Accessory navicular

I was dx with posterior tibial tendonitis about two weeks ago. I wore a boot for about a week but after a few days, the boot started to become increasingly uncomfortable. As the day progressed and I was walking, I developed swelling near the navicular and lots of arch pain. I went back to the podiatrist who took more films and showed me where tissues holding the accessory navicular is partially speparated from the main bone. He said that every time the muscle fires, it moves the tibial tendon which in turn moves the accessory navicular which creates bone on bone movement. The low boot was not providing adequate imobilization. I am now in a hard walking cast that goes right below my knee. The doctor is hoping that imobilization for three weeks will allow things to heal. If not, he feels that the only option would be surgery where he removes to accessory bone and reattaches the tibial tendon. Since the hard cast was put on, I have had NO arch pain or pain in the navicular.

Have you ever seen cases where casting helps the symptoms resolve?

If it does help, could the improvement be long term? I do wear good shoes and custom orthotics.

Is the determination of whether there was adequate healing made solely on symptoms or formal testing?

If the symptoms persist, is there any option other than surgery?

What is the success rate of the surgery?

What are the possible complications of surgery?

What is the difference between a board certified podiatrist and a foot and ankle surgeon?

[FootDoc]

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Have you ever seen cases where casting helps the symptoms resolve?

YES . . GENERALLY WHEN FOLLOWED BY OTHER NON-SURGICAL METHODS SUCH AS ANTI-INFLAMMATORIES, PHYSICAL THERAPY EXERCISES AND MODALITIES.

If it does help, could the improvement be long term? I do wear good shoes and custom orthotics.

RESULTS VARY, BUT LONG-TERM IMPROVEMENT IS THE GOAL

Is the determination of whether there was adequate healing made solely on symptoms or formal testing?

DON'T KNOW WHAT YOU MEAN BY "HEALING," BUT JUDGMENTS ARE GENERALLY BASED ON CLINICAL SYMPTOMS

If the symptoms persist, is there any option other than surgery?

DISCUSSED ABOVE

What is the success rate of the surgery?

YOU NEED TO ASK YOUR OWN SURGEON WHAT HIS/HER SUCCESS RATES HAVE BEEN. STATISTICS FROM OTHER SURGEONS ARE ESSENTIALLY MEANINGLESS TO YOU FOR ANY SURGERY.

What are the possible complications of surgery?

SIMILAR TO ANY SURGERY. DISCUSS THESE WITH YOUR SURGEON

What is the difference between a board certified podiatrist and a foot and ankle surgeon?

ANYONE CAN CALL HIM/HERSELF A FOOT AND ANKLE SURGEON. PODIATRIST WHO HAVE SAT FOR AND BEEN CERTIFIED IN FOOT AND ANKLE SURGERY BY ABPS ARE BOARD CERTIFIED FOOT AND ANKLE SURGEONS.