Navicular stress Flashcards
1
Q
What are some subjective findings
A
-insidious onset of pain, few weeks or months
-Dull ache localised to the navicular may occur when walking or performing high intense activity
2
Q
What are some clinical findings
A
-Tenderness at N spot of navicular
-Hopping, standing of tip toes may elicit pain
-Pes cavus foot type or short 1st/long 2nd met
3
Q
Radiology
A
-X-ray usually inconclusive
-MRI best imaging
4
Q
DDx
A
-Post tib tendinopathy
-Accessory navicular bone
-Tear of the plantar calcaneal navicular assessment
5
Q
Non surgical management
A
-Offloading, 6 weeks NWB
-Partial loading, 3 weeks
-Gradual return to activity
6
Q
Long term management
A
-Nutrition
-Orthotics
-Footwear
-Education
