How successful is accessory navicular surgery?
Conclusions: When conservative measures fail to relieve the symptoms of a painful accessory navicular, simple excision of the accessory navicular and anatomic repair of the posterior tibialis tendon is a successful intervention. Overall, the procedure provides reliable pain relief and patient satisfaction.
How do you fix accessory navicular syndrome?
Nonsurgical Treatment Approaches
- Immobilization. Placing the foot in a cast or removable walking boot allows the affected area to rest and decreases the inflammation.
- Ice. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area.
- Medications.
- Physical therapy.
- Orthotic devices.
Can an accessory navicular bone grow back after surgery?
As the skeleton completely matures, the navicular and the accessory navicular never completely grow, or fuse, into one solid bone.
Is accessory navicular a disability?
A separate compensable disability rating for left foot painful accessory navicular bone, plantar fasciitis, or tendinitis is denied. An increased disability rating in excess of 20 percent for the service-connected painful accessory navicular bone over the left foot with plantar fasciitis is denied.
Can you run with accessory navicular?
If you have or suspect you have accessory navicular syndrome, you should not continue activity that aggravates the problem such as running or wearing footwear that irritates the area.
Does accessory navicular cause flat feet?
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. Adolescence is a common time for the symptoms to first appear.
Can accessory navicular be removed?
For patients who have failed conservative care or who have recurrent symptoms, surgery can be considered. Surgical intervention requires an excision of the accessory navicular and reattachment of the posterior tibial tendon to the navicular. Oftentimes, this is the only procedure necessary.
How long does it take to recover from kidner procedure?
Recovery time for the Kidner Procedure is usually about six weeks. Patients may need to use crutches during that time. With the problem bone removed, the patient should no longer have pain once they recover from the surgery.
Is accessory navicular rare?
In summary, an accessory navicular is a fairly uncommon condition which is rarely symptomatic. Oftentimes nonsurgical treatment is successful. In the minority of cases, surgical intervention is required. Patients typically do very well with conservative and surgical treatment.
How painful is accessory navicular?
Accessory navicular syndrome (ANS) can cause significant pain in the mid-foot and arch, especially with activity. Redness and swelling may develop over this bony prominence, as well as extreme sensitivity to pressure. Sometimes people may be unable to wear shoes because the area is too sensitive.