Accessory Navicular Syndrome
What is an Accessory Navicular Syndrome?
Understanding the condition
Accessory navicular syndrome occurs when an extra piece of bone or cartilage (called an accessory navicular) is present on the inner side of the foot, just above the arch. While many people with this extra bone never develop symptoms, some children and adolescents may experience pain, swelling, and irritation—especially during physical activity or when wearing tight shoes.
When to suspect an Accessory Navicular Syndrome?
Signs & Symptoms
Pain or tenderness along the inner side of the foot
Swelling or redness around the arch
Pain when walking, running, or standing for long periods
How We Diagnose Accessory Navicular Syndrome
Diagnosis includes a physical examination to identify tenderness and swelling along the inner side of the foot. X-rays are used to confirm the presence and type of accessory bone, while MRI may be recommended if inflammation or tendon involvement is suspected.
How is Accessory Navicular Syndrome treated?
How We Accessory Navicular Syndrome
- Rest and activity modification, avoiding high-impact activities to reduce pain and inflammation.
- Ice and anti-inflammatory medication, helps relieve swelling and tenderness around the affected area.
- Supportive footwear or bracing, stabilizes the arch and reduces strain on the posterior tibial tendon.
- Custom orthotics, provides extra arch support and decreases pressure on the accessory bone.
- Physical therapy, strengthens and stretches the surrounding muscles to restore proper function and mobility.
How is surgery performed?
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At The Modern Podiatry, Dr. Malek Abu Al Nadi combine advanced diagnostics, evidence-based treatments, and personalized rehabilitation plans to ensure a safe and complete recovery for ankle sprains.