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Overview<br>Everyone Not everyone has one navicular bone: one of the small bones of the foot. A small same number of people have a second small navicular bone or piece of cartilage located on the inside of the foot just above the arch: both are simply called an "accessary navicular bonebones in his feet." It is located within not uncommon for both the hands and the posterior tibial tendon which attaches in this area. It is easy feet to see as a "bump." Most contain extra small accessory bones, or ossicles, that have it never have painsometimes cause problems. If they get painThis guide will help you understand where the accessory navicular is located, we call it: "Accessary navicular why the extra bone syndromecan cause problems and how doctors treat the condition."<br><br><br><br>Causes<br>An injury It is commonly believed that the posterior tibial tendon loses its vector of pull to heighten the arch. As the fibrous tissue connecting posterior muscle contracts, the two bones can cause something similar to a fracture. The injury allows movement to occur between tendon is no longer pulling straight up on the navicular but must course around the prominence of bone and first pull medially before pulling upward. In addition, the accessory bone enlarged bones may irritate and is thought to be damage the cause insertional area of pain. The fibrous tissue is prone to poor healing and may continue to cause pain. Because the posterior tibial tendon attaches to , making it less functional. Therefore, the presence of the accessory navicular, it constantly pulls on the bone, creating even more motion between the fragments with each stepdoes contribute to posterior tibial dysfunction.<br><br>Symptoms<br>Most people The primary reason an accessory navicular becomes a problem is pain. There is no need to do anything with an accessory navicular do that is not have symptoms because causing pain. The pain is usually at the instep area and can be pinpointed over the bone is so small that it causes no harm, or only develop symptoms after a trauma such as a break or sprainbump in the instep. When symptoms are present they could Walking can be a visible bony prominencepainful when the problem is aggravated. As stated earlier, pain and throbbing, inflammation and redness, and flat feetthe condition is more common in girls. The problem commonly becomes symptomatic in the teenage years.<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://painfreeheelsBambiLaxson.soupbravesites.iocom/ entries/general/Do-Hammer-Toes-Hurt heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>The goal of Most doctors will try to find a non-surgical treatment for accessory navicular syndrome is approach to relieve the symptoms. The following may be usedissue due to costs and complications involved in a surgery. Some non-surgical procedures are: Immobilization. Placing which consists of placing the foot in a cast or removable walking boot allows the affected area to allow rest and decreases the decrease inflammation. Ice. To reduce swelling, placing a bag of ice towel-covered with a thin towel is applied to -icepack on the affected area. Do not put ice directly on the skin. Medications. Oral nonsteroidal to reduce inflammation, anti-inflammatory or steroid drugs (NSAIDs), such as ibuprofen, /injections may be prescribed. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce swelling and pain and inflammation. Physical therapy. Physical , physical therapy may be prescribed, including exercises and treatments used to help strengthen the muscles and decrease inflammation. The exercises may also help prevent recurrence a reoccurrence of the symptoms. , Orthotic devices. Custom orthotic devices that fit into Devices placed in the shoe provide to help support for the arch, and may play prevent a role in preventing future symptoms. Even after successful treatment, the reoccurrence of symptoms of accessory navicular syndrome sometimes reappear. When this happens, non-surgical approaches are usually repeated.<br><br><br><br>Surgical Treatment<br>In the original Kidner procedureIf conservative measures do not seem to help, the entire posterior tibial tendon was released from the navicular and then rerouted through a drill hole placed through the navicular. The original Kidner procedure is now rarely used as a means of treating an isolated accessory navicular. Insteadhowever, a modification of you may need to have surgery to make adjustments to the Kidner procedure has become more commonplacebump. The modified Kidner procedure consists of carefully removing This could include reshaping the accessory and anchoring little bone, repairing damage to the posterior tibial tendon to the surface of the navicular where , or even removing the accessory was removed. The repair may be done by passing a suture through the tendon and then through drill holes in the navicular, or by using a suture anchoraltogether.