Accessory Navicular Bone Treatment in Karachi | Dr. Vikash Singh 

Accessory navicular bone and painful accessory navicular syndrome treatment in Karachi. Consult Dr. Vikash Singh for foot and ankle problems. 


Accessory Navicular Bone & Accessory Navicular Syndrome 

Accessory Navicular Bone & Accessory Navicular Syndrome

Accessory Navicular Bone Treatment in Karachi

An accessory navicular is an extra bone or piece of bone on the inner side of the foot, close to the navicular bone. Many people have no symptoms, but in some patients it can become painful, especially with walking, sports, prolonged standing or pressure from shoes.

When the accessory navicular becomes painful, the condition is often called accessory navicular syndrome. Pain and tenderness are usually felt over the inner side of the midfoot and may be associated with irritation of the posterior tibial tendon.

Symptoms of Accessory Navicular

Common symptoms may include:

Symptoms often become more noticeable during adolescence, although adults can also develop problems from a previously asymptomatic accessory navicular.

Why Does an Accessory Navicular Become Painful?

The accessory navicular is located close to the posterior tibial tendon, which helps support the arch of the foot. Repeated stress, pressure from footwear, increased activity or foot mechanics such as excessive pronation may contribute to symptoms.

Diagnosis

Foot X-rays are commonly used to identify the accessory navicular and determine its type. MRI may be useful when the source of pain is uncertain or when associated tendon or soft-tissue problems need further assessment.

Treatment of Accessory Navicular Syndrome

Treatment depends on the patient's age, symptoms, activity level, foot shape and associated problems.

Non-Surgical Treatment

Most symptomatic patients are initially treated without surgery. Options may include:

Treatment may also address irritation or weakness of the posterior tibial tendon and the muscles supporting the foot.

Surgery for a Painful Accessory Navicular

Surgery may be considered when persistent pain continues despite appropriate non-surgical treatment.

Depending on the individual case, surgery may involve removal of the accessory navicular, reshaping the area of the navicular bone and, when required, addressing the posterior tibial tendon. A commonly described procedure is the Kidner procedure or a modified Kidner procedure.

The exact procedure is selected according to the patient's symptoms, foot alignment, tendon function and other associated problems.

Some patients with a painful accessory navicular also have a flexible flat foot. The relationship is not present in every patient, so the foot should be assessed as a whole rather than treating the accessory bone in isolation.

Accessory Navicular Bone Treatment in Karachi

Dr. Vikash Singh is a Consultant Orthopaedic Surgeon in Karachi with experience in foot and ankle conditions, deformity correction and complex orthopaedic problems.

Patients with persistent pain over the inner side of the foot, a prominent navicular area or suspected accessory navicular syndrome can be assessed clinically and with appropriate imaging to determine the most suitable treatment.

When Should You See an Orthopaedic Surgeon?

Consider an orthopaedic assessment if you have:

Early evaluation can help identify whether the accessory navicular is actually the source of pain and whether non-surgical treatment may be appropriate.