How do you prevent tearing your achilles tendon?

Have I Got Accessory Navicular Syndrome


Overview
Accessory navicular describes the presence of an extra bone growth center on the inside of the navicular and within the posterial tibial tendon that attaches to the navicular. The primary symptom from this additional bony prominence is pain and tenderness. This congenital defect (present at birth) is thought to occur during development when the bone is calcifying. Because this accessory portion of the bone and the navicular never quite grow together, it is believed that, over time, the excessive motion between the two bones results in pain.

Accessory Navicular Syndrome

What causes pain in the back of the heel?
The syndrome may result from any of the following, previous trauma such as a foot or ankle sprain. Chronic irritation from shoes or other footwear causing friction against the bone. Strain from overuse or excessive activity.

Symptoms
The primary reason an accessory navicular becomes a problem is pain. There is no need to do anything with an accessory navicular that is not causing pain. The pain is usually at the instep area and can be pinpointed over the small bump in the instep. Walking can be painful when the problem is aggravated. As stated earlier, the condition is more common in girls. The problem commonly becomes symptomatic in the teenage years.

Diagnosis
The diagnosis begins with a complete history and physical examination by your surgeon. Usually the condition is suggested by the history and the tenderness over the area of the navicular. X-rays will usually be required to allow the surgeon see the accessory navicular. Generally no other tests are required.

Non Surgical Treatment
The initial treatment approach for accessory navicular is non-operative. An orthotic may be recommended or the patient may undergo a brief period of casting to rest the foot. For chronic pain, however, the orthopedic surgeon removes the extra bone, a relatively simple surgery with a brief rehabilitation period and a very good success rate.

Accessory Navicular

Surgical Treatment
Once the navicular inflammation has lessened it is not necessary to perform surgery unless the foot becomes progressively flatter or continues to be painful. For these children, surgery can completely correct the problem by removing the accessory navicular bone and tightening up the posterior tibial tendon that attaches to the navicular bone. The strength of this tendon is integral to the success of this surgery as well as the arch of the foot. Following surgery the child is able to begin walking on the foot (in a cast) at approximately two weeks. The cast is worn for an additional four weeks. A small soft ankle support brace is then put into the shoe and worn with activities and exercise for a further two months.

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Exercises To Help Accessory Navicular Syndrome


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 does Achilles tendonitis occur? 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
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
Keep in mind there are two different types of accessory navicular bones, which you can distinguish by getting a weightbearing AP X-ray of the foot. Dwight has classified type I as a small, round and discreet accessory bone just proximal to the main navicular bone. Geist described the type II accessory bone, which is closely related to the body of the navicular but separated by an irregular plate of dense fibro-cartilage.

Non Surgical Treatment
Treatment options for a painful accessory navicular can include anti-inflammatory medications, rest, arch support structures in the shoe, or use of a cast or splint. Severe cases may require surgery.

Accessory Navicular Syndrome

Surgical Treatment
If non-operative treatment fails to relieve the patient’s symptoms, surgical intervention may be warranted. The standard operative treatment of an accessory navicular is a Kidner procedure. However, if surgery is undertaken it is important that it address the underlying source of the patients pain.

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برچسب: How do you strengthen your Achilles tendon?، Can you grow taller with exercise?، What causes painful Achilles tendon?،
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