What is Painful Accessory Navicular Bone?
An accessory navicular bone is an extra bone or cartilage piece in the foot that, when irritated, causes arch pain or swelling. It’s often aggravated by tight shoes or overuse. Learn how to recognize and treat this condition in athletes.
Definition
The Painful Accessory Navicular Bone is a small bone at the top of the foot, which is near the bone navicular main. This structure may be the result of an anatomical variation of normal in some individuals, or may develop as a response to trauma or previous injury. The inflammation of the Painful Accessory Navicular Bone can cause pain, tenderness and swelling in the affected area.
Causes
The causes of Painful Accessory Navicular Bone they can vary, and may include injury, overuse, poor alignment of the foot and a variety of factors, biomechanical. This condition may be more common in athletes who participate in sports that involve jumping and quick movements, such as basketball and volleyball.
Diagnosis
The diagnosis of Painful Accessory Navicular Bone it is usually based on a combination of clinical history, physical examination, and diagnostic tests. The physical exam may include blood tests to evaluate the sensitivity, swelling, and mobility of the foot. Diagnostic testing may include x-rays, mris, and ct scans to assess bone structure and the presence of lesions.
Treatment
The treatment can include a variety of approaches, depending on the severity and cause of the condition. Conservative treatment may include rest, ice, compression and elevation of the affected foot to reduce the inflammation and relieve the pain. Painkillers and anti-inflammatories can also be helpful to relieve the pain and reduce inflammation.
In some cases, the use of orthoses, such as custom templates, or orthopedic shoes, it can be useful to improve the alignment of the foot and reduce the pressure on the Painful Accessory Navicular Bone. The therapy can be helpful for strengthening the muscles of the foot and improve the biomechanics of the foot and the ankle.
In severe cases, it may be necessary surgical treatment to repair lesions in the Painful Accessory Navicular Bone or remove the bone completely. This approach is usually used in cases in which conservative treatment has not been effective or that the condition is severe and causes a significant decrease in the quality of life of the patient.
Rehabilitation
The rehabilitation of the Painful Accessory Navicular Bone it can be a long process that may include physical therapy, strengthening exercises and stretching to improve the biomechanics of the foot and reduce the risk of recurrence. Patients may require a period of rest and reduced activity before returning to their normal activities. It is important to follow the recommendations of the doctor and physical therapist to prevent the recurrence of the condition.
Back action
The back-to-action should be gradual and should include a progressive approach to prevent a relapse. Athletes may need to modify your movement technique, or using specialized equipment to reduce the pressure on the foot and reduce the risk of recurrence.
Note: this article is only intended to be informational use. In any case self-diagnose. If you suffer from any medical condition, we recommend that you go to your physical therapy clinic of confidence.
Cedric Arregui Guivarch National Coach of Basketball (CES 2014)
Bibliography and Webgrafía
- García-Mata S, Hidalgo-Ovejero, A, Wheat-Calvo M, Pérez-Carro L, Sánchez-Matamoros, D. Painful Accessory Navicular Bone. Spanish journal of orthopaedic surgery and traumatology. 2014;58(4):223-8. doi: 10.1016/j.recot.2013.12.002. PMID: 24980903.
- Solé M, Barroso MA. Painful Accessory Navicular Bone: apropos of a case. Journal of the Spanish Society of Pain. 2013;20(1):28-32.
- Fernández-Palacios E, Almazan A, López-Barea F. Painful Accessory Navicular Bone. Diagnostic imaging. Radiology. 2012;54(2):111-8. doi: 10.1016/j.rx.2011.06.007.
- Spanish society of Sports Traumatology. Foot injury in the sport. Clinical practice guideline. Madrid: Editorial Médica Panamericana; 2015.
- Ruiz AJ. Painful Accessory Navicular Bone. Updating and review of the literature. Physiotherapy. 2017;39(4):197-205. doi: 10.1016/j.ft.2017.05.002.
- Alburquerque-Sendín F, Girao D. Treatment of osteopathy of the scaphoid attachment of the foot using the release technique joint: with regard to a clinical case. Physiotherapy. 2010;32(1):46-53.
- García Fernández M, Garrido JA, Gómez-Pedrero R, Martínez Pascual B. Osteopathy of the scaphoid attachment of the foot. International journal of Medicine and Science of Physical Activity and Sport. 2008;8(32):319-33.
- Spanish society of Podiatric Sports. Painful Accessory Navicular Bone. Available in: http://www.sepod.es/hueso-navicular-accesorio-doloroso/
