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Overview<br>This condition has been observed Accessary bone syndrome affects overpronators because of irritation in multiple family members and has propensity this area. Improper fitting shoes can also irritate the area. When pain becomes such that it changes running form or becomes intolerable, something needs to occur slightly more in females than malesbe done. For most individuals this condition Surgery alone without addressing causative factors is a non-issue useless. Pain returns and most people who have them never have a problem with them. Over new cartilage returns in the years when x-raying patients for other problems I will point out that they have an extra bone in their foot tendon, and the usual response from the patient is nothing more than a yawninflammation causes pain.<br><br><br><br>Causes<br>Accessory navicular syndrome as it is called can result from a number Most of causesthe time, excess or overuse syndrome as seen in an athletethis condition is asymptomatic and people may live their whole lives unaware that they even have this extra bone. Trauma to the foot as in an ankle sprain or direct trauma to The main reason the accessory navicular bonebecomes problematic is when pain occurs. chronic irritation from shoes rubbing against the extra bone, over time, may cause There is no need for intervention if there is no pain. Excessive pronation which strains the attachment of tibialis posterior muscles into the The accessory navicular bone. Keep is easily felt in mind, the larger medial arch because it forms a bony prominence there. Pain may occur if the actual accessory bone, is overly large causing this bump on the greater the chance of it becoming an issueinstep to rub against footwear.<br><br>Symptoms<br>Symptoms of Many people have accessory (?extra?) naviculars (figure 1) - a prominent extra bone extending from the navicular includebone. Bone lump Most accessory naviculars are completely asymptomatic. However, some individuals will develop pain on the inside of their midfoot. Pain may occur from the pressure of the shoe ware against the prominence, irritating either the bone itself or the fibrous junction where the accessory bone meets the regular navicular. Alternatively, the fibrous junction or interface may become painful as a result of tension applied by the footposterior tibial tendon through its connection or insertion at that site. Redness and swelling Often, individuals will be asymptomatic for years, however, a new pair of shoes or a change in their activity level can cause symptoms. PainThe accessory navicular itself typically develops during adolescence, when the two areas of the navicular bone fail to fuse together.<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://westvhnpbodkaavivabednarek.exteenblog.fc2.com/ blog-entry-8.html heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Treating Most children?s symptoms are improved or resolved by taking a break from activities that irritate their feet. Shoe inserts that pad the accessory navicular syndrome is focused on relieving symptoms. Some treatment methods area are Icing to reduce swellingalso helpful. Immobilization with If your child?s symptoms do not improve, your physician may recommend a below-the-knee cast or walking boot to reduce inflammation and promote healing. Medications to reduce pain and inflammation. Physical therapy to strengthen muscles. Orthotics to support the arch. Surgery may be is rarely needed to remove the accessory bone and reshape the area if other methods are not successful.<br><br><br><br>Surgical Treatment<br>Surgery may After the anesthesia is administered you will be heavily sedated and placed on your stomach. Surgeons will place a tourniquet around your thigh and an option if non-surgical treatment does not decrease incision will be made on the symptoms inside of accessory navicular syndrome. Since this bone is not needed for the foot to function normally, Your surgeon may remove . The posterior tibial tendon will be moved as necessary and the accessory navicular, reshape the area, and will be removed. Surgeons will repair the posterior tibial tendon with sutures or suture anchors, and the wound will be closed. A splint will be placed on the foot for stabilization and immobilization. You will be permitted to leave the surgical center once you have been cleared by the anesthesiologist. Plan ahead to have a friend or family member take your prescription to a pharmacy to pick up your post-op medication. Use narcotic pain medications before bed or if numbness in your foot begins to dull. Schedule a post-op visit for improved function4 weeks after the procedure.