If the accessory navicular bone becomes problematic, physical therapy may be prescribed. It provides important support of the foot and arch during movement. Sports massage may also help speed healing by stimulating circulation to the foot, ankle, and calf. This signal allows for contraction and relaxation of the muscles. The Centeno-Schultz Clinic are experts in the treatment of foot, ankle, and leg injuries. Accessory Navicular syndrome occurs when the extra piece of bone causes pain. He is a member and prior instructor for the Spine Interventional Society (SIS) and holds state licensure in Utah, Colorado and North Carolina... Clinical Biomechanics. 1.Jacob KM, Paterson RS. Steroid injections are oftentimes recommended if pain persists. The Effect of Intra-articular Corticosteroids on Articular Cartilage: A Systematic Review. This painful foot condition is caused by an extra bone in the foot called the accessory navicular. Located along the inside or medial portion of the foot, the navicular bone plays an important role in supporting the arch, helping the foot remain flexible while also providing strength when standing, walking, running or performing other activities. The navicular bone is one of the normal tarsal bones of the foot. Navicular syndrome (or navicular disease) is a degenerative condition of structures in the horse’s heel, which is responsible for over a third of chronic lameness in horses. Once a navicular fracture is diagnosed, treatment will depend largely on the severity of the fracture and the symptoms it’s causing. A navicular stress fracture is a condition characterized by an incomplete crack in the navicular bone. The Navicular Bone is a small C shaped bone located on the inside portion of the midfoot. (303) 429-6448 7.Wynn M, Brady C, Cola K, Rice-Denning J. These procedures require extensive training and can not be performed by your Primary Care Physician (PCP) or orthopedist. This can lead to a navicular fracture Or and midtarsal joint sprain that can cause significant pain. Fractures:  Treatment is dependent upon the severity of the fracture, its location, and the presence of any fragments. It occurs in 4-14% of the population (6). The navicular bone is designed with a few problems that make it particularly susceptible to stress injury.1 One of these problems is the location of the bone. Email address: info@nilssenorthopedics.com, Telephone: 850-435-4800 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 Fusion versus excision of the symptomatic type II accessory navicular: a prospective study, 5 Common Causes of Neck Pain at Base of Skull, CMC Joint Anatomy and the Sources of CMC Joint Pain: A Must Read Summary, Common causes of navicular bone pain are fracture and arthritis.   Osteoarthritis involves the progressive wearing down of cartilage. An accessory navicular is an extra bone that is on the inner center arch of the foot. The second issue is the blood supply to the bone, particularly the central area of the bone where these stress fractures tend to occur. People with navicular injury typically have vague pain in the mid portion of the foot – just in front of the ankle. (303) 429-6448 In most cases, yes, some type of therapy and exercise will be necessary to help the foot and ankle regain strength, flexibility, and range of motion following casting. Important but less appreciated causes include ligament injury, irritation of low back nerves, and Accessory Navicular Bone. Precise, ultrasound and x-ray guided injections can treat Navicular Bone pain due to arthritis, ligament or tendon injuries, and low back dysfunction. The Navicular Bone is a small C shaped bone located on the inside portion of the midfoot. Most of the times an accessory navicular bone won't cause any problems, but if they do occur, it's likely to be foot pain and swelling around the ankle. The 26 bones in the foot are held together by ligaments and muscles. Most accessory naviculars are completely asymptomatic. I had an incomplete stress fracture of the navicular bone in my left foot six years ago and was casted and non weight bearing for three months. Low back nerves provide the electrical signal to the muscles in the legs, ankle, and feet. Fracture and arthritis are common causes of pain. 8.Wernecke C, Braun HJ, Dragoo JL. The navicular is the anatomical name given to one of the bones in the mid-foot. Stress fractures of the tarsal navicular. 6.Scott AT, Sabesan VJ, Saluta JR, et al. 6. There are 26 bones in the foot. That means it’s also subjected to significant stresses, and when the muscles and connective tissues in the arch area become weakened or overtaxed, excessive strains can be exerted on the navicular bone, increasing the risk of fractures. VIEW PROFILE, Broomfield Muscle strength is critical to the stability of the foot. Telephone: 850-435-4800 Where is Navicular Bone? The Tibialis Posterior is the only muscle that attaches to the Navicular Bone and is also important in supporting the arch (1). Are there regenerative, natural treatment options? Navicular 'disease' is really a group of related conditions affecting the navicular bone and associated structures in the foot. | May 6, 2020 | Stem Cell Blog. It can be a serious injury. 2009; 30(1):10-15. Many people have accessory (“extra”) naviculars (Figure 1) – a prominent extra bone extending from the navicular bone. 1. The long-held notion that raising the heels to provide 'slack' to the deep flexor tendon and decrease stress on the navicular bone is ineffective. Access all of our downloadable e-books from the Regenexx Library free of charge! Of course I’m hoping I will never need that surgery. Some people have the bone grow back even if it is excised. How do you treat Navicular bone pain? Let’s dig in. Am J Sports Med. It provides important support of the foot and arch during movement. Navicular fractures account for 14-35% of all stress fractures (3)  Symptoms include pain, swelling, and some limited range of motion. Fusion versus excision of the symptomatic type II accessory navicular: a prospective study. 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 includes use of therapeutic modalities to relieve pain, increase strength and stability in the foot. 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