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Overview<br>An accessory navicular is defined as an extra bone in the foot, and oftentimes it causes moderate to severe discomfort. Depending on the severity, your doctor may recommend a non-surgical treatment to alleviate the pain, or surgery if treatment doesn?t decrease symptoms.<br><br><br><br>Causes<br>An accessory navicular develops as a This can result from any of the following. Trauma, as in a congenital anomaly and is found more often in womenfoot or ankle sprain. If Chronic irritation from shoes or other footwear rubbing against the extra bone is large, it may rub against . Excessive activity or overuse. Many people with accessory navicular syndrome also have flat feet (fallen arches). Having a shoe, causing pain. Because of its location, flat foot puts more strain on the posterior tibial tendon may pull on the bone during walking , which can produce inflammation or running, causing the fibrous tissue that connects irritation of the accessory navicular to the navicular to tear and become inflamed.<br><br>Symptoms<br>Possible symptoms A visible bony lump on the inner part of accessory navicular syndrome include redness or swelling in the area foot, towards the middle, just above the arch of the accessory navicularfoot. Redness, swelling, and pain that is present around sensitivity of the bony prominence. Pain or throbbing in the middle of the foot around and the arch. Discomfort is most often present following periods of exercise Difficulty with foot movement and activity. Possible skin callous or prolonged walking or standingskin irritation caused by footwear rubbing over the lump. Not everyone who has an accessory navicular will develop these problems. When problems do occur, they may begin in early adolescence. The bone may be somewhat visible obvious indication is a painful bump on the inside of the foot above , which hurts to touch, and causes problems that gradually become worse, and which are aggravated by activity, walking, etc., leading to all the archproblems discussed here. Most symptoms of accessory navicular syndrome first appear in childhood around Pain may be worse towards the time end of adolescence as the bones are still growing day, and developing. For some with an accessory navicular, though, symptoms may not appear until entering adulthoodcontinue into the night.<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://julicansecoDaleavvxwhnlsf.hatenablogjimdo.com/entries2015/201508/0320/15 hammer-toe-treatment heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Initial treatment is conservative. With A combination of the first episode of symptoms, a medial heel wedge, antifollowing non-inflammatories, and physical therapy can surgical treatments may be helpfulused to relieve the symptoms of accessory navicular syndrome. If very painful, Immobilizing the foot with a cast or a removable walking boot may be needed for a short period time before allows the wedge foot to rest and physical therapy can be initiatedreduces inflammation. Very rarely Applying ice to the affected area is an effective way to reduce swelling and inflammation. Wrap a bag of ice with a steroid injection warranted thin towel and apply for intervals of 15 to 20 minutes. Never put ice directly on the skin. Oral nonsteroidal anti-inflammatory drugs (NSAIDs) including aspirin or recommendedibuprofen might be prescribed. As the pain improvesSometimes, patients can resume activities. For a minority combination of patientsimmobilization and oral or injected corticosteroid medications may reduce pain and inflammation. Physical therapy may be prescribed to include exercises and treatments that increase muscle strength, an arch support or custom orthotic can decrease inflammation and help to take some of prevent the extra pressure off recurrence of symptoms. Custom orthotic devices worn in the accessory navicular shoe provide arch support and the posterior tibial tendonmay prevent future symptoms from developing. The symptoms of this syndrome may reappear even after successful treatment. If so, non-surgical treatments are often repeated.<br><br><br><br>Surgical Treatment<br>For patients who have failed conservative care or who have had recurrent symptoms, surgery can be considered. Surgical intervention requires an excision The original procedure advocated by Kidner involved shelling out of the accessory navicular and reattachment bone from within the insertional area of the posterior tibial tendon to and rerouting this tendon under the navicularbone in hopes of restoring a normal pull of this tendon. Often timesWhen treating younger children, this is history has shown us that simply shelling out of the accessory navicular bone from within the tendon and remodeling the tuberosity of the only procedure necessarynavicular bone can give you satisfactory results. However<br>In general, if there you want to reserve advancement of the posterior tibial tendon for adults or those who have a more significant flatfoot deformity. You may also use this approach after determining that quality custom orthotics are other deformities such as only resulting in a flat foot or forefoot that is abducted, other procedures may be requiredslight decrease of symptoms.