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Overview<br>The Everyone has one navicular bone: one of the small bones of the foot occasionally develop abnormally in . A small number of people have a child and an extra second small navicular bone called an accessory navicular is present towards or piece of cartilage located on the inside of the foot, in front of just above the ankle. This bone is present in approximately 10% of the general population but not large enough to cause symptoms in the majority of these individuals. The extra bone lump present in childhood can be quite uncomfortable because it rubs on shoes. In addition, the feet associated with the accessory navicular arch: both are invariably flat. If the child is active and involved in various athletic activities, this will aggravate the inflammation of the tendon that attaches to the accessory simply called an "accessary navicularbone. This tendon " It is called located within the posterior tibial tendon and which attaches in this area. It is responsible for maintaining the strength of the arch of the footeasy to see as a "bump." Most that have it never have pain. The flat-footedness associated with the accessory If they get pain, we call it: "Accessary navicular usually brings the child for treatmentbone syndrome."<br><br><br><br>Causes<br>Just having an accessory navicular bone is not necessarily The syndrome may result from any of the following, previous trauma such as a bad thingfoot or ankle sprain. Not all people with these accessory bones have symptoms. Symptoms arise when the accessory navicular is overly large Chronic irritation from shoes or when an injury disrupts other footwear causing friction against the fibrous tissue between the navicular and the accessory navicularbone. A very large accessory navicular can cause a bump on the instep that rubs on your shoe causing painStrain from overuse or excessive activity.<br><br>Symptoms<br>Symptoms Adolescence is a common time for the symptoms to first appear. This is a time when bones are maturing and cartilage is developing into bone. Sometimes, however, the symptoms do not occur until adulthood. The signs and symptoms of accessory navicular syndrome include. Bone lump A visible bony prominence on the inside midfoot (the inner side of the foot. , just above the arch) Redness and swellingof the bony prominence. PainVague pain or throbbing in the midfoot and arch, usually occurring during or after periods of activity.<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://Fletcherklmmrvwfpejulihargrow.Hazblogwordpress.com/ 2015/06/22/treatment-for-hammer-toe-pain heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>The initial treatment approach for Many individuals with symptomatic accessory navicular is naviculars can be managed successfully without surgery. Standard non-operativesurgical treatment includes shoes that are soft around the inside of the ankle can allow for any excess prominence of bone. An orthotic may be Therefore, it is recommended that either shoes with plenty of padding and space in the ankle area are purchased, or the patient may undergo pre-owned shoes can be modified by a brief period of casting shoemaker to rest the footcreate extra space in this area. For chronic pain, howeverexample, many patients will get their ski boots expanded in the orthopedic surgeon removes area around the extra boneprominence, minimizing irritation. In addition, a relatively simple surgery shoe with a brief rehabilitation period and stiff sole will help disperse force away from the arch of the foot during walking, thereby minimizing the force on the posterior tibial tendon. An off-the-shelf arch support may help decrease the stress applied by the posterior tibial tendon. If necessary, an ankle brace applied to provide more substantial support to the arch may be successful where a very good success ratesimple arch support fails.<br><br><br><br>Surgical Treatment<br>The above If non-surgical options should be enough treatment fails to treat relieve the symptoms of accessory navicular syndrome. If they fail, a surgery would may be necessary to remove appropriate. Surgery may involve removing the extra accessory bone that has been causing , reshaping the problems. The most common procedure for this condition is known as the Kidner procedure where a small incision is made over the navicular bone. The accessory navicular is identified area, and dissected free from repairing the posterior tibial tendonto improve its function. The posterior tibial tendon This extra bone is then reattached to the remaining navicular bonenot needed for normal foot function.