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Overview<br>An accessory navicular Sometimes, feet do weird things. For instance, about 10% of the general population?s feet have decided that having an extra bone in the mix is an accessory a really great idea. This extra bone of the foot that occasionally develops abnormally causing (or sometimes a plantar medial enlargement bit of the cartilage), is called an accessory navicular. The accssory navicular bone presents as It shows up in a sesamoid in tendon called the posterior tibial tendon(which is a fancy name - but just remember, in articulation with it helps support the navicular or as an enlargment arch of the navicular. Navicular (boat shapedfoot) is an intermediate tarsal bone on the medial side middle of the foot. It is located on the medial side inside of the foot, and articulates proximally with just above the talusarch. Distally This extra little bone is present from birth, so it articulates with the three cuneiform bones?s not something that?ll suddenly grow later in life. In some cases it articulates laterally Now, accessory navicular syndrome is when that extra bone starts causing issues with your shoe-wearing, or even the cuboid. The tibialis posterior inserts to the os naviculare. The tibialis posterior muscle also contracts to produce inversion of the foot shape and assists in the plantar flexion function of the your foot at the ankle. Tibialis posterior also has a major role in supporting It?s the medial arch of the foot. This supports is compromised by abnormal insertion of the tendon into the accessory navicular bone when present. This lead syndrome you want to loss of suspension of tibialis posterior tendon and may cause peroneal spastic pes planus or simple pes planus. Butworry about, yet a cause and effect relationship between not necessarily the accessory navicular and pes planus is doubtful and is yet unproved clearlyextra bone itself.<br><br><br><br>Causes<br>This painful foot condition is caused by an extra bone in the foot called the An accessory navicular. Only about 10% develops as a result of people have this bone (4 to 21%), a congenital anomaly and not all of them will develop any symptomsis found more often in women. The navicular If the bone is one large, it may rub against a shoe, causing pain. Because of its location, the normal tarsal bones of posterior tibial tendon may pull on the foot. It is located on bone during walking or running, causing the inside of fibrous tissue that connects the foot, at accessory navicular to the archnavicular to tear and become inflamed.<br><br>Symptoms<br>Symptoms of this syndrome would include redness, swelling and tenderness over the navicular bone. The main symptom of an aggravated accessory navicular bone is pain, particularly in located on the inside of the foot approximately midway between the instepankle bone and big toe joint. Walking It will tend to be worse after activity and can sometimes be difficultaggravated by those that wear very dressy shoes as opposed to casual shoes like sneakers. In other words, and tight shoes may worsen the conditionflatter or less supportive the shoe, the greater the chance for pain.<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://womanlycushion45lavonne0blevins58.Exteenwordpress.com/201506242015/06/22/do-hammertoe-correctionsplints-do-the-procedure job heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>In order to strengthen your muscles to prevent further injury and to provide support to The initial treatment approach for accessory navicular is non-operative. An orthotic may be recommended or the foot, your podiatrist patient may also outline undergo a physical therapy routine and prescribe orthotics. Orthotics will provide support brief period of casting to rest the arch of your foot. For chronic pain, however, although they must be carefully crafted in order to make room for that pesky the orthopedic surgeon removes the extra bone you?ve got poking about, a relatively simple surgery with a brief rehabilitation period and a very good success rate.<br><br><br><br>Surgical Treatment<br>If your pain and discomfort don’t go away with treatments like theseFor patients who have failed conservative care or who have had recurrent symptoms, then it may surgery can be time to consider surgeryconsidered. If you decide to go through with it, your surgeon will probably remove Surgical intervention requires an excision of the accessory navicular once and for all, and will tighten up reattachment of the posterior tibial tendon in order to make it better able to support your archthe navicular. Often times, this is the only procedure necessary. You’ll probably have to wear a cast for a several weeksHowever, and if there are other deformities such as a brace for some months after flat foot or forefoot thatis abducted, but with patience, you other procedures may be able to say goodbye to your symptomsrequired.