S/P Navicular Excision

Definition:
This procedure starts with a simple surgical excision. In this generally the accessory navicular along with its prominence is removed. In this procedure, skin incision is made dorsally to the prominence of accessory navicular. Bone is removed to the point where the medial foot has no bony prominence over the navicular, between the head of the talus and first cuneiform. Symptoms are relieved in 90% of cases.
Purchase 3 Phases

Symptoms
  • Point tender on navicular
  • Pain in the medial, plantar foot
  • Flat foot
Causes
  • Painful flat foot
  • Accessory navicular
  • Valgus stress injury
Treatment
  • Period of immobilization in a short leg cast x 4 weeks
  • Non-weight bearing x 4 weeks
  • Range of motion, both passive and active
  • Ankle stabilization exercises
  • Lower extremity strengthening
  • Gait program
S/P Navicular Excision Phase I

Purchase Phase

  • Knee Circuit
  • Straight Leg Raise
  • Quad Sets
  • Clams
  • Big Toe Curls
  • Standing Hip Extension
  • Standing Hip Abduction

S/P Navicular Excision Phase II

Purchase Phase

  • Slant Board Straight Knee
  • Tri Planar Knee To Wall
  • Sit On Feet
  • Windshield Wipers
  • Foot Ankle Prevention Program Yoga
  • Heel Raises
  • Step Overs
  • Bridge Marching
  • Single Leg Balance Mase
  • Gait II

S/P Navicular Excision Phase III

Purchase Phase

  • Heel Offs
  • German Dance
  • Heel Raises
  • Step Overs In Mase
  • T Band Walks In Mase
  • Tennis Ball Push
  • Jump Rope Routine
  • Toe Hops