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  • Distance Running with an Accessory Navicular Bone

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    Old 02-19-2008, 10:14 AM   #1
    JRodxc
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    Distance Running with an Accessory Navicular Bone

    Hello everyone,

    I am a distance running in college and I started to have foot problems last year after my track season. I took time off and started running again. Everything was good up until a couple of months ago when my foot started to hurt again. The pain was in the inside of my right foot around what I thought was a normal bump. I took some XRays and found out that I have an accessory navicular bone which is causing problems with my posterior tibial tendon. My podiatrist prescribed my some orthodics that my feet aren't likeing too much. I run about 65 miles a week but because of the pain my mileage has been up and down the past month. The pain that I feel is random, sometimes it hurts at the beginning of my runs, sometimes it doesn't hurt, sometimes the pain travels into my achilles, and a lot of the time after I run my right arch becomes sore. I guess what I want to know is what I should do because running is such an important part of my life but I feel like its being hindered because of the bone. Should I just leave it alone since the pain is not constant or will it become worse as time goes on?? Should I just rely on the orthodics and bare with whatever pain comes my way??
    Any advice would be great, thanks =)

     
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    Old 02-19-2008, 10:55 AM   #2
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    Re: Distance Running with an Accessory Navicular Bone

    Removing the accessory navicular might solve your problem, but the surgery has a long recovery time and some risk of causing other problems. Maybe someone who's had it can offer details on that.

    I understand how you feel about running, I was a runner forced out of the sport by injury. I don't think you should just ignore the pain, because you might do serious damage to your PTT, but it might not be necessary to give up running entirely. I do think you should keep experimenting with shoes and orthotics, looking for a better answer. Ice is your friend, cortisone is not your friend.

    Also, you might want to consider cutting back on the running, and substituting biking, swimming, elliptical trainer, weight training, or other easier-on-the-feet exercise at least a few days a week. I hate to be a party pooper, but almost no one can run 65 miles a week for more than a few years. If it wasn't a foot problem, it would be a knee problem. It may be that you can handle a slightly modified training schedule just fine. If not, if the problem continues to get worse, then you might need the surgery.

     
    Old 02-20-2008, 10:05 AM   #3
    MLK101974
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    Re: Distance Running with an Accessory Navicular Bone

    I have had problem with an accessory navicular bone since I was in seventh grade. I was a very avid soccer player and at certain times the pain was so bad that I could not walk. Eventually it would subside. I am a runner, but not as avid as you. I don't think the pain will ever go away. I saw a podiatrist in high school and he offered me only the surgical option. I work in an O.R. and eventually spoke to an orthopedic surgeon I work with that did not recommend surgery, but wearing a cam walker for six to eight weeks. He says he has treated several patients with great results. Apparently the boot keeps your foot flat and takes the pressure of the tendon that the bone is in contact with. I did not trust that the pain would not come back. He did not guarantee it would not but has seen this be a cure for many people.
    I have not done this myself, as I, like you do not want to stop exercising for 8 weeks. However, I am only running about 20-25 miles a week at the most. I would seek a second opinion if you have not as surgery is not always the only answer. I guess you have to decide if you want to stop running for 8 weeks or run forever in pain. I have found that the shoes I wear dramatically effects the pain. Shoes with more medial arch support have dramatically helped with the pain when running. When I wear these I can run about 4 miles before I start to feel pain. WIth others it is within the first mile. NOt sure I have helped, but I have had this pain for 20 some years and it really probably won't get better, and probably worse.

     
    Old 02-20-2008, 12:55 PM   #4
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    Re: Distance Running with an Accessory Navicular Bone

    I would advise getting an opinion from a reputable foot and ankle specialist orthopaedic surgeon. I messed around with a similar pain for way too long and ended up with a shredded PT tendon and had to have tendon transfer/graft and a calcaneal osteotomy where they cut your heel bone off, move it over and screw it back on. The recovery is 1-2 years. Don't wait too long as I did. In my opinion you need an MRI, not just an x-ray. I, too, have an accessory bone and that wasn't my problem at all.

    good luck

    emmie

    Last edited by emmie54; 02-20-2008 at 12:57 PM.

     
    Old 02-20-2008, 03:57 PM   #5
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    Re: Distance Running with an Accessory Navicular Bone

    Thanks for all the advice! I definitely don't want it to get as bad as emmie54 but as a runner I really don't like to take time off so surgery does not seem like an option for me at least at this point in my life. I think after college I might get it taken care of if it gets worse. MLK101974 thanks for the boot advice I've been looking into it and as for the shoes I ordered another pair that has more support so hopefully it helps a little bit. Thanks again for all the help, I appreciate it =)

     
    Old 04-16-2008, 01:17 AM   #6
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    Re: Distance Running with an Accessory Navicular Bone

    I am also a college runner with an accessory navicular. I have known about my extra bone since high school when I had to get an MRI for a sprained ankle. I didn't experience pain though until this past year. When I first felt pain I had no idea what it was, I guess I thought it was just foot soreness from high mileage. It wasn't until I talked to a tainer about the pain that I remembered about the bone.

    I ran two indoor track meets this winter and after one race I was barely able to walk. So I went to the doctor and he said I should try orthotics. So I got them and they didn't work I am still in pain and I haven't ran more than 2 miles in 3 months! I went back to the doctor and he said if I want to be able to run I should get the surgery. So I am scheduled for the surgery in 3 weeks. I know I want to continue running and if I wait longer to get it removed I am just prolonging when I get to run again.

    I was wondering what you decided to do or if anything else worked.

    Also if anyone who has had the surgery could tell me about recovery because I really want to run cross country in the fall.

     
    Old 04-16-2008, 05:01 AM   #7
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    Re: Distance Running with an Accessory Navicular Bone

    The recovery time can vary a lot depending on whether or not they have to move tendons. You'd definitely have to ask your surgeon.

     
    Old 04-16-2008, 09:55 PM   #8
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    Re: Distance Running with an Accessory Navicular Bone

    I am actually doing better without changing much. I took a couple weeks off but then I had to get back into it because track season started. I tried orthodics and they didn't help at all if anything when I ran it made it worse. Luckily mine isn't to the point yet where I can't walk without it hurting but it does get really sore after workouts and races especially if its faster stuff. I think surgery would be a good thing and I am looking into getting it done if it gets worse. I wish you the best of luck and let me know how the surgery goes because I am still on the fence of whether I should do it or not.

     
    Old 04-16-2008, 10:26 PM   #9
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    Re: Distance Running with an Accessory Navicular Bone

    So I am getting the surgery and I found out I wont be able to run for three months. I guess it could be worse but I wont be back until August 9th, that is right before cross country starts. Missing track isn't as big of a deal for me but I am going to be really upset if I have to miss cross country too. I guess in the long run (no pun intended ) this will be for the best. I know my pain has only gotten worse and I just want to get rid of this once and for all. I really hope you are able to manage your pain but if not, surgery may be inevitable. I have been told that this usually only gets worse, not to be negaitve.

     
    Old 04-17-2008, 06:39 AM   #10
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    Re: Distance Running with an Accessory Navicular Bone

    Well, I'm glad you've come to a decision. Let us know how it goes, and read some of the "getting through surgery" posts on this forum for ideas on having an easier recovery.

     
    Old 04-17-2008, 09:58 AM   #11
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    Re: Distance Running with an Accessory Navicular Bone

    It sounds like surgery is the best option for you to go through with. I think you should be back by cross season especially if you just cross train during those 3 months. I really am curious to see how everything turns out for you because like you said surgery is probably in the near future for me as well. Also I was wondering what college you run for, I run for Long Beach State here in California. Its just nice to hear from someone that is going through the same stuff that I am. Most people don't even know what an accessory navicular is let alone how to deal with it being a long distance runner. I hope the surgery goes good and you get back to training soon!

     
    Old 04-17-2008, 11:45 AM   #12
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    Re: Distance Running with an Accessory Navicular Bone

    I will definately let you know how it goes. I go to Murray State University in Kentucky, it is a small D1 school. Yea, I feel the same way, I knew more about my accessory navicular than my trainers did and that was frustrating. It is nice to talk to someone that is going trough the same thing. Right now is probibly one of the hardest times for me because I know I am having surgery so I am allowed to do whatever I want. So I want to just run all the time, but it is painful, and it is hard to run without a goal and knowing I am soon going to be out for 3 months.

     
    Old 04-17-2008, 01:07 PM   #13
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    Re: Distance Running with an Accessory Navicular Bone

    Sounds like your trainers are like ours over here. I'd like to keep in touch with you to see how the surgery goes and how your recovery process goes. I am considering surgery maybe even as soon as this summer too so it would be nice to have some feedback from someone who is going through the same thing. I am on ******** if you want to keep in contact through something other than this site.

    Last edited by JRodxc; 04-17-2008 at 01:08 PM.

     
    Old 04-17-2008, 03:27 PM   #14
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    Re: Distance Running with an Accessory Navicular Bone

    I feel like this summer is going to be the best time to do the surgery for me because I still have two years of running left. What year are you? . If we both get the surgery this summer it will be nice to see how eachother are coping with it.

    Last edited by kristenrunner5; 04-22-2008 at 05:28 PM.

     
    Old 09-11-2008, 06:33 PM   #15
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    Re: Distance Running with an Accessory Navicular Bone

    I too have accessory navicular bones. I love to run and my doctor recently recommended that I have them removed along with total reconstructive surgery on my feet. Essentially it's seven different procedures that leave my foot with an arch. He said that I may not be able to run distance again (I'm a marathoner) and I am terrified. My options are to run for another two or three years and to have arthritis in all my toe joints and ankles, modify my life style (i.e. no weight bearing activity) and probably have to have the surgery any way or have the surgery now. Have any of you gotten back to distance running? My doctor said that I'd be out for a year and a half by the time both feet were rehabed (I'm also older--36). I've had four opinions on my feet and scheduled my first surgery with an orthopedic surgeon, but there are some people who tell me that I have to have a podiatrist do the surgery. I am so confused. Any help/advice would be appreciated.

     
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