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Overview<br>The Os tibiale navicular refers to an extra bone is located on the top of found in the foot near the arch. People who have this extra An accessory bone can feel is a bump or bony protuberance on bone that is not normally found in the top average human, but in most cases is not considered abnormal. This condition represents a secondary ossification center (growth center) of the foot above the arch. While the bone itself does not cause pain, accessory navicular syndrome can develop when the bone and/or nearby tendon . It is irritatedpresent from birth. The navicular bone is attached to muscles, ligaments and found on the posterior tibial tendon. Since ligaments and tendons have poor blood supply and don?t heal easily, any irritation to inside part of the surrounding structures can develop into a painful conditionfoot.<br><br><br><br>Causes<br>The syndrome may result from any Most of the followingtime, previous trauma such as this condition is asymptomatic and people may live their whole lives unaware that they even have this extra bone. The main reason the accessory navicular bone becomes problematic is when pain occurs. There is no need for intervention if there is no pain. The accessory navicular bone is easily felt in the medial arch because it forms a foot or ankle sprainbony prominence there. Chronic irritation from shoes or other footwear Pain may occur if the accessory bone is overly large causing friction this bump on the instep to rub against the bone. Strain from overuse or excessive activityfootwear.<br><br>Symptoms<br>Symptoms What precipitates the pain? It will usually be caused by rubbing of accessory navicular syndrome often appear in adolescencethe skate or other footwear against the prominence. You?ll commonly see blisters or a red irritated area. Other symptoms to look for, especially when bones are maturing. Symptoms you?re treating an older child or adult, include A visible bony prominence on an area of pain along the posterior tibial tendon of the midfoot, Redness arch and swellingfatigue of the legs. Typically, Vague these patients are not able to participate in sports for a lengthy period of time or you?ll hear them complain of pain and/or throbbing in the arch, especially soreness after physical activityextended activities. Most individuals with a prominent navicular area will have tried accommodating this area with a doughnut pad or adjustments to their skate.<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://ailenebrimpremiuminstinct8.blogassoup.lt/ io heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Excess weight will increase the force on the posterior tibial tendon as it Most children?s symptoms are improved or resolved by taking a break from activities that irritate their feet. Shoe inserts into that pad the accessory navicular and will tend to precipitate or aggravate symptomsarea are also helpful. If your child?s symptoms do not improve, your physician may recommend a patient with a symptomatic accessory navicular is overweight, then losing weight can be very helpful. Even losing 5below-10lbs will decrease the amount of force going through the foot with each step by as much as 15-30lbsknee cast or walking boot. This Surgery is because the foot acts like a lever serving to magnify the force absorbed by the foot with each steprarely needed.<br><br><br><br>Surgical Treatment<br>If conservative measures do not seem to help, however, you may need to have surgery to make adjustments to Surgical treatment of the bump. This could include reshaping accessory navicular syndrome with simple excision has the little bone, repairing damage advantages of less invasive to the posterior tibial tendontenden and the medial longitudinal arch of the foot, shorter time of immobilization of the foot and stay in hospital, or even removing small incision and good clinical results. This procedure is one of the best selective treatments for the accessory navicular altogethersyndrome, especially for the patients without flatfoot deformity and old sprain injury.