Cause. An accessory navicular bone is typically considered to be a developmental abnormality present from birth ( congenital ). Research involving large studies of families of individuals with accessory navicular bone suggests a genetic influence with possible autosomal dominant inheritance.

An accessory navicular is an extra bone that is on the inner center arch of the foot. Up to 2.5 percent of individuals are born with the accessory navicular. Throughout early childhood, this condition is not noticed.

Epidemiology /Etiology. The foot and ankle have numerous accessory ossification areas, with the most common being the accessory tarsal navicular bone which occurs in 4-14% of the population. It first appears in adolescence, with incidence of 4-21% in children.

Nonsurgical Treatment Approaches

1. Immobilization. Placing the foot in a cast or removable walking boot allows the affected area to rest and decreases the inflammation.
2. Ice. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area.
3. Medications.
4. Physical therapy.
5. Orthotic devices.

About six weeks after surgery, the patient should be fully able to bear weight on the affected leg and can begin physical therapy. A full recovery may take up to six months, but patients can return to work or school far sooner.

Surgery. If conservative measures fail and the fragment continues to be painful, surgery may be recommended. The most common procedure used to treat the symptomatic accessory navicular is the Kidner procedure. To perform this procedure, a small incision is made in the instep of the foot over the accessory navicular.

What Is the Os Trigonum? The os trigonum is an extra (accessory) bone that sometimes develops behind the ankle bone (talus). It is connected to the talus by a fibrous band.

The cuboid bone is a square-shaped bone on the lateral aspect of the foot. The main joint formed with the cuboid is the calcaneocuboid joint, where the distal aspect of the calcaneus articulates with the cuboid.

A bunion is a bony bump that forms along the side of the foot. A tailor’s bunion occurs when this bump is on the outside of the foot, at the base of the little toe. Tailor’s bunions are also called bunionettes and are less common than regular bunions.

Nonsurgical treatments can often resolve bunion symptoms within 3 to 6 months. With surgery, full recovery can take up to three months. Swelling in the affected toe might take as long as a year to fully go down. Doing foot and ankle exercises after surgery can help keep your joints flexible while you heal.

Treatment for a Plantar Fibroma

1. Steroid injections. Putting corticosteroid medication into the nodule may help it shrink it, which will reduce or relieve the pain.
2. Shoe inserts. If your doctor determines the nodule is not growing anymore, they may suggest using custom shoe inserts.
3. Stretching.
4. Physical therapy.

Plantar fibromatosis (Ledderhose disease) is a rare, benign, hyperproliferative fibrous tissue disorder resulting in the formation of nodules along the plantar fascia. This condition can be locally aggressive, and often results in pain, functional disability, and decreased quality of life.

A plantar fibroma is a benign (non-cancerous) nodule that grows in the arch of the foot and usually appears between ages 20 and 60. It usually is slow-growing and often less than one inch in size. Some can grow faster and are considered plantar fibromatosis.

Many patients return to shoes after 3 weeks although this may take longer (6-8 weeks). Between 3-8 weeks after surgery • The foot starts to return to normal and you can return to shoes. The foot may still be quite swollen especially at the end of the day.

Plantar fibromatosis can commonly be addressed without a need for surgery, especially when the lumps are relatively small. Steroid injections can often shrink the nodules and soften them up. We will also recommend cross-fiber massage to further work them, keeping them small and relieving discomfort.

Fibromas will not go away without treatment. Options include topical gels, injections, orthotics, exercises, and surgery. Home remedies, such as ice and elevation, can reduce pain.

Plantar fasciitis is caused by overuse and trauma to the arch of the foot, while researchers believe that the primary cause of plantar fibromatosis is rooted in genetics.

Heel-of-hand massage Use the heel of your opposite hand to push down on the sole of your foot, working from the heel to the toes. Start with longer strokes and light pressure, then lengthen your strokes and increase the pressure. Use your body weight to increase the pressure, leaning in as you massage.

The exact cause of a plantar fibroma is unknown, although some experts suspect a genetic component. For example, there is a higher rate of fibrotic conditions in people of Northern European descent. Some researchers also believe there’s a connection between trauma and plantar fibromas.

If the lump is a persistent problem, surgical excision may be necessary. You may continue running with this, as long as it doesn’t cause you to change your gait (such as running on the outer aspect of your foot).

While there’s no conclusive evidence that epsom salt baths or foot soaks are detrimental to plantar fasciitis, there’s also no real body of evidence that epsom salt baths are significantly more effective that a regular bath or soak.