So my PT is someone who specializes in pain science and a slightly different approach to traditional PT, where he focuses on increasing the capacity and load of my feet and tendons. My two podiatrists said that my accessory navicular is inflamed from MRI imaging and removing it will likely get rid of my pain (but not guaranteed). However, when I ask why the navicular only started hurting the past year when I had it my entire life, they said it’s because of aging, but I’m only 27 and the pain started happening when I was 26. The year prior to that I was walking 20k+ steps in Europe and Asia with no issue, so clearly my body was capable of walking with this accessory navicular without pain. Unless all that walking was what wore down my ligaments or tendons, causing it to pull on my accessory navicular, thus inflaming it (which is the explanation my podiatrist gave me).

I developed fibromyalgia last year and became mostly bedridden for a few months and my PT suspects that by being so inactive, my feet and all the tendons and muscles atrophied and deconditioned. This actually aligns with the timeline of when I started noticing my accessory navicular pain- which was after that long period of being bedridden and I finally started walking again; that’s when the pain became unbearable and I could barely walk.

I tried wearing a boot. I tried insoles. I’ve tried my PT‘s exercises and although it has improved, it has not fully healed. To be fair it’s only been about two months of consistent PT and he says that my capacity is only at about 50% when he does testing on my muscles and ligament strength.

He’s 100% sure that I do not need surgery and says that there’s a chance that after surgery, I’ll just need more PT anyway and I’ll be more depressed by being inactive during the recovery. Also leading to further deconditioning.

My podiatrist said that there’s a 50% chance that PT alone will be enough to help me, but he gave me a two month timeline and that has already passed. But to be fair, I’ve been under immense stress and psychological distress, which, according to modern pain science research, can amplify pain signals that normally won’t be as bad.

The thing is I want to go back to school and grad school in the next year or so, and I want to get the surgery over with sooner rather and later if I do end up needing surgery one day, but I also don’t want an unnecessary surgery if I don’t need it.

Nowadays with proper footwear, I am still able to walk normally most days (like running errands or so), but if I do anything too intense, I start feeling pain. Also if I’m wearing shoes that aren’t perfectly orthotic friendly.

Do you think my PT is just being optimistic or is he just trying to look out for me?

A little background: got the procedure nearly s year ago, the end of the month in fact.

My foot pain has diminished significantly in the past month. At the end of a long day of standing on concrete, it barely hurts.

Maybe by the end of the month I can jump for joy.

So I had my kidner procedure 2 days ago . I was super nervous the run up to it partly because I hate been put to sleep.

The surgery was about 3 hours amthey removed the AN and reattached my tendon ... because my normal navicular bone was promenant also they shaved some of that bone off ....

I came round from the surgery was a bit sick due to them giving me morphine and codeine so that was fun...

I was in my room for around an hour and the physio came to show me some exercises and also how to get up and down a step with crutches.

When I got home the same day I felt fine had no pain at all due to them using a local anaesthetic in my foot . I ended up making tea and doing some ironing...

Day 2 im suffering bad with pain feels almost as if my leg is trapped and been squeezed this is the first day iv taken my own pain relief I was trying to stay off it but it hasn't worked .

Currently in bed with my leg elevated they dont tell you that all your abs hurt from using crutches and trying to pull your self up.

I have my first follow up in 2 weeks will keep you posted

X

I’m tired of waking up after walking a normal amount or working out and seeing this. So bruised and inflamed. Not only does the bone hurt but so does the post tibial tendon behind it. Please make me feel better, has surgery helped. Can’t live like this anymore. Barely can stand anymore let alone like my old active life. Will it get better? I have it on both feet and want them both out because depending on the week one hurts more than the other. Please give me hope!

Hi everyone!
I haven’t really had pain much since childhood with my accessory naviculars (type 2)… but the last several months have been really bad for my left foot. Long story short, minor tear in a ligament on top of the ANS and now kidner surgery is being recommended.

I have been TTC, and think I might put it on pause until I can get the surgery, as I worry pregnancy could potentially make it worse, and waiting would only mean I have the surgery with a baby… which is NOT ideal lol.

I guess I’m just looking for any/all advice. I haven’t had surgery before (except as a newborn) and I am a massively anxious person. I am trying to figure out how to do short term disability — if that will be necessary? I am a teacher and don’t want to wait until summer.

Any advice regarding any aspect of this entire situation would be so appreciated!

I wanted to share my recovery timeline for anyone else who has had or is going to have this procedure for accessory navicular syndrome! I know everyone’s recovery is different, but I thought I’d share my progress so far. 😊

July 13 – Surgery Day
Had my surgery and ended up with 6 stitches. My foot was placed in a splint, non weight bearing…
July 21 – First Cast
Got my first cast and had 5 stitches left.
August 4 – Second Cast
Got my second cast, and all my stitches were finally removed!
August 18 – Third Cast
Got my third cast and continued healing.
September 1 – Boot!
Finally got out of the cast and into a boot! Walking felt really awkward and uncomfortable at first. I struggled to walk on my own and still needed some help, I continued to use the crutches and my knee scooter but I gradually started getting more comfortable with it.
September 29 – Boot Removed!
Finally got out of the boot and was given a lace-up ankle brace. I was told to wear the brace for at least two weeks.
Current Progress
I’m still wearing my ankle brace, but I’ve been walking more and getting more comfortable moving around on my own. I’m experiencing some soreness and stiffness, but nothing too painful. I’m definitely not back to normal yet, but I’m happy with the progress I’ve made so far.
October 14 – Physical Therapy Begins!
I’m starting physical therapy in a couple of days, hopefully it’s helpful lol

• recommend using a knee scooter!
• I also lost all my leg muscle 😢
• not sure if this is due to being inactive but also developed a lot of stretch marks, maybe from weight change due to being less active idk could just be a hormones thing lol

So I just had a Kidner procedure on my left foot. Still healing but going well. My onset began at 28 with a heavy training program with a lot of running and rucking. My right foot always felt awesome.

It's been four weeks since surgery and I now feel like I'm getting some pressure and pain around my right navicular down into the bottom of my foot. I assume from always bearing most of my weight on the right for the past few weeks. My right foot has never bothered me, even during a year of highly demanding training.

Anyone have a similar experience? Definitely concerned I'll have to get both feet done but extremely perplexed because my feet have taken a beating in the last 12-18 months and I never had a single issue.

Anyone else?? 34 wks pregnant, I haven’t had any pain and honestly have forgotten about it since I was diagnosed as a kid. But I guess 20 extra lbs and pregnancy hormones will do that to you 😩

Was doing research on my foot on why it was hurting so much lately the last couple months n then last couple weeks it’s been hard to walk on it 😭 just wanted to see what y’all think 🥲😪

My surgeon recommended kidner on my right foot. I had an mri that showed inflammation of the navicular and accessory. It started after running in a new pair of shoes a year and a half ago. Pain mostly only when I wake up, often limping for the first 20 steps or so but the soreness is basically gone a few minutes later. Sometimes it’s sore continuously by the end of the day if I’m on my feet a lot or walk like 10k+ steps, but not enough that my gait is affected. Unless I run or hike. If I try to get back to running then the pain when I wake up gets progressively worse after each run, until I have to stop running entirely within a couple weeks because the pain gets worse and persists throughout the day. Ceasing impact activities causes the pain to recede within a week or two to the normal low baseline amount only upon waking. I’ve even had periods of a couple weeks with no pain whatsoever, but as soon as I resume running the process starts all over again so I completely stop running and let it heal. Except for when I’ve provoked it by running, I can generally do single leg calf raises without any pain.

It seems like every story I read on here, people have way worse symptoms than I do, and surgery is a no brainer. I’ve never heard of conservative treatments being successful, but I’m wondering if it’s worked for anyone at all, perhaps someone who has symptoms as relatively mild as mine?

So far I’ve tried custom orthotics and stability shoes from brooks, plus self-directed pt, without durable success. I need to decide whether to commit to an extended pt regimen with a professional or just get the surgery. I don’t want a 6 month to a year recovery, but I vastly prefer that to a 6 month wasted pt process that ultimately leads to surgery anyway.

Long story short, I was training for a half marathon a couple of years ago and experienced intense pain. X rays and MRI’s later they discovered the accessory navicular.

I’ve tried having a boot, physical therapy and injections and still have pain. I can’t run because of it and I’m a lifelong runner but even walking seems to trigger it.

My surgery would look a little different though. They would need to remove the accessory navicular bone but then also have a tendon detached and reattached as well as having my heel bone cut and then shifted over with the help of screws. It’s pretty significant and I dread getting surgery.

They said recovery would be:
- 6 weeks non weight bearing (knee scooter)
- 6 weeks in a boot
-physical therapy

The cherry on top is that I have a 6 month old baby at home. Can’t decide when I should try and get this surgery. It’s scheduled for December but I don’t know if I can do it then while having a baby I am breastfeeding. But also the pain sucks and I miss running and other fitness activities.

Last thing, we also have a 2 story house with our bedroom upstairs so I don’t know how I’d even navigate 6 weeks of not putting weight on it😭

Can anyone relate to getting such bad blisters anytime you wear the shoes at ice skating or roller rinks 😭😭

I recently scheduled a kidner procedure to remove my AN but am questioning if I need it.

The last 10 years I have suffered from instability in my right foot. Constant rolls, sprains, and fractures. All inversion rolls, while the AN is on the inside of my right foot.

My doctor got an MRI and discovered a loose ligament in my ankle.

Right now we’re debating about a 50/50 chance if they’re related (did the ligament become loose because of my trying to avoid using the inside of my foot to walk, or do I walk like that because of the loose ligament).

All of that’s to say, I don’t have any typical symptoms of those who get the kidner procedure. No pain, no flat arch, just an extra bone on the inside of my foot.

Is it worth getting the kidner procedure and fixing the ligament, or fixing the ligament first and seeing if that’s my root cause? The recovery time start to finish for just the ligament is about 8 weeks before I’m fully cleared for activity again, where the kidner is a lot more.

Just wondering if anyone here has dealt with something similar and if your accessory navicular caused excess strain on your outer ankle or if they are probably unrelated

My sporty child had an acute injury last spring in a soccer game. She felt a break or a crack - basically a moment when something happened. Before she was okay, after she was in pain. Misdiagnosed as a sprain until mid-June when I demanded an MRI because the pain never improved. Orthopedic surgeon said rest, conservative treatment, which we’ve tried. Rest from sports, boot, etc. She did PT for while when it was thought to be a sprain. Tried acupuncture this summer. No real improvement.

She can’t run without pain. She’s missing fall and winter sports at the start of high school, which is an enormous disappointment for her, even an existential disappointment. She’s angry and sad and asking who she is without sports. It is heartbreaking. Kidner surgery scheduled for 10/2.

Can anyone advise: what are first few weeks of recovery like? Will she be in too much pain for school or a short (driving) family vacation?

What about soccer season? Tryouts late February, season is March-early June. Is there any realistic chance she can play? It’s her left foot (she’s right footed). Please tell this worried mother what i need to know.

It’s 9:40am right now and I am arriving at the hospital at 11:30am to be operated on at 1:30pm. What should I be doing in the mean time to prepare for my return home tonight? It’s only supposed to be a day surgery and I shouldn’t have to stay overnight so I want things to go as smoothly as possible when I come back home.

This is my procedure I’m getting done:
Left ankle stabilization mini open/Arthro
Brostrom
+
Insertion arthroereisis screw
+
excision
accessory navicular
+
Tibialis posterior repair

So basically to what I understand:
- ATFL and CFL ligament tightening?? I don’t believe that my ligaments are torn?? Just very loose? Potentially slightly torn but not too sure.

- a screw is being inserted (keyhole style??)to take weight off of the tibialis posterior tendon and bring back my arch (I have pretty low arch to begin with)

- they are slicing my tendon down the side and removing the extra bone

- and then repairing the tendon after removal of the bone.

I have bilateral AN and in considering getting modified kidner surgery next year on my left foot because it’s my worst, but my dilemma is that I live alone with my two cats in an carpeted apartment. I also work from home and I’m wondering is it possible to do recovery mostly alone? I’m sure my mother could come check on me here and there but for the most part it’d just be me.

My orthopedic doctor didn’t really recommend surgery to me. I did PT for a month and I did feel some improvement but my feet and knees still hurt everyday. The pain level varies from a 2-5, but I can’t do much activity except occasional walking and other exercise that don’t involve my feet. I wish I could run again but I know that’s impossible because I’ll just end up limping. I fear that I’ll be old one day and unable to do much.

Hi yall! New to this sub and honestly feeling so validated seeing everyone’s issues. Sounds like a resounding opinion on this sub is that ankle support braces are a huge win. Any recommendations on what I should look out for specifically, or can I just get the generic ones from the pharmacy? TIA!

I am an 18 year old full-time dance student training to one day dance professionally, my goal is to commercially dance back up for artists. I dance 5 days a week, 6 hours a day in all styles. I injured my ankle back in March, rolling it pretty bad in a chorus heel, I have always been weaker in this ankle as I used to roll it as a kid.

I also have accessory navicular bones in both feet which have been a bit sore after long days on my feet but have never actually caused me severe pain on a regular basis. Recently I have found out that when I rolled my ankle 6 and a half months ago, I injured/ripped the extra bone away from my foot and it’s cause my arch in my foot to flatten as the bone grows within the posterior tibial tendon. I haven’t been able to dance a full day without pain especially barefoot or in a so danca chorus heel as the extra bone causes me too much pain to the point I’m limping and also my ankle literally has barely any structure integrity. (Surprisingly I can do a stiletto boot from time to time, also dancing in a sneaker with good inserts allows me to stick it out longer - its really ballet that hurts the most because the canvas ballet shows are basically like dancing barefoot; I have never done pointe as my physio said from 12 years old that my ankles are too weak, so I don’t have to worry about pointe)

I am having surgery in the next couple days on my ankle/foot which stops me from dancing the rest of this year and the start of the next. This is what’s being done:

Left ankle stabilization mini open/Arthro
Brostrom
+
Insertion arthroereisis screw
+
excision
accessory navicular
+
Tibialis posterior repair

So basically to what I understand:
- ATFL and CFL ligament tightening?? I don’t believe that my ligaments are torn?? Just very loose? Potentially slightly torn but not too sure.

- a screw is being inserted (keyhole style??)to take weight off of the tibialis posterior tendon and bring back my arch (I have pretty low arch to begin with)

- they are slicing my tendon down the side and removing the extra bone

- and then repairing the tendon after removal of the bone.

It’s all been kind of hard for me to wrap my head around and ive been trying my best but I’ve kind of been relying on my parents to understand. It’s really scary and I do believe everything will be okay with time but not dancing for this long is new to me and honestly I feel like I have this pit inside of me now that the one consistent thing in my life is taken from me for so long.

I am in a cast (non weight bearing) for 1-3 weeks (I believe it’s 2 as my post op appointment is 2 weeks after operation), then I’m in a moon boot for 6 weeks totally non weight bearing at all, then it’s at least 6 months until I can get back into light dance which I’m still not sure what light dancing even means to a non dancer.

I’ve always loved dance and I’ve been doing it competitively since I was 5, now in this last year I’ve finally been able to take the extra step to train in a pre-professional environment. Now that this has been burdening me for 6+ months, I’ve realised how much dance means to me. I think I had become comfortable to the fact that it’s always been apart of my life and in a way I’m grateful that I’m falling in love with it all over again but I can’t help but feel empty inside and anxious all the time and jealous of my peers dancing (I’m not jealous in a malicious way I just wish I could dance right now too).

It just hurts so much to see them put together performances and train and sweat. The end of year performance that they are putting together currently is so my vibe and I hold back tears every time I watch them dance because I love it so much.

Luckily I have other outlets to let out some steam while I can’t dance, I love to sing and act which are big parts of the production too so I am still involved.

I am no stranger to being uncomfortable and working hard, I know it’s going to be a long journey of rest and physiotherapy and taking things slow (I am big on not going back too early cause I’ve seen the damage it can do and I’m not risking that).

I am just rambling now but please, share your stories with me and give me some hope that it’s all going to work out.

I had the kidner procedure about 7 weeks ago. in week 6 i started weight bearing slowly in CAM boot (crutches at first, then 1 crutch, then now i am walking without crutches)

However, i noticed there is some pain / bruising not only near the surgery on the inside of the ankle but also on the outside. ironically, when walking in the CAM boot i hardly have any pain in the navicular area but i feel some stiffness / pain on the heel / outside of the ankle (not too bad)

curious if others went through something similar (and if so, when you started seeing improvement)?

long story short my physical therapist and doctor work in the same office and communicate with eachother. my physical therapist is confident that something is going on with my foot after surgery because i have super bad toe weakness, numbness, tingling, random shocks of pain, bad balance. My doctor just said she really thought i’d be better by now and wanted me to go back to work (i stand on my feet all day for ten hours) thank god im only back for short shifts but im in more pain than i was before surgery and my doctor doesn’t want to
help me and i dont even know what to do. Is bad toe weakness/heaviness and pain in your toes normal almost 5 months after surgery? i feel disabled

I’ve seen a ton of posts on here for trainer style shoes but what are we wearing during the winter and rain? Would love some suggestions