$navicular fracture$

$navicular fracture$

We usually recommend the FootChair Medical Grade Orthotic as it is the most stable prefabricated orthosis we have found.įootChair orthothics also come with pads that can be added under the cover to increase the arch height. If you do not have a custom orthotic, then you must wear a very stable prefabricated orthotic in your shoes. These “ total contact orthotics ” act to transfer pressure off of the injured area and onto other parts of your foot. When you come out of the cast we have patients spend the next several months wearing a stable shoe with an orthotic that conforms very tight to the arch of the foot in order to reduce pressure on the navicular. Treatment of Navicular Fractures Phase 2 – Protect with Orthotic In a small percentage of patients, the navicular stress fracture will not heal and may require surgery. If you still have pain with pressure on top of the navicular after 6 weeks, you will spend more weeks non-weightbearing. Most patients spend about 6 weeks in a cast, but some patients may need to be in one longer. You can stay non-weight bearing by using crutches or a “ knee walker” like the one at right. You will have to be in a cast or a “ removable cast” and not bearing weight for weeks. If you suspect you may have a navicular injury make an immediate appointment to see us in Seattle or a podiatrist in your area. It is critical to eliminate pressure on the bone to allow it to heal. If not treated correctly navicular stress fractures tend not to heal. Treatment of Navicular Fractures – Phase 1 On occasion, the navicular stress fracture is seen on x-ray, but often requires a bone scan, CT scan or an MRI to be seen. Sometimes there is a little swelling in the area. We suspect a navicular stress fracture when a patient has pain with direct pressure on the top of navicular bone. This can be a problem as it can lead to a delay in diagnosis. Instead, most patients describe a kind of nagging pain that gets worse over time. Usually, patients do not have a history of an acute injury. Later, or in more severe navicular injuries, pain can occur with more sedate activities such as walking. Initially, the pain is worse during and just after athletic activity and reduces with a period of rest. People with navicular injury typically have vague pain in the mid portion of the foot – just in front of the ankle. A navicular stress fracture, figure 1, is an injury to the bone on the inside of the foot between the ankle bone and the midfoot.

$navicular fracture$

Navicular fracture