Os Navicularis Syndrome

The os navicularis is an accessory ossicle or small bone that is a normal variant however may predispose to certain tendon injuries and may itself be a source of pain.  The os navicularis (or accessory navicular) is found alongside the navicular bone, the boney prominence on your inside foot just above the arch of the foot.

Causes

This condition represents an anatomic variant that you are born with.

Symptoms

Symptoms of an accessory navicular typically include medial ankle pain.  The posterior tibila tendon may become irritated as it inserts along the navicular and accessory navicular.

Treatment

If the accessory ossicle is determined to be the true, singular source of pain, it may require surgical removal.  If the accessory ossicle has led to irritation of a nearby tendon, then that tendinopathic condition may be treated with nonsurgical procedures, including tendon debridement with a Tenex procedure, needling under ultrasound, and/or injecting platelet-rich plasma (PRP).

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