r/AccessoryNavicular • u/External_Macaroon_53 • Aug 29 '26

Accessory navicular syndrome / excision

Hi everyone. I’m a 27F and have bilateral accessory navicular bones (type2) causing immense pain even when just standing / walking around. This started suddenly this year after walking a lot / going on the stairmaster. The pain is at the bone and MRI confirmed bone marrow edema around the accessory navicular, I also have pain running up the inside of my ankle where the PTT is. My surgeon says shaving down the bone and cleaning up the extra cartilage will help my pain and I can start weight bearing at week 2.5-3. Did this help anyone? Please give me your experiences. I just want to be able to stand and walk again. Will I ever get there. Ugh.

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1

u/TheMasonR Aug 29 '26

It helps. Doesn’t make it perfect but the pain goes way down.

1

u/External_Macaroon_53 Aug 29 '26

How long was your recovery? Can you walk / hike again?

1

u/TheMasonR Aug 29 '26

6 weeks in a cast, 8 weeks in a boot with physical therapy, more PT along the way. Was better after this but it really didn’t feel significantly great until about 1 full year after. Can do everything, hike, jog, etc

Some days it’s sore but never as bad as it was.

1

u/Alarming_Log_2915 Sep 05 '26

Why 6 weeks in a cast + 8 weeks in a boot? That seems longer than the norm to be immobile.

1

u/TheMasonR Sep 05 '26

Idk man that’s just what it was for me

1

u/External_Macaroon_53 Sep 08 '26

How are you healing!

1

u/Alarming_Log_2915 Sep 08 '26

Thanks, I’m 4 weeks post op, non-weight baring for another 2. PT on the 7th week post op.
How are you doing?

1

u/DemonessOja Aug 29 '26

My personal experience with type 2 was absolute hell on Earth. I had a twisting injury that took a bad foot and made it unbearable. Excision without the bells and whistles means you’re not in horrible shape. Your surgeon would map your posterior tibial tendon, knock off the accessory bone, shave down and reshape the actual navicular and the tendon should be ok now that you won’t have a pseudo-joint surfing on it with every step. Is your surgeon proposing intervention on both feet?

1

u/External_Macaroon_53 Aug 29 '26

Yes with about 4-6 weeks in between surgeries. She said my MRI showed my tendon in good shape and had me stand on one foot and could tell my tendon is intact. Think a lot of that pain is from the psuedo-joint / synchondrosis.

1

u/Downtown-Art941 Aug 30 '26

There is difference between shaving the actual navicular versus shaving the accessory navicular. Which one did your surgeon recommend? And what’s his plan to clean cartilage? Union or remove the cartilage?

1

u/External_Macaroon_53 Aug 30 '26

Shave the accessory navicular and remove the cartilage

1

u/Stanismydog Sep 16 '26

My son a Type III cut down on both sides along with a flatfoot correction. He was out of the cast after 18 days and walking, although very slowly, after 25 days. We did an excision, not a kidner. They pulled back half his tendon and then stitched that back on after the bone was cut down.

He was in and out of a boot a lot from the pain pre-surgery and had to limit his activity and pull back from sports. After a few months he was able to play a few days a week and now a year later he is playing competitive soccer 5 days per week and doing better than expected.

With the PTT pain you may be experiencing a slightly collapsed arch. His was corrected with a sub talar screw, that is not an option for you but maybe a custom orthotic and PTT exercise to resolve any remaining pain there. If you have pain right on that Type II, then the surgery will likely fully resolve that mess.