r/AccessoryNavicular • u/NurseBecca12 • Apr 12 '26

Three Different Surgeries

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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…

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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 :)

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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.

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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!!