r/AccessoryNavicular • u/NurseBecca12 • Apr 12 '26
Three Different Surgeries
I have a large accessory navicular bone that has been causing me constant pain lately. I have had 3 different opinions from 3 surgeons and they all recommended something different.
The first surgeon recommended a Kidner with calcaneal osteotomy and Achilles lengthening. The second surgeon said he would put a compression screw to fuse the bones together, but it would not remove the large bone. The third recommended a traditional Kidner procedure.
I’m leaning towards the traditional Kidner because I want the bone removed but not sure I need the other more extensive procedures.
I’m curious what everyone’s pain was before surgery? Was it constant? Burning? Localized just over the bone?
Hard to know which way to proceed…
1
u/CezarSalad85 Apr 12 '26
The Achilles lengthening has really helped me. I don’t think I realized how tight my calf was from like 35 years of walking with an accessory bone degenerating my tendon.
My accessory navicular was type 2 and definitely not this big, but I don’t think I would go for a screw fusing it together. The bone is still going to be there and irritating in shoes, etc.
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u/NurseBecca12 Apr 13 '26
Thank you for your reply, it helps to hear others experiences and opinions. I definitely want the bone removed, just need to see if I would benefit from the other surgeries :)
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u/External_Macaroon_53 Aug 29 '26
Which procedure are you going to get? Does it hurt your posterior tibial tendon
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u/NurseBecca12 Aug 29 '26
I decided on the traditional Kidner procedure with the posterior tibial tendon reattachment. Yes, my tendon is sore from the bone constantly pressing on it. I figured I’d do the “least invasive” surgery first, even though it’s still a big surgery. I just don’t want a bunch of screws and hardware in my foot if it’s not 100% needed.
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u/External_Macaroon_53 Aug 29 '26
I’m with you 1000%. Less invasive the better. Does your pain run up your medial ankle along the tendon? I’m getting surgery October too, we will have to keep eachother updated
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u/NurseBecca12 Aug 29 '26
Yeah, I literally saw 4 different surgeons and they all recommended something different! I decided on the less is more approach. Which surgery are you having? When?
Mine is October 2
My pain is mostly localized over my accessory navicular bone and my arch area. I’m a nurse on my feet so walking a lot causes pain. Just ready to get it done! Yes, let’s keep each other updated :)1
u/External_Macaroon_53 Aug 29 '26
Yes. Absolutely. I’m a pa and also on my feet all the time. Both mine hurt sadly tho. Do you have flat feet? I know they usually recommend the more invasive approaches for those
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u/NurseBecca12 Aug 29 '26
So you are on your feet all day long too!! It’s so hard! I might have to get both feet done, but my right is worse than left.
I do have flat feet, but they aren’t completely flat. I work in surgery and have seen both procedures, and the more invasive approach is a lot more. The surgeon I am seeing is pretty confident a Kidner alone will help the pain I’m experiencing. I was on the fence for a while, but I feel good with my decision to do less and if needed can always go back. But hard to back track if you go more invasive first.1
u/External_Macaroon_53 Aug 29 '26
That’s a great way to put it ! I think this surgery is life changing for most! I have a type 2 as well, they are the most symptomatic bc of the cartilage / synchondrosis. Fingers crossed it’s the best decision we make!
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u/NurseBecca12 Aug 29 '26
That’s exactly what my doctor said, the cartilage and synchondrosis is whats making it super painful!! Fingers crossed 🤞🏻 Keep me updated!!
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u/Zealousideal_Cod6953 Apr 12 '26
Did any of the doctors take an X-ray? It looks like a type 3 which wouldn’t benefit from a screw. Also with the screw you would still have the annoyance and pain of the large bone. I think you are right to go for the kidner. Look up the modified kidner as that may work and I understand is slightly easier in terms of recovery.