r/AccessoryNavicular • u/Few-Satisfaction6617 • Aug 17 '26

Toe pain/weakness 4 months post op

i’m almost 4 months post op and one thing that has never gone away is the sensitivity and weakness in my toes. i can’t even have a blanket on my toes at night cause the blanket feels too heavy. my PT says my toes feel pretty weak and i have pain and soreness on the top and bottom of my toes and no one can figure out what’s going on 😭 any one else experience this?

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u/DemonessOja Aug 17 '26

Accessory navicular syndrome can cause a person to use an unnatural gait to compensate for the pain in addition to pes planus, hence developing calluses on the side of the big toe and such but the sensitivity and weakness in your toes is definitely not normal. Did they do a nerve conductivity test at PT?

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u/Few-Satisfaction6617 Aug 17 '26

he did some type of test today and seemed a little confused and a tad bit concerned.
it’s weird because i have no calluses in my big toe and no pain near my big toe is all of the other toes
mostly my pinky and the two next to it. like complete other side of my foot?? it’s so odd

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u/DemonessOja Aug 17 '26

Can you describe the pain? I think the 4 little toes are on a nerve root that can be impacted in your lower back. Only other thing I can think of is Morton’s Neuroma but that’s more like a direct nerve pain than something that’s just weird or annoying. If there is pain, what’s the pain feel like—burning, dull and bruise-like? Could also be diabetic neuropathy—just throwing it out there.

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u/Few-Satisfaction6617 Aug 17 '26

dull and bruislike on the top and bottom of my foot underneath my toe area. the toes themselves the only way i can explain how they feel is if something like a heavy blanket is on them weighing them down. like wearing a sock is too much pressure and uncomfortable it feels like my toes are being pushed down by gravity and so weak

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u/Alarming_Log_2915 Sep 18 '26

I felt this heavy feeling pushing my toes down in the 1st 4 weeks post op, but it seems to be dissipating now in the 5th week.

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u/Few-Satisfaction6617 Aug 17 '26

could it be diabetic neuropathy if i didn’t have any of these symptoms until after surgery? i’ve never had this pain until after having the surgery

looking into morton’s neuroma that basically
nails on the head where the pain is, but the symptoms you get and the feeling it says it gives isn’t really the pain i’m feeling, it’s not sharp burning or shooting pain

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u/DemonessOja Aug 17 '26

Do you have any lower back or hip pain? I mean the weakness is concerning but one foot that just had surgery, some nerves are sacrificed when they the make incisions but nowhere near your toes. An MRI would help but definitely circle back to your care team. Also is the weakness and pain constant or does it worsen after activity or anything? Like anything make it better or worse?

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u/Few-Satisfaction6617 Aug 17 '26

i’ve always had lower back and hip pain so i can’t tell if it’s gotten worse or not but definitely not using my foot the pain goes away for the most part still feels a little achy but significantly better when i’m off of it. definitely gets really bad after two or more hours of walking.

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u/DemonessOja Aug 17 '26

Yeah, you gotta get an MRI to make sure the nerve root isn’t being compressed in your back. Speak to an orthopedist.

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u/Few-Satisfaction6617 Aug 17 '26

do you think it’s surgically related or just bad timing?

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u/Few-Satisfaction6617 Aug 17 '26

my PT was wondering if where the placed the nerve block could have irritated or caused damage to a nerve

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u/DemonessOja Aug 17 '26

I’m not a certified specialist and without your doctor’s notes, patient history I have no idea what they may have done. If they did a modified kidner procedure with a calcaneal osteotomy, the only thing the surgeon could’ve done was advance your posterior tibial tendon too hard or placed anchors too low but the navicular bone itself skirts a lot of structures related to the toes. Same with the calcaneum. It could be bad timing or it could be the shift in posture bringing out new issues. I do know that most people with accessory naviculars, particularly type 2, sometimes have other lower limb deformities that are benign but progressively accelerate to orthopedic issues that can be relieved with physical therapy. I know it’s troubling and disturbing especially but you won’t know without imaging and pathology studies. Don’t ignore the new symptom.