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The Truth About Navicular Pain

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By Mattie Knight


There is bone in both the wrist and the ankle that has the shape of a boat. This is called a navicular bone. Approximately two to 15 percent of the general population have an extra one of these bones; it is called an accessory bone. It may also be present in horses, where it can cause lameness. While the accessory bone generally does not produce symptoms in humans, when there is something wrong with it, it can cause navicular pain. Apart from pain, the accessory bone may cause plantar fasciitis, heel spurs and bunions.

Doctors who specialize in diseases and other conditions in the foot are known as podiatrists. An older name for them is chiropodist and some practitioners still refer to themselves by this term. In Australia, they may be called podiatric physicians or podiatric surgeons, while in non English-speaking countries in Europe, they may go by the name of podologo or podologist.

In addition to feet and ankles, the wheelhouse of the podiatrist includes structures of the leg. Training for the profession includes more than a dozen topics. These include anatomy, physiology, embryology, histology, microbiology, physical rehabilitation, sports medicine, genetics and more.

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.

With proper rest and attention, broken toes generally heal quickly, within five or six weeks. Care involves keeping the leg elevated, applying icy compresses and sitting quietly watching junk television. This is a good time to enjoy being waited on hand and foot and get away with it so make the most of it. Your friends and families will develop super-human memories and expect the same treatment in similar circumstances.

Less serious than a broken toe but no less irritating, or even debilitating, are conditions like corns, athlete's foot, ingrown toenails or gout. Athlete's foot starts out with an irritating red rash between the toes and is the result of a fungal infection. An ingrown toenail develops when the top side of the toenail grows into the skin. Left untreated, they can grow deeply into the tissue and require surgical intervention. One way to avoid them altogether is to not cram your toes into shows that are too narrow to accommodate the human foot.

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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