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Overview<br>Sometimes, feet do weird things. For instance, about 10% of the general population?s feet have decided that having an extra bone in the mix is a  really great idea. This extra bone (or sometimes a bit of cartilage), is called an accessory navicular. It shows up in a tendon called the posterior tibial tendon (which is a fancy name - but just remember, it helps support the arch of the foot) on the middle of the inside of the foot, just above the arch. This extra little bone is present from birth, so it?s not something that?ll suddenly grow later in life. Now, accessory navicular syndrome is when that extra bone starts causing issues with your shoe-wearing, or even the shape and function of your foot. It?s the syndrome you want to worry about, not necessarily the extra bone itself.<br><br><br><br>Causes<br>People who have an accessory navicular often are unaware of the condition if it causes no problems. However, some people with this extra bone develop a painful condition known as accessory navicular syndrome when the bone and/or posterior tibial tendon are aggravated. This can result from any of the following. Trauma, as in a foot or ankle sprain. Chronic irritation from shoes or other footwear rubbing against the extra bone. Excessive activity or overuse.<br><br>Symptoms<br>What are the signs/symptoms of Accessory Navicular Syndrome? Pain in the foot following trauma (such as after an ankle sprain) Chronic irritation from shoes or other footwear rubbing against the bone. A visible bony prominence on the inner side of the foot just above the arch. Redness and swelling of that area. Vague pain or throbbing in the arch mostly occuring during or after periods of physical activity. Symptoms appear most often during adolescence, but some may not occur until adulthood.<br><br>Diagnosis<br>An initial assessment is an orthopaedic office begins with a thorough history and complete physical exam, including an assessment of the posterior tibial tendon and areas of tenderness. Associated misalignments of the ankle and foot should be noted. Finally, weight-bearing x-rays of the foot will help in making the diagnosis. Sometimes, an MRI may be needed to see if the posterior tibial tendon is involved with the symptoms or getting more clarity on the anatomy of the accessory navicular.<br><br>Non Surgical Treatment<br>Aside from surgery, there are a few options for handling an accessory navicular bone that has become symptomatic. This includes immobilization, icing, medicating, physical therapy, and orthotic devices. Immobilizing involves placing the foot and ankle in a cast or removable walking boot. This alleviates stressors on the foot and can [https://www.b2bmarketing.net/search/gss/decrease%20inflammation decrease inflammation]. Icing will help reduce swelling and inflammation. Medication involves usage of nonsteroidal anti-inflammatory drugs, or steroids (taken orally or injected) to decrease inflammation. Physical therapy [http://vernellnalty.eklablog.com/rss/ How can you heal an Achilles tendonitis fast?] be prescribed in order to strengthen the muscles and help decrease inflammation. Physical therapy can also help prevent the symptoms from returning. Orthotic devices (arch support devices that fit in a shoe) can help prevent future symptoms. Occasionally, the orthotic device will dig into the edge of the accessory navicular and cause discomfort. For this reason, the orthotic devices made for the patient should be carefully constructed.<br><br><br><br>Surgical Treatment<br>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 incision will be made on the inside of the foot. The posterior tibial tendon will be moved as necessary and the accessory navicular 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 4 weeks after the procedure.
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Overview<br>Accessary bone syndrome affects overpronators because of irritation in 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 be done. Surgery alone without addressing causative factors [https://celinemadre.wordpress.com/2015/03/13/adult-aquired-flat-feet/ What is a heel lift?] useless. Pain returns and new cartilage returns in the tendon, and the inflammation causes pain.<br><br><br><br>Causes<br>Let us see the reasons why the tendon or the bone would get aggravated. Ankle or foot sprain, irritation of the bone caused by footwear, overusing the foot, quite common in athletes and dancers. People born with this extra bone are also known develop flat feet which also adds to the strain on the posterior tibial tendon and lead to the syndrome.<br><br>Symptoms<br>Symptoms of accessory navicular include. Bone lump on the inside of the foot. Redness and swelling. Pain.<br><br>Diagnosis<br>The foot and ankle are prone to bony ?accessories? which usually have no accompanying symptoms. Accessory navicular syndrome is often diagnosed when an adolescent complains of pain in the foot. Girls are more susceptible than boys, and the condition is usually bilateral, occurring in both feet. Navicular accessory syndrome may be diagnosed when a trauma (foot or ankle sprain) aggravates the bone or tibial tendon, or when there is chronic irritation from footwear or overuse.<br><br>Non Surgical Treatment<br>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 area are also helpful. If your child?s symptoms do not improve, your physician may recommend a below-the-knee cast or walking boot. Surgery is rarely needed.<br><br><br><br>Surgical Treatment<br>If your pain and discomfort don’t go away with treatments like these, then it may be time to consider surgery. If you decide to go through with it, your surgeon will probably remove the accessory navicular once and for all, and will tighten up the posterior tibial tendon in order to make it better able to support your arch. You’ll probably have to wear a cast for a several weeks, and a brace for some months after that, but with patience, you may be able to say goodbye to your symptoms.<br><br>Th1s1sanart1cl3s1te

Última revisión de 03:23 10 ago 2017

Overview
Accessary bone syndrome affects overpronators because of irritation in 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 be done. Surgery alone without addressing causative factors What is a heel lift? useless. Pain returns and new cartilage returns in the tendon, and the inflammation causes pain.



Causes
Let us see the reasons why the tendon or the bone would get aggravated. Ankle or foot sprain, irritation of the bone caused by footwear, overusing the foot, quite common in athletes and dancers. People born with this extra bone are also known develop flat feet which also adds to the strain on the posterior tibial tendon and lead to the syndrome.

Symptoms
Symptoms of accessory navicular include. Bone lump on the inside of the foot. Redness and swelling. Pain.

Diagnosis
The foot and ankle are prone to bony ?accessories? which usually have no accompanying symptoms. Accessory navicular syndrome is often diagnosed when an adolescent complains of pain in the foot. Girls are more susceptible than boys, and the condition is usually bilateral, occurring in both feet. Navicular accessory syndrome may be diagnosed when a trauma (foot or ankle sprain) aggravates the bone or tibial tendon, or when there is chronic irritation from footwear or overuse.

Non Surgical Treatment
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 area are also helpful. If your child?s symptoms do not improve, your physician may recommend a below-the-knee cast or walking boot. Surgery is rarely needed.



Surgical Treatment
If your pain and discomfort don’t go away with treatments like these, then it may be time to consider surgery. If you decide to go through with it, your surgeon will probably remove the accessory navicular once and for all, and will tighten up the posterior tibial tendon in order to make it better able to support your arch. You’ll probably have to wear a cast for a several weeks, and a brace for some months after that, but with patience, you may be able to say goodbye to your symptoms.

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