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What is a heel lift?

Left Accessory Navicular Excision


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 Syndrome

Causes
An accessory navicular develops as a result of a congenital anomaly and is found more often in women. If the bone is large, it may rub against a shoe, causing pain. Because of its location, the posterior tibial tendon may pull on the bone How long do you grow during puberty? walking or running, causing the fibrous tissue that connects the accessory navicular to the navicular to tear and become inflamed.

Symptoms
Symptoms of this syndrome would include redness, swelling and tenderness over the navicular bone. The navicular bone is located on the inside of the foot approximately midway between the ankle bone and big toe joint. It will tend to be worse after activity and can be aggravated by those that wear very dressy shoes as opposed to casual shoes like sneakers. In other words, the flatter or less supportive the shoe, the greater the chance for pain.

Diagnosis
The foot and ankle are prone to bony ?accessories? which usually have no accompanying symptoms. Accessory navicular syndrome is often diagnosed when an adolescent complains of pain in the foot. Girls are more susceptible than boys, and the condition is usually bilateral, occurring in both feet. Navicular accessory syndrome may be diagnosed when a trauma (foot or ankle sprain) aggravates the bone or tibial tendon, or when there is chronic irritation from footwear or overuse.

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

Surgical Treatment
Depending upon the severity the non operative or conservative treatment should be maintained for at least 4- 6 months before any surgical intervention. There are 2 surgeries that can be performed depending upon the condition and symptoms. First is simple surgical excision. In this generally the accessory navicular along with its prominence is removed. In this procedure, skin incision is made dorsally to the prominence of accessory navicular. Bone is removed to the point where the medial foot has no bony prominence over the navicular, between the head of the talus and first cuneiform. Symptoms are relieved in 90% of cases. Second is Kindler procedure. In this the ossicle and navicular prominence is excised as in simple excision but along with the posterior tibial tendon advancement. Posterior tibial tendon is split and advanced along the medial side of foot to provide support to longitudinal arch. After surgery 4 week short leg cast, well moulded into the arch with the foot plantigrade is applied. Partial weight bearing till the 8th week and later full weight bearing is allowed. When the cast is being removed can start building up the ROM to counter atrophy and other physical therapy treatment which include stretching and strengthening exercises.

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برچسب: How do you treat Achilles tendonitis?، How do you get Achilles tendonitis?، Why do they call it the Achilles heel?،
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Right Accessory Navicular Excision


Overview
The human body is rarely the same from person to person. Some things stay the same, like the function of the internal organs. Even when structures are similar, however, little variations, like extra bone tissue, can make a significant difference in the body. Having small, extra bones is not as uncommon as you might think. Sometimes, though, these additional tissues can cause painful problems, as with accessory navicular syndrome.

Accessory Navicular Syndrome

Causes
Let us see the reasons why the tendon or the bone would get aggravated. Ankle or foot sprain, irritation of the bone caused by footwear, overusing the foot, quite common in athletes and dancers. People born with this extra bone are also known develop flat feet which also adds to the strain on the posterior tibial tendon and lead to the syndrome.

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
Keep in mind there are two different types of accessory navicular bones, which you How can we increase our height? 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
Using PRP treatments, orthotics, proper running shoes and physical therapy should do the trick. No long recovery, no long down time. My runners and athletes are usually back to their sport pain free within a month. The key is eliminating the syndrome, not the bone (or cartilage).

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.

Th1s1sanart1cl3s1te
برچسب: How do you get rid of Achilles tendonitis?، Why do they call it the Achilles heel?، How do you prevent Achilles tendonitis?،
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بازدید:
+ نوشته شده: ۲ شهريور ۱۳۹۶ساعت: ۰۶:۴۳:۲۶ توسط:Valeria Cattanach موضوع: