Where is the distal achilles tendon?

Removal Of Accessory Navicular Bone Recovery


Overview
The accessory navicular also termed the os navicularum or os tibiale externum - is an extra bone or piece of cartilage on the inner side of the foot above the arch that attaches to the posterior tibial tendon within this area. This extra bone, present at birth, is not part of the normal bone structure and found in approximately 10% of the population. Some people with an accessory navicular may be unaware of the condition if symptoms are never experienced. But accessory navicular syndrome is a painful condition caused by aggravating the bone, the posterior tibial tendon or both.Accessory navicular syndrome is an irritation of the accessory navicular and/or posterior tibial tendon. This irritation can be caused by shoe rubbing, trauma, excessive activity, or overuse and can cause problems with the shape and function of your foot. Many people with this disorder also have flat feet which puts more strain on the posterior tibial tendon. Some people are born with an accessory Navicular because during development, the bones of the feet sometimes develop abnormally causing the extra bone to form on the inside of the foot.

Accessory Navicular Syndrome

Causes
Most of the time, this condition is asymptomatic and people may live their whole lives unaware that they even have this extra bone. The main reason the accessory navicular bone becomes problematic is when pain occurs. There is no need for intervention if there is no pain. The accessory navicular bone is easily felt in the medial arch because Why does it hurt right above my heel? forms a bony prominence there. Pain may occur if the accessory bone is overly large causing this bump on the instep to rub against footwear.

Symptoms
The symptoms of accessory navicular syndrome commonly arise during adolescence, when bones are maturing and cartilage fuses into bone. In other instances, symptoms do not appAccessory Navicularear until adulthood. The signs and symptoms include a visible bony prominence on the midfoot the inner side of the foot above the arch. Redness or swelling of the bony prominence. Indistinct pain or throbbing in the midfoot and arch during or after physical activity.

Diagnosis
To diagnose this disorder doctors often ask questions relating to symptoms, evaluate the foot by pressing on different areas to evaluate discomfort, watch the patient walk, evaluate foot structure, and most likely take x-rays.

Non Surgical Treatment
Rest is the most important factor in relieving your pain. You may need to immobilize your foot to allow the affected tissues to rest enough that they can heal. Icing the area will help decrease any inflammation and swelling. Our staff may recommend anti-inflammatory medications as well. Most likely you will need to change your footwear-and possibly add orthotics-to accommodate your bony prominence and relieve strain in the midfoot. Sometimes physical therapy may be able to help strengthen tissues and prevent additional injuries.

Accessory Navicular

Surgical Treatment
If non-surgical treatment fails to relieve the symptoms of accessory navicular syndrome, surgery may be appropriate. Surgery may involve removing the accessory bone, reshaping the area, and repairing the posterior tibial tendon to improve its function. This extra bone is not needed for normal foot function.

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برچسب: What causes painful Achilles tendon?، Where are the femur tibia and fibula?، Why is my Achilles tendon burning?،
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Does Accessory Navicular Syndrome Always Call For Surgery


Overview
An accessory navicular bone is an accessory bone of the foot that occasionally develops abnormally in front of the ankle towards the inside of the foot. This bone may be present in approximately 2-14% of the general population and is usually asymptomatic. When it is symptomatic, surgery may be necessary. Surgery can be performed at any age because it does not alter any other bones.

Accessory Navicular

Causes
This painful foot condition is caused by an extra bone in the foot called the accessory navicular. Only about 10% of people have this bone (4 to 21%), and not all of them will develop any symptoms. The navicular bone is one of the normal tarsal bones of the foot. It is located on the inside of the foot, at the arch.

Symptoms
The symptoms of accessory navicular syndrome commonly arise during adolescence, when bones are maturing and cartilage fuses into bone. In other instances, symptoms How do you get rid of Achilles tendonitis? not appAccessory Navicularear until adulthood. The signs and symptoms include a visible bony prominence on the midfoot the inner side of the foot above the arch. Redness or swelling of the bony prominence. Indistinct pain or throbbing in the midfoot and arch during or after physical activity.

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
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 decrease inflammation. Icing will help reduce swelling and inflammation. Medication involves uغير مجاز مي باشدe of nonsteroidal anti-inflammatory drugs, or steroids (taken orally or injected) to decrease inflammation. Physical therapy can 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.

Accessory Navicular Syndrome

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.

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برچسب: How do you strengthen your Achilles tendon?، How much can you grow from stretching?، How do you get taller?،
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