Can Accessory Navicular Syndrome Be Uncomfortable

Overview

Not everyone has the same number of bones in his feet. It is not uncommon for both the hands and the feet to contain extra small accessory bones, or ossicles, that sometimes cause problems. This guide will help you understand where the accessory navicular is located, why the extra bone can cause problems and how doctors treat the condition.

Accessory Navicular Syndrome

Causes

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. Many people with accessory navicular syndrome also have flat feet (fallen arches). Having a flat foot puts more strain on the posterior tibial tendon, which can produce inflammation or irritation of the accessory navicular.

Symptoms

One obvious problem with the accessory navicular is that it may be large and stick out from the inside of the foot. This can cause it to rub against shoes and so become quite painful. The fibrous connection between the accessory navicular and the navicualar, as well, is easy to injure, also leading to pain. This is kind of like a fracture, and such injuries cause the bone to move around too easily, leading to pain with activity. When the connection between the bones is injured in this way, the two bones do not always heal properly, so pain may continue unabated.

Diagnosis

A foot and ankle surgeon can diagnose accessory navicular syndrome by conducting a physical exam. X-rays and MRIs may be taken to access the condition and confirm the diagnosis of accessory navicular.

Non Surgical Treatment

Many individuals with symptomatic accessory naviculars can be managed successfully without surgery. Standard non-surgical treatment includes shoes that are soft around the inside of the ankle can allow for any excess prominence of bone. Therefore, it is recommended that either shoes with plenty of padding and space in the ankle area are purchased, or pre-owned shoes can be modified by a shoemaker to create extra space in this area. For example, many patients will get their ski boots expanded in the area around the prominence, minimizing irritation. In addition, a shoe with a 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 simple arch support fails.

Accessory Navicular

Surgical Treatment

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.

Can Accessory Navicular Syndrome Be Uncomfortable

Overview

The navicular bone is located on the top of the foot near the arch. People who have this extra bone can feel a bump or bony protuberance on the top of the foot above the arch. While the bone itself does not cause pain, accessory navicular syndrome can develop when the bone and/or nearby tendon is irritated. The navicular bone is attached to muscles, ligaments and the posterior tibial tendon. Since ligaments and tendons have poor blood supply and don?t heal easily, any irritation to the surrounding structures can develop into a painful condition.

Accessory Navicular Syndrome

Causes

An accessory navicular develops as a result of a congenital anomaly and is found more often in women. If the bone is large, it may rub against a shoe, causing pain. Because of its location, the posterior tibial tendon may pull on the bone during walking or running, causing the fibrous tissue that connects the accessory navicular to the navicular to tear and become inflamed.

Symptoms

Most people with an accessory navicular do not have symptoms because the bone is so small that it causes no harm, or only develop symptoms after a trauma such as a break or sprain. When symptoms are present they could be a visible bony prominence, pain and throbbing, inflammation and redness, and flat feet.

Diagnosis

Your doctor will diagnose an accessory navicular by examining your child?s foot. Your physician may also obtain x-rays to confirm the accessory navicular and to rule out other conditions.

Non Surgical Treatment

The goal of non-surgical treatment for accessory navicular syndrome is to relieve the symptoms. The following may be used. Placing the foot in a cast or removable walking boot allows the affected area to rest and decreases the inflammation. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area. Do not put ice directly on the skin. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be prescribed. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce pain and inflammation. Physical therapy may be prescribed, including exercises and treatments to strengthen the muscles and decrease inflammation. The exercises may also help prevent recurrence of the symptoms. Custom orthotic devices that fit into the shoe provide support for the arch, and may play a role in preventing future symptoms. Even after successful treatment, the symptoms of accessory navicular syndrome sometimes reappear. When this happens, non-surgical approaches are usually repeated.

Accessory Navicular

Surgical Treatment

If all nonsurgical measures fail and the fragment continues to be painful, surgery may be recommended. The most common procedure used to treat the symptomatic accessory navicular is the Kidner procedure. A small incision is made in the instep of the foot over the accessory navicular. The accessory navicular is then detached from the posterior tibial tendon and removed from the foot. The posterior tibial tendon is reattached to the remaining normal navicular. Following the procedure, the skin incision is closed with stitches, and a bulky bandage and splint are applied to the foot and ankle. You may need to use crutches for several days after surgery. Your stitches will be removed in 10 to 14 days (unless they are the absorbable type, which will not need to be taken out). You should be safe to be released to full activity in about six weeks.

The Ideal Solution To Leg Length Difference Are Shoe Lifts

There are two unique variations of leg length discrepancies, congenital and acquired. Congenital implies that you are born with it. One leg is structurally shorter in comparison to the other. As a result of developmental stages of aging, the human brain picks up on the gait pattern and identifies some variance. The entire body typically adapts by dipping one shoulder over to the "short" side. A difference of less than a quarter inch isn't really excessive, doesn't need Shoe Lifts to compensate and normally doesn't have a profound effect over a lifetime.

Leg Length Discrepancy <a href="http://shinassis.weebly.com/blog/leg-length-discrepancy-and-surgical-operations">Shoe Lifts</a>

Leg length inequality goes mainly undiscovered on a daily basis, yet this problem is very easily fixed, and can eradicate many incidents of lower back pain.

Therapy for leg length inequality usually involves Shoe Lifts. These are generally cost-effective, often costing less than twenty dollars, compared to a custom orthotic of $200 or higher. Differences over a quarter inch can take their toll on the spine and should probably be compensated for with a heel lift. In some cases, the shortage can be so extreme that it requires a full lift to both the heel and sole of the shoe.

Chronic back pain is easily the most common health problem impacting men and women today. Around 80 million people are affected by back pain at some stage in their life. It is a problem which costs companies vast amounts of money annually as a result of time lost and production. Fresh and more effective treatment methods are continually sought after in the hope of lowering economical impact this condition causes.

Shoe Lift

Men and women from all corners of the world suffer from foot ache as a result of leg length discrepancy. In these situations Shoe Lifts can be of immense help. The lifts are capable of reducing any discomfort and pain in the feet. Shoe Lifts are recommended by numerous experienced orthopaedic orthopedists.

To be able to support the body in a balanced fashion, your feet have a crucial function to play. In spite of that, it is often the most neglected region of the human body. Many people have flat-feet which means there may be unequal force exerted on the feet. This will cause other areas of the body including knees, ankles and backs to be impacted too. Shoe Lifts ensure that ideal posture and balance are restored.
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For Leg Length Difference Chiropodists Prefer Shoe Lifts

There are not one but two different types of leg length discrepancies, congenital and acquired. Congenital means that you are born with it. One leg is structurally shorter than the other. As a result of developmental phases of aging, the brain picks up on the gait pattern and recognizes some variation. The entire body typically adapts by tilting one shoulder over to the "short" side. A difference of less than a quarter inch isn't blatantly irregular, demand Shoe Lifts to compensate and generally won't have a profound effect over a lifetime.

Shoe Lifts

Leg length inequality goes mainly undiscovered on a daily basis, however this issue is very easily corrected, and can reduce quite a few instances of back ache.

Treatment for leg length inequality typically involves Shoe Lifts. These are typically economical, often costing under twenty dollars, in comparison to a custom orthotic of $200 plus. Differences over a quarter inch can take their toll on the spine and should probably be compensated for with a heel lift. In some cases, the shortage can be so extreme that it requires a full lift to both the heel and sole of the shoe.

Back ache is easily the most prevalent condition impacting people today. Over 80 million men and women experience back pain at some stage in their life. It's a problem which costs employers millions year after year because of time lost and production. Innovative and more effective treatment solutions are continually sought after in the hope of lowering economic impact this condition causes.

Shoe Lifts

Men and women from all corners of the world suffer the pain of foot ache due to leg length discrepancy. In a lot of these cases Shoe Lifts might be of very helpful. The lifts are capable of easing any discomfort in the feet. Shoe Lifts are recommended by many certified orthopaedic doctors.

So that you can support the human body in a healthy and balanced manner, feet have a very important role to play. Inspite of that, it is often the most overlooked region of the human body. Some people have flat-feet which means there may be unequal force placed on the feet. This will cause other parts of the body including knees, ankles and backs to be impacted too. Shoe Lifts ensure that suitable posture and balance are restored.
0 Comments

Shoe Lifts For Leg Length Discrepancy

There are actually not one but two unique variations of leg length discrepancies, congenital and acquired. Congenital indicates that you are born with it. One leg is structurally shorter in comparison to the other. As a result of developmental periods of aging, the human brain picks up on the gait pattern and recognizes some difference. The human body typically adapts by tilting one shoulder over to the "short" side. A difference of less than a quarter inch isn't blatantly abnormal, demand Shoe Lifts to compensate and normally doesn't have a serious effect over a lifetime.

Shoe Lift

Leg length inequality goes typically undiagnosed on a daily basis, yet this issue is simply solved, and can eradicate many cases of chronic back pain.

Treatment for leg length inequality typically involves Shoe Lifts. Most are affordable, normally priced at less than twenty dollars, compared to a custom orthotic of $200 if not more. Differences over a quarter inch can take their toll on the spine and should probably be compensated for with a heel lift. In some cases, the shortage can be so extreme that it requires a full lift to both the heel and sole of the shoe.

Chronic back pain is the most common condition afflicting men and women today. Around 80 million people are affected by back pain at some point in their life. It's a problem that costs employers millions each year due to lost time and productivity. New and better treatment solutions are constantly sought after in the hope of decreasing the economic influence this condition causes.

Leg Length Discrepancy <a href="http://thebestshoelifts.yolasite.com/blog/heel-lifts-video">Shoe Lifts</a>

Men and women from all corners of the world experience foot ache as a result of leg length discrepancy. In these types of situations Shoe Lifts are usually of very useful. The lifts are capable of alleviating any discomfort and pain in the feet. Shoe Lifts are recommended by many experienced orthopaedic physicians.

So that they can support the human body in a nicely balanced fashion, your feet have a significant job to play. Inspite of that, it can be the most overlooked zone in the human body. Many people have flat-feet which means there is unequal force placed on the feet. This will cause other parts of the body such as knees, ankles and backs to be affected too. Shoe Lifts guarantee that suitable posture and balance are restored.
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