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Overview<br>An accessory navicular bone This syndrome is an accessory also referred to as os tibial naviculare or os tibial externum. As stated above, this condition quite often does not cause any pain. But if the posterior tibial tendon (the extra bone of attaches to this tendon in the foot that occasionally develops abnormally in front of ) or the ankle towards the inside of the foot. This accessory navicular bone may be present in approximately 2-14% of the general population and is usually asymptomatic. When it is symptomaticitself were to get aggravated, surgery may then there would be necessary. Surgery can be performed at any age because it does not alter any other bonespain.<br><br><br><br>Causes<br>Let us see the reasons why It is commonly believed that the posterior tibial tendon or loses its vector of pull to heighten the bone would get aggravatedarch. Ankle or foot sprainAs the posterior muscle contracts, irritation the tendon is no longer pulling straight up on the navicular but must course around the prominence of the bone caused by footwearand first pull medially before pulling upward. In addition, overusing the foot, quite common in athletes enlarged bones may irritate and dancers. People born with this extra bone are also known develop flat feet which also adds to damage the strain on insertional area of the posterior tibial tendon and lead , making it less functional. Therefore, the presence of the accessory navicular bone does contribute to the syndromeposterior tibial dysfunction.<br><br>Symptoms<br>It?s common for any symptoms to present during adolescence, when bones are maturing, though problems may not occur until adulthoodThis painful condition is called accessory navicular syndrome. You may notice a bony prominence on Accessory navicular syndrome (ANS) can cause significant pain in the inner side of the midfootmid-foot and arch, especially with activity. There may or may not be redness Redness and swelling around may develop over this bumpbony prominence, especially if it rubs against footwearas well as extreme sensitivity to pressure. You Sometimes people may be prone unable to blisters or sores in wear shoes because the area. Pain generally involves a vague ache or throbbing in the midfoot and arch as well, especially when you?re active. Many people with this syndrome develop flat feet, is too, which can create additional strain in the footsensitive.<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://jazminschibidaryllungsford.wordpresshatenablog.com/ entry/2015/03/27/195918 heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Patients with Initial treatment is conservative. With the first episode of symptoms, a painful accessory navicular may benefit with four to six medial heel wedge, anti-inflammatories, and physical therapy treatmentscan be helpful. Your therapist may design If very painful, a series of stretching exercises to try and ease tension on the posterior tibial tendon. A shoe insert, cast or orthotic, boot may be used to support needed for a short period time before the arch wedge and protect the sore areaphysical therapy can be initiated. This approach may allow you to resume normal walking immediately, but you should probably cut back on more vigorous activities for several weeks to allow the inflammation and pain to subsideVery rarely is a steroid injection warranted or recommended. Treatments directed to As the painful area help control pain and swelling. Examples include ultrasoundimproves, moist heat, and soft-tissue massagepatients can resume activities. Therapy sessions sometimes include iontophoresisFor a minority of patients, which uses a mild electrical current to push anti-inflammatory medicine an arch support or custom orthotic can help to take some of the extra pressure off of the accessory navicular and the sore areaposterior tibial tendon.<br><br><br><br>Surgical Treatment<br>If conservative measures do Surgery may be an option if non-surgical treatment does not decrease the symptoms of accessory navicular syndrome. Since this bone is not seem needed for the foot to helpfunction normally, however, you Your surgeon may need to have surgery to make adjustments to remove the bump. This could include reshaping accessory navicular, reshape the little bonearea, repairing damage to and repair the posterior tibial tendon, or even removing the accessory navicular altogetherfor improved function.