Doctor insights on:
Treatment Of Navicular
What is a prominent navicular tubercle at the medial aspect of the navicular bone? What is the treatment?
Navicular is a bone: In the midfoot, if it is prominent it sticks out a bit. Treatment may include smart shoe selection so there is no rubbing, padding the area, or shaving the prominence in the operating room. (The latter done by the doctor, not by you of course) ...Read more
Injury >6 months ago, MRI says chronic subcentimeter avulsion fx of navicular with sclerotic margins and associated cystic change. Meaning/treatment?
Mri said that I have a mild stress reaction in my ankle navicular accessory. What is it? And what is the treatment? And recovery time?
A small bone=rest: Accessory bones in the feet are actually quite tiny. Though small, they can be stressed, fractured and bruised. Most of the time, an injury to any of such bones does not require surgery, but rest and immobilization to allow for healing. If this does not prove successful surgery becomes an option. ...Read more
AVN - navicular: AVN or avascular necrosis implies that the bone dies. The talus and navicular are the more common in the foot/ ankle as their blood supply is very limited when injured. treatment is very long and time consuming. Can take 3-4 months. bone stimulators are helpful, staying off your foot- non weight bearing, physical therapy - ultra sound techniques help. avoid NSAIDS ...Read more
I have a possible navicular stress fracture- midfoot pain and hurts to walk pain getting worse. What is usually the treatment?
Rest it to heal: You want this stress fracture to heal, so you'll want to take it easy. We say RICE Which stands for Rest, Ice, Compression and Elevation. Bones can take 4-8 weeks to heal. If you don't give it rest and time, you could end up with chronic for pain from a bone that was never allowed to heal. Be very mindful about the needs of your body. Good luck. ...Read more
I have had probable navicular fracture. The left foot MRI is scheduled to confirm this. What are the pros and cons of surgical vs nonsurgical treatment?
Pro vs con: Surgery: pro - addresses pathology directly, possibly shorter recovery (study supported), decrease chances of re-fracture. Con- risks include same risks for all surgeries. No surgery: pro - no surgery, incision, of possible surgical complications, or recovery period from surgery, cheaper. Con- may not heal fracture on timely manner, may need surgery anyways and you just wasted 3 months in cast. ...Read moreSee 2 more doctor answers
See below: Conservative care consists of orthotics and possible cortisone injection for pain and inflammation. Surgery would only be done if pain becomes chronic or there is difficulty wearing shoes. During the surgery the extra bone is removed and at times the tendons around the bone have to be anchored to the remaining bone. ...Read more