Accessory navicular bone and tendonitis

Have you participated in physical therapy yet? A physical therapist can evaluate you and analyze your gait pattern and recommend the best type of support for your foot. It is quite common for individuals with an accessory navicular to have flat feet. Proper foot support including shoes and/or custom orthotics are key. The tendon most affected as a result of the accessory navicular structure is the posterior tibialis tendon. Stretching can be performed a well as exercises and to strengthen the muscles at the ankle and foot. These exercises may also help prevent recurrence of the symptoms. Modalities such as phonophoresis/ultrasound or iontophoresis could be utilized as well to assist with decreasing the inflammation. As far as what to utilize, walking boot or hard cast, it would be best to address this with your doctor or therapist as he or she will be most familiar with your specific condition and give you the best recommendation.