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Overview<br>When there is injury to the muscle, fibrous tissue, or soft tissue of the navicular and the For most people with an accessory navicular bones, symptoms will arise. This injury allows excessive movement between the bones. Fibrous tissue, ligaments and tendons have poor blood supply extra bone does not cause any problems and most are prone to poor healingunaware of its presence. Often, this But certain activities or circumstances may cause the extra navicular bone lies near or attaches to the tibialis posterior tibial tendonthat contains it to grow irritated. (See figure.) When the posterior tibial muscle contracts with movements such as foot inversion or plantar flexionThis is called accessory navicular syndrome, the posterior tendon moves and its possible causes include sprains, overuse, or wearing shoes that constantly rub against the bone. Individuals who have a collapsed arch (commonly known as flat feet) may be at greater risk of accessory navicular syndrome, assuming they have the extra bone moves. This can cause severe pain in those with Accessory Navicular Syndrome. It can become disabling to patients , because of the added daily trauma placed on the tibialis posterior tibial tendon attached to the navicular bone is responsible for supporting the medial arch during standing, walking and running. Activities which most of us do daily!<br><br><br><br>Causes<br>Accessory navicular syndrome as it is called can result from a number of causes, excess or overuse syndrome as seen in an athlete. Trauma to Let us see the reasons why the foot as in an ankle sprain tendon or direct trauma to the navicular bonewould get aggravated. chronic Ankle or foot sprain, irritation from shoes rubbing against of the extra bonecaused by footwear, over timeoverusing the foot, may cause painquite common in athletes and dancers. Excessive pronation People born with this extra bone are also known develop flat feet which strains also adds to the strain on the attachment of tibialis posterior muscles into tibial tendon and lead to the navicular bone. Keep in mind, the larger the actual accessory bone, the greater the chance of it becoming an issuesyndrome.<br><br>Symptoms<br>This painful condition is called Symptoms of accessory navicular syndromeinclude. Accessory navicular syndrome (ANS) can cause significant pain in Bone lump on the inside of the mid-foot and arch, especially with activity. Redness and swelling may develop over this bony prominence, as well as extreme sensitivity to pressure. Sometimes people may be unable to wear shoes because the area is too sensitivePain.<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://Oziehisman.blogearnestinerembert.Fc2Blogas.comlt/blog-entry-15.html heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>The goal Ideally, getting rid of the symptoms of non-surgical treatment for accessory navicular syndrome is will involve soothing the inflammation and irritation in your foot. So, for starters, your podiatrist may have you rest the area, allowing the inflamed tendon and bone to relieve the symptomsheal. The following This may be used. Placing the foot in accomplished by wearing a cast or removable walking boot allows designed to keep you from moving the affected problem area . Your podiatrist may also suggest using ice to rest reduce the swelling and decreases the inflammation. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area. Do not put ice directly on the skin. Nonsteroidal and anti-inflammatory drugs medications (NSAIDs), such as like ibuprofen, may be prescribed. In some cases, oral or injected sometimes a cortisone shot or other steroid medications may be used in combination with immobilization to reduce pain and inflammation. Physical therapy may be prescribed, including exercises and treatments to 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 symptoms of accessory navicular syndrome sometimes reappear. When this happens, non-surgical approaches are usually repeatedmedication).<br><br><br><br>Surgical Treatment<br>Surgery may be an option if non-surgical treatment If conservative care does not decrease alleviate the symptoms of accessory navicular syndromeproblem then surgical intervention should be considered. Since The most common procedure for this bone condition is not needed for known as the foot to function normally, Your surgeon may remove Kidner procedure where a small incision is made over the navicular bone. The accessory navicular, reshape the area, is identified and repair dissected free from the posterior tibial tendon for improved function. The posterior tibial tendon is then reattached to the remaining navicular bone.