Re: insertional tendonitis, accessory navicular, or both

The most likely case is a posterior tibial tendonitis and accessory navicular. Sometimes the accessory navicular can get irritated or even fractured as it's connection to the main navicular is either fibrous, cartilaginous or bony. Sometimes a rigid orthotic is best. Sometimes surgery is best. It depends on many factors. When there is a significan amount of pronation, I have successfully used on occasion an AFO (Richie brace) for this. Has anyone recommended a MRI or diagnostic ultrasound?

Posted By Vivian Abrams DPM on July 05, 2004 at 13:02:01:

In Reply to: insertional tendonitis, accessory navicular, or both posted by Louise on July 05, 2004 at 02:09:15:

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