MD Podiatrist Discusses Accessory Navicular Syndrome

According to Dan Michaels, DPM, “An accessory navicular is congenital (present at birth). It is not part of normal bone structure and therefore is not present in most people. People who have an accessory navicular often are unaware of the condition if it causes no problems. However, some people with this extra bone develop a painful condition known as accessory navicular syndrome when the bone and/or posterior tibial tendon are aggravated.”
 
“The goal of nonsurgical treatment for accessory navicular syndrome is to relieve the symptoms. The following may be used: Immobilization, ice, NSAIDs, physical therapy, and/or orthotic devices. If non-surgical treatment fails to relieve the symptoms of accessory navicular syndrome, surgery may be done. Surgery may involve removing the accessory bone, reshaping the area, and repairing the posterior tibial tendon to improve its function,” says Dr. Michaels.