. When this happens, non-surgical approaches are usually repeated.<br><br><br><br>Surgical Treatment<br>If conservative care does not alleviate non-operative treatment fails to relieve the problem then patient’s symptoms, surgical intervention should may be consideredwarranted. The most common procedure for this condition standard operative treatment of an accessory navicular is known as the a Kidner procedure where a small incision . However, if surgery is made over the navicular bone. The accessory navicular undertaken it is identified and dissected free from important that it address the posterior tibial tendon. The posterior tibial tendon is then reattached to underlying source of the remaining navicular bonepatients pain.