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Overview<br>The accessory Accessory navicular (os navicularum or os tibiale externum) is describes the presence of an extra bone or piece of cartilage located growth center on the inner side inside of the foot just above the arch. It is incorporated navicular and within the posterior posterial tibial tendon, which that attaches in to the navicular. The primary symptom from this areaadditional bony prominence is pain and tenderness. An accessory navicular is This congenital defect (present at birth)is thought to occur during development when the bone is calcifying. It is not part Because this accessory portion of normal the bone structure and therefore the navicular never quite grow together, it is not present believed that, over time, the excessive motion between the two bones results in most peoplepain.<br><br><br><br>Causes<br>An injury to This can result from any of the fibrous tissue connecting the two bones can cause something similar to following. Trauma, as in a fracturefoot or ankle sprain. The injury allows movement to occur between Chronic irritation from shoes or other footwear rubbing against the navicular and the accessory extra bone and is thought to be the cause of pain. The fibrous tissue is prone to poor healing and may continue to cause painExcessive activity or overuse. Many people with accessory navicular syndrome also have flat feet (fallen arches). Because Having a flat foot puts more strain on the posterior tibial tendon attaches to , which can produce inflammation or irritation of the accessory navicular, it constantly pulls on the bone, creating even more motion between the fragments with each step.<br><br>Symptoms<br>This painful condition is called accessory navicular syndrome. Accessory navicular syndrome Most people born with this bone begin to experience the symptoms (ANSif at all any) can cause significant pain in adolescence. Some may not develop any symptoms until adulthood. The symptoms are a visible abnormal protrusion in the mid-foot and arch, especially with activity. Redness swelling and swelling may develop over this bony prominenceredness of the protrusion, as well as extreme sensitivity to pressure. Sometimes people may be unable to wear shoes because pain in the area is too sensitivemid-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://irakirschmanJulicanseco.exteenWordpress.com /2015/06/23/natural-treatment-for-hammer-toes heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Ideally, getting rid of Excess weight will increase the force on the posterior tibial tendon as it inserts into the symptoms of accessory navicular syndrome and will involve soothing the inflammation and irritation in your foottend to precipitate or aggravate symptoms. SoIf a patient with a symptomatic accessory navicular is overweight, for starters, your podiatrist may have you rest then losing weight can be very helpful. Even losing 5-10lbs will decrease the area, allowing amount of force going through the inflamed tendon and bone to healfoot with each step by as much as 15-30lbs. This may be accomplished by wearing is because the foot acts like a cast or boot designed lever serving to keep you from moving magnify the problem area. Your podiatrist may also suggest using ice to reduce force absorbed by the swelling and inflammation, and anti-inflammatory medications (like ibuprofen, or sometimes a cortisone shot or other steroid medication)foot with each step.<br><br><br><br>Surgical Treatment<br>After the anesthesia is administered you will be heavily sedated and placed on If your stomach. Surgeons will place a tourniquet around your thigh pain and an incision will discomfort don’t go away with treatments like these, then it may be made on the inside of the foottime to consider surgery. The posterior tibial tendon If you decide to go through with it, your surgeon will be moved as necessary and probably remove the accessory navicular once and for all, and will be removed. Surgeons will repair tighten up the posterior tibial tendon with sutures or suture anchors, and the wound will be closed. A splint will be placed on the foot for stabilization and immobilization. You will be permitted in order to leave the surgical center once you have been cleared by the anesthesiologist. Plan ahead make it better able to have a friend or family member take support your prescription to a pharmacy to pick up your post-op medicationarch. Use narcotic pain medications before bed or if numbness in your foot begins You’ll probably have to dull. Schedule wear a post-op visit cast for 4 a several weeks , and a brace for some months after the procedurethat, but with patience, you may be able to say goodbye to your symptoms.