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Overview<br>An The accessory navicular (os navicularum or os tibiale externum) is defined as an extra bone in or piece of cartilage located on the inner side of the foot, and oftentimes it causes moderate to severe discomfortjust above the arch. Depending on It is incorporated within the severityposterior tibial tendon, your doctor may recommend a non-surgical treatment to alleviate the pain, or surgery if treatment doesn?t decrease symptomswhich attaches in this area. An accessory navicular is congenital (present at birth). It is not part of normal bone structure and therefore is not present in most people.<br><br><br><br>Causes<br>This can result from any People who have an accessory navicular often are unaware of the followingcondition if it causes no problems. TraumaHowever, some people with this extra bone develop a painful condition known as in a foot or ankle sprain. Chronic irritation from shoes or other footwear rubbing against accessory navicular syndrome when the extra bone. Excessive activity and/or overuseposterior tibial tendon are aggravated. Many people with accessory navicular syndrome also have flat feet (fallen arches). Having a flat foot puts more strain on the posterior tibial tendon, which can produce inflammation or irritation of the accessory navicular.<br><br>Symptoms<br>The catalyst for symptoms might be some sort of injury (such <br>Causes<br>Accessory navicular syndrome as it is called can result from a broken number of causes, excess or sprained overuse syndrome as seen in an athlete. Trauma to the foot as in an ankle), excessive activity, sprain or direct trauma to the navicular bone. chronic irritation from where shoes are rubbing on against the extra bone, over time, may cause pain. Excessive pronation which strains the bony prominence attachment of tibialis posterior muscles into the accessory navicular makesbone. These can irritate Keep in mind, the larger the actual accessory bone, or make the tendon greater the chance of it?s embedded becoming an issue.<br><br>Symptoms<br>Most people born with this bone begin to experience the symptoms (if at all any) in adolescence. Some may not develop any symptoms until adulthood. The symptoms are a visible abnormal protrusion in (the posterior tibial tendonmid-foot, remember?) inflamed swelling and sore. Because redness of the tendon is compromised protrusion, pain in its ability to support the arch, accessory navicular syndrome almost always leads to flat feet, which is one very obvious symptommid-foot after performing an 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://Auroradeannosyalloy820.Hatenablogsoup.comio/entrypost/2015594916943/08/18/182438 Hammer-Toes-What-Causes-Them heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>If The goal of non-surgical treatment for accessory navicular syndrome is to relieve the symptoms have been aggravated by an increase . The following may be used. Placing the foot in activity levela cast or removable walking boot allows the affected area to rest and decreases the inflammation. To reduce swelling, backing off a bag of ice covered with a thin towel is applied to the affected area. Do not put ice directly on activities in the short term can skin. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpfulprescribed. The foot is subject In some cases, oral or injected steroid medications may be used in combination with immobilization to a lot of repetitive loading during walkingreduce pain and inflammation. Physical therapy may be prescribed, including exercises and therefore minimizing this force will often treatments to strengthen the muscles and decrease inflammation. The exercises may also help prevent recurrence of the symptoms to settle. After Custom orthotic devices that fit into the shoe provide support for the arch, and may play a role in preventing future symptoms have settled. Even after successful treatment, the activity level can then be gradually increasedsymptoms of accessory navicular syndrome sometimes reappear. When this happens, non-surgical approaches are usually repeated.<br><br><br><br>Surgical Treatment<br>If non-surgical operative treatment fails to relieve the patient’s symptoms of accessory navicular syndrome, surgery surgical intervention may be appropriatewarranted. Surgery may involve removing the The standard operative treatment of an accessory bonenavicular is a Kidner procedure. However, reshaping if surgery is undertaken it is important that it address the area, and repairing underlying source of the posterior tibial tendon to improve its function. This extra bone is not needed for normal foot functionpatients pain.