Dr. Jiwu Chen

Dr. Jiwu Chen
Back to Q&A

Foot and Ankle Sports Injuries

There is a bony prominence on the inside of my arch, and it hurts after activity. Does an accessory navicular need to be removed?

Author: Dr. Jiwu Chen

Doctor’s answer

Asymptomatic accessory naviculars usually do not require surgery. If painful, initially reduce local shoe pressure, provide arch support, and use a walking boot or cast for severe cases. Persistent pain after non-surgical treatment may warrant surgical evaluation based on accessory navicular type, tendon attachment, and foot alignment.

References and sources

  1. https://www.footcaremd.org/foot-and-ankle-conditions/midfoot/accessory-navicular

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.