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accessory navicular in active, competitive, dancer

Discussion in 'Ask your questions here' started by Unregistered, Mar 25, 2010.

  1. Unregistered

    Unregistered Guest

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    My daughter has an accessory navicular on both her feet. She has flat feet- no arch detected by myself, her teachers, or her ortho on her last visit 3 yrs ago. She has a great deal of pronation and works extremely hard in dance to get the little toe on the ground.

    She started having a great deal of pain before the holidays that has gotten worse. Her description makes me suspicious that it is inflammation, due to the accessory navicular.

    Currently, we are treating with NSAIDS, ice and as much decreased activity as she can due with her dance competition schedule. This seems to reduce the overall constant pain to a dull pain that she states is always there but "I can deal". Often at night she ends up in tears with the pain (her pain tolerance is fairly high).

    She is scheduled to go to back to the ortho in 2 weeks and I was wondering what sort of questions I should ask?

    Since her activity is dance, I would think that orthotics would have limited use?? But perhaps not?

    If immobilization helps decrease the current inflammation, would it just come back with the return to the activity? (FWIW: she, nor her teachers, can remember any trauma that has occurred)

    At what point do we look into surgical remedies?

    Does anybody have any input on subtalar implants?

    FWIW, my husband has the same thing and was never treated (did have knee surgery which we think now was due to the feet). He says as far back as he can remember he has always had some level of pain.
  2. Unregistered

    Unregistered Guest

    My daughter is a dancer as well. She began having problems last year that temporarily went away and recently returned in her other foot. I believe ballet tends to irritate it the most and right now she is preparing for a Ceccheti evaluation, so the extra ballet is putting it over the top. We went to an Orthopedic yesterday who immediately diagnosed it as accessory navicular syndrome. He said because of the amount of pain and level of swelling and irritation, she will probably require a cast for 6 weeks, which has a 50% chance of permanently solving the problem or surgery and a cast for 4 weeks, which has an 80% chance of permanent improvement. We plan to try the cast first and only resort to surgery if the cast does not work.

    Good luck to your daughter!!
  3. Unregistered

    Unregistered Guest

    Hello! I'm 12, and i just had accessory nevicular surgery yesterday. Before they went into surgery, they put me in a walking cast. Surgery is the VERY last straw, and for me, my recovery is 3 months. First 6 weeks are a cast with crutches, not weight, 2nd 6 weeks are a walking cast, thent he last 6 weeks are a camo boot. The doctors most likely would give your daughter a walking boot, and wouldnt recommend/allow a lot of activity. Good luck!
  4. Unregistered

    Unregistered Guest

    Same problem here

    Did the casting work for your daughter??? I am 20 and currently in my third week with the cast. With only 3 more weeks with this on, I am getting nervous that it may not work. My ortho says this has a slight chance of working. I really don't want to do surgery because I want to be very active this summer.

    Any help would be fantastic!

    Thank you!!!
  5. Unregistered

    Unregistered Guest

    Hi I am suffering from accessory navicular for the last 3 yrs since I broke my foot. I am trying to avoid surgery and has so far had 2 steroid injections and 1 ganglion aspiration in less than 1 year. However I am constantly in pain, i cannot run or walk for long time. I am 34 and I worry about post operative recovery and complications. Can you advise what are chances of excellent recovery after such operation in adults?

    I never had a problem like this until I broke my foot. I suspect that tiny piece of bone, ie navicular did not heal properly and is now rubbing against the tendon and is causing inflammation. I have seen 2 doctors- one wants to operate but another is advising surgery as a last resort

    Any advice is welcome

    many thanks Mia
  6. Unregistered

    Unregistered Guest

    Be careful with some steroid injections, they can reaaaalllllyyyy screw you up later on if you get too many. I am getting my cast off tomorrow (6 weeks) and I will let you know if it helped or not. Surgery is likely my next option :(

  7. Unregistered

    Unregistered Guest

    Sadly, the cast did not work as well as I had hoped. The most relief has come from prolotherapy. My ND gives me the injections and I CAN notice a difference. I will still likely have surgery once the summer is over. Until then, I get to enjoy the sun (although Oregon is not treating us nicely this year) and spend some time outside.

  8. Unregistered

    Unregistered Guest

    hey! i am 15 years old and i had exactly what your daughting is having, i was a compeditive gymnast and my foot pain was effecting the amount of work i could not, thye pain just became unberable. i went to see a specialized foot doctor and he first tried just giving me othrotics but that didnt work, so he then put me in a boot for 3 weeks. that also did hnot work. he then put me in a boot for 6 weeks, and that worked really well, the pain didnt come back until a few months ago, so it basically worked for about 6 years. i had a walking boot for 6 weeks WITH crutches, taking all of the pressure of my foot was definently the way to go.
  9. Kyoko

    Kyoko Guest

    I sprained my ankle about three years ago and since then I have been having a problem with my accessory navicular bone. My orthopedic surgeon said that he can operate on it but I don't want to as I still have small toddlers and having my foot in a cast with non-weight bearing condition is unrealistic. I am interested in your experience of prolotherapy. I contacted one clinic in the UK (I live in the UK) but they outright told me that they don't treat for my condition.
  10. christie

    christie New Member

    Hi guys this is my first post my 9 year old gymnast daughter was just diagnosed with accessory navicular , we would of never knew she had it until a injury at gymnastics . shes been in a boot for 3 1/2 weeks now going for a MRI. Doctor thinking there may be a stress fracture .
    she also has Tendinitis . Waiting tosee results from her upcoming MRI is there anyone who didn't have the surgery and just therapy and it helped ? Thanks
  11. Wendy77

    Wendy77 Guest

    Following.... my 9 year old competitive gymnast also has accessory navicular that's really flared up. I'd like to know how all treatment options have/haven't worked out for others.
  12. Dancemk

    Dancemk Guest

  13. Dancemk

    Dancemk Guest


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