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Accessory Navicular

Discussion in 'Ask your questions here' started by Lisa R, Nov 12, 2009.

  1. Lisa R

    Lisa R New Member


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    Hello,

    I was running last Thursday and what I thought was a sprain it turns out that I pulled the accessory navicular away from the navicular bone. As surgery recovery is brutal (a week of bed rest and 6 weeks in a cast and on crutches as I was told) I am in a walking boot for a month to see if it will heal on its own. I was wondering what the odds are of it healing on its own. My Dr. said 50/50 but that I have a better chance based on the way that I had injured it (ie. it didn't flare up on its own). I was on crutches for a couple days and was so relieved to be off them. However, my calfs have been cramping up and the left side of my foot has been throbbing a little too. Any advice? I have been icing that foot and leg twice a day and taking ibu. Does the boot provide enough support for the navicular to heal? I just want to do everything that I can to avoid the surgery.

    Thanks!
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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    Unlike the majority of natural-occurring conditions and diseases, traumatic injuries are often unique events which must be addressed on the basis of their peculiarities and nuances. An accessory navicular is often attached to the real navicular bone by a fibro-cartilaginous bridge, and as this bridge is non-radio-opaque, on x-ray, there generally appears to be a separation between the natural navicular and the accessory navicular. So, I don't really know if the accessory navicular actuallly was pulled away from the natural navicular or it was mistakenly thought so. If there was an actual fracture of a fibro-cartilaginous bridge, that tissue typically heals poorly. But that does not necessarily mean that clinical symptoms will not effectively mitigate or resolve. I don't know what your doctor meant by "the way you had injured it," but obviously, he/she considered that a factor in whether it was appropriate to try conservative measures. Icing and NSAIDS may be of value in mitigate swelling, but will not have anything to do with healing any tearing of the fibro-cartilage. I would have no way of knowing if the surgical shoe you are wearing is providing sufficient immobilization. If you have concerns regarding your decision, I would highly recommend a hands-on second opinion by a well-vetted specialist. Without such an evaluation, you are gaining no meaningful benefit from opinions.
     
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