Sunday 22 November 2015

What To Do About Navicular Pain

By Mattie Knight


The navicular bone is a bone in the ankle or wrist that is shaped something like a boat. An accessory navicular bone is an extra bone that sometimes develops on the inside of the foot in front of the ankle or on the hand. It affects between two and 15 percent of the population and is genetic. It is a common cause of lameness in horses. In humans, it is normally asymptomatic. When symptoms do occur, one of them is navicular pain. Other symptoms include bunions, heel spurs and plantar fasciitis.

Doctors who specialize in disorders of the foot are called podiatrists. Some practitioners use the older term of podiatrist. In Australia, clinicians who specialize in problems of the foot may be called podiatric surgeons or physicians. In many European countries, the term is podologist or podologo.

The field of the podiatrist is not restricted to feet. They also train to care for structures in the leg. Current chiropodic curricula is broad. Courses may include physical rehabilitation, embryology, microbiology, genetics, sports medicine, histology and more in addition to basic anatomy and physiology.

Probably the commonest reason why someone would walk (or be carried) into a chiropodist's office is for a broken toe. This can be caused in a single catastrophic event like something being dropped on the foot, or it may happen over time with repeated insults to the same area of the toe. Podiatrists see a lot of construction workers, ballet dancers and people who just trip over their own feet. Other symptoms of a broken phelange are swelling, stiffness, bruising and difficulty walking.

Typically, a broken toe will mend within a few weeks. Immediate first aid procedures are to raise the foot, pack it with ice and instruct the patient to sit and rest. Being waited on like a prince or princess is small compensation for pain and loss of mobility.

There are less dramatic foot conditions, but they are no less painful or disabling. These include things like gout, athlete's foot, ingrown toenails and corns. When it comes to foot conditions, we are often our own worst enemy. Athlete's foot is caused by a fungus that thrives where groups of people walk around together in shallow, tepid water, like shower rooms and swimming pools. Ingrown toenails, which may sometimes need surgery, are the result of wearing shoes that are too tight a fit in the toe area.

For some reason, many of us take our feet for granted and don't give them the proper care and attention that they deserve. This may be because of embarrassment. At the other extreme are foot fetishists, who are lovingly obsessed with feet.

All you have to do is look at a painting by Toulouse Latrec to know that pain in the feet is revealed in the face. Facial expressions look tense and the eyes look a little sad. Wearing proper footwear and seeing the doctor at the first sign of trouble are the way to happy feet and happy faces.




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