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Overview<br>Everyone This condition has one navicular bone: one of the small bones of the footbeen observed in multiple family members and has propensity to occur slightly more in females than males. A small number of For most individuals this condition is a non-issue and most people who have them never have a second small navicular problem with them. Over the years when x-raying patients for other problems I will point out that they have an extra bone or piece of cartilage located on the inside of the in their foot just above and the arch: both are simply called an "accessary navicular bone." It is located within usual response from the posterior tibial tendon which attaches in this area. It patient is easy to see as nothing more than a "bumpyawn." Most that have it never have pain. If they get pain, we call it: "Accessary navicular bone syndrome."<br><br><br><br>Causes<br>An injury to the fibrous tissue connecting the two bones can cause something similar to accessory navicular develops as a result of a fracturecongenital anomaly and is found more often in women. The injury allows movement to occur between the navicular and If the accessory bone and is thought to be the cause of pain. The fibrous tissue is prone to poor healing and large, it may continue to cause rub against a shoe, causing pain. Because of its location, the posterior tibial tendon attaches to the accessory navicular, it constantly pulls may pull on the boneduring walking or running, creating even more motion between causing the fibrous tissue that connects the accessory navicular to the fragments with each stepnavicular to tear and become inflamed.<br><br>Symptoms<br>Most people with an accessory navicular do not have It?s common for any symptoms because the bone is so small that it causes no harmto present during adolescence, when bones are maturing, or only develop symptoms after though problems may not occur until adulthood. You may notice a trauma such as a break bony prominence on the inner side of the midfoot. There may or sprainmay not be redness and swelling around this bump, especially if it rubs against footwear. When symptoms are present they could You may be prone to blisters or sores in the area. Pain generally involves a visible bony prominence, pain and vague ache or throbbing, inflammation in the midfoot and rednessarch as well, and especially when you?re active. Many people with this syndrome develop flat feet, too, which can create additional strain in the foot.<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://painfreeheelsaddictedlaborat51.soup.io/ heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>The goal Fortunately, surgery is not the only answer when it comes to relieving symptoms of non-surgical treatment for accessory navicular syndrome is to relieve the symptoms. The following physician may be used. Immobilization. Placing the foot in recommend wearing a cast or removable walking boot allows for a period of time so the affected area to rest and decreases foot can recover from the inflammation. Ice. 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. Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be prescribed. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce pain and inflammation. Physical therapy. Physical therapy may relieve swelling, too, although it should be prescribed, including exercises and treatments wrapped to strengthen avoid direct contact with the muscles and decrease inflammation. The exercises may also help prevent recurrence of the symptoms. Orthotic devices. 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 repeatedskin.<br><br><br><br>Surgical Treatment<br>In the The original procedure advocated by Kidner procedure, involved shelling out of the accessory navicular bone from within the insertional area of the entire posterior tibial tendon was released from the navicular and then rerouted through a drill hole placed through rerouting this tendon under the navicular. The original Kidner procedure is now rarely used as bone in hopes of restoring a means normal pull of this tendon. When treating an isolated accessory navicular. Insteadyounger children, a modification of the Kidner procedure history has become more commonplace. The modified Kidner procedure consists shown us that simply shelling out of carefully removing the accessory and anchoring navicular bone from within the posterior tibial tendon to and remodeling the surface tuberosity of the navicular where bone can give you satisfactory results.<br>In general, you want to reserve advancement of the accessory was removedposterior tibial tendon for adults or those who have a more significant flatfoot deformity. The repair You may be done by passing a suture through the tendon and then through drill holes also use this approach after determining that quality custom orthotics are only resulting in the navicular, or by using a suture anchorslight decrease of symptoms.