Hi megalord, just curious whats the exact nature of your foot injury? Are u open to sharing. I m nt here to judge u or ridicule just wanna find out more.
Hi flakkgot,
I am open to sharing as long as it doesn't violate the OSA or land me in trouble. But i am talking medicine and my foot, so i guess it doesn't apply. I got this additional bone called the accessory navicular, sometimes they call it the OS naviculare in medical terms. Its located at the mid foot, inner side of the foot. In layman terms, its called the 2nd ankle bone. About 10-20% of the population has it, and is almost only through hereditary means. For most of the people who has it, as long as nothing happens, they may not even know they got this bone. Its aggravated through impact, twisting of foot, or anything along this line. Some people may even get issues with walking long distances. When the problem occurs, it becomes what we call symptomatic accessory navicular syndrome. However, most people do not develop this problem despite having the accessory bone. Most GPs and doctors cannot identify the accessory bone on a X-ray. I had countless done and none of them noticed the accessory bone. But typically orthopaedic surgeons can identify it in a matter of seconds. But anyone who has one better becareful. All the MO i met couldn't identify it.
People who have this accessory bone are usually flat foot, which further adds to the problem. 80% of the tendon (posterior tibial tendon) is usually attached to this accessory bone. So if the accessory bone is fragile or disturbed, every step the person takes is pulling that accessory bone away from the main navicular bone. This causes micro-motion. Its pain due to rubbing, therefore no anti-inflammatory drugs or steriods can kill pain of this nature. Drugs of morphine nature is needed. On further aggravation, the accessory bone can even be ripped off. Thats when it becomes a floating bone.
Usually resting is the first line of treatment, which includes immobilization or changing shoes with anti-inflammatory. However, when bone edema occurs (read bruising of bone) its abit too late le. Thats when an operation known as the kidner surgery or modified kidner surgery is needed. This operation removes the accessory bone, and pins the tendon attached to the accessory bone to the main navicular bone.
These are information that i read off the web, validated by the private orthopaedic specialist. I was amused when some orthopaedic specialists i met at public hospital doesn't know to the extent i read off web. For that reason i had to go private specialist to save myself. I reckon it would take years for them to figure the proper treatment and diagnosis had i not gone private. For people who do not read into this, to keep the explanation short, i typically tell them its a broken bone, in which it really is kinda broken, just held back by some fibre.
In the deferment application i wrote about this condition, and pleading his help in not aggravating this condition to the state that a surgery is necessary, backed by a specialist memo. He rejected the application, which made me so mad. Really hope retribution exists. I really don't know what to do when i see him. But i do know what my loved ones would want to do. Retribution retribution retribution... where are you...
There are more information regarding this condition i didn't really put, cos the information on the web is really extensive. However, if you have any query, feel free to ask me.
