Top 10 Treatments for Accessory Navicular Syndrome

Accessory Navicular circled on the inside

of the arch just in front of the ankle

The top 10 treatments for accessory navicular syndrome:

 

1.  An MRI is very important to discover what the source of pain actually is: stress fracture, joint inflammation, or tendinitis. There is a joint between the navicular and its accessory bone.

2. Use one of the stretch tapes (KT tape, Rocktape, or Kinesiotape) or Quick tape from supportthefoot.com tape or a classic low dye taping technique intially 24/7 and then for extended activities.

3.  Ice pack the sore area 10-15 minutes 3 times daily.

4.  Go into a removable boot (such as an Anklizer) for 2-3 months if needed to calm the foot down.

5.  Strengthen the posterior tibial tendon starting initially with active range of motion like ankle circles.

6.  Check out the Aircast Airlift PTTD brace to see if it is helpful for you and can get you out of the boot faster.

7.  Custom foot orthotics are a must for a 2 year period. They must produce a good force against the navicular, but it may take time finding the right orthotic guy/gal.

8.  You can use Sole, Powerstep, or Pure Stride OTC orthotic devices with medial longitudinal Hapads initially until a good protective orthotic device is made.

9.  Create a pain free environment as soon as possible (level 0-2) and maintain this through the rehabilitation process.

10.  If the MRI shows bone reaction (edema), order a bone stimulator as soon as possible to start strengthening the bone.