Painful Accessory Navicular in a 10-yo gymnast
My 10 year old daughter-gymnast-dancer rolled her foot inward mid-April 2012and has had nothing but pain in her foot ever since. We had her foot x-rayed at the pediatricians office a few days later. Result was negative for any broken bone, so we began relative rest/ice/ibuprofen. 2 weeks later she heard a "pop" at the end of gymnastics while landing a front HS. Back to the ped. where it was re-xrayed and we were once again told to rest, etc. It was so painful at this point that I got her crutches. After 5 days of continued pain, we visited an ortho. who pulled up the same film and immediately diagnosed an accessory navicular fracture. She was put in a walking cast for 3 weeks (and continued to notice the pain while in the cast), and has been in a boot for the last 3 weeks following removal of the cast. All along she has maintained little to no improvement. When we visited a foot/ankle specialist last week, he scheduled an MRI which was negative, but did comfirm the AN in her foot. The specialist recommended a cortisone injection which the pediatrician cautioned against and advised us to reconsult the ortho. before scheduling that. The ortho. quickly dismissed the idea of the injection for now and prescribed PT for "iontophoresis desensitization" which looks to me like a way to "inject" an anti-inflamatory using an electro-stimulation method (and NO needle). Telling us to check in after 4 weeks or so, at which time we'll decide that either things are "good enough" or that surgery is needed. I am in NO HURRY for my 10 year old to have a surgery (and one with a long recovery period at that-at least that's the way it sounds to me), but I also don't want her fighting this for several years until we can get something done. I'm not really opposed to the cortisone injection (although she wants to avoid it all cost), but just don't know that it's going to fix the problem (it does seem like it might be worth a try though). Really wondering if anyone else has had experience with this in a younger kid. Most of what I've read pertains to adolescent or older children. EXTREMELY frustrating as not only can she not do what she loves (tumbling--still doing bars w/ heavy spotting & upper body conditioning), but other normal summer time activities are on hold as well (zoo, amusement park, etc.) because it's painful for her to be on it (even in the boot) for very long. Thanks for taking the time to read this and offering any advice or experience you may have.