Hello, I have an accessory navicular on my right foot, it has caused pain when I walk or run over a mile, especially barefoot, up to now I ve dealt with it. I just started playing lacrosse after a couple months off, something is up with my foot. Current symptoms include, pain while active (both sneakers and cleats) located around accessory navicular, tenderness on and around navicular, and bruising on the navicular. There is also no pain when I m at rest. I have been told I can get surgery, but I ve heard about nonsurgical treatments as well. Fall ball has started and I would like to miss the least amount of practice/games as possible. Let me know your thoughts or suggestions on what I should/can do... Thanks - TJ
Dear patient first line of treatment is rest and anti-inflammatory medications like ibuprofen 400 mg twice a day for 15 days. But if there is no relief and if there is difficulty in activities of daily living and sports best is to undergo surgery. As it is accessory bone removal will not lead to any problem in foot. You need not worry, and I would say if you want to continue sports removal should be done at earliest.