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The Truth About Navicular Pain

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 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.

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.

One of the most common conditions that will drive an individual to visit the podiatrist is a broken toe. These tough little digits may fracture in response to a major catastrophic event like a crush injury, or a repeated insult over time. The waiting room will be filled with ballet dancers, athletes and construction workers. The symptoms of a fractured phalange include pain, bruising, stiffness, redness and swelling.

Most toe breaks heal within a month or two. First aid includes elevating the foot, put it on ice and abstain from putting any pressure on it. Make the most of it, this is your chance to be waited on hand and foot.

A broken toe is annoying, painful and can even be debilitating. Other, less serious, foot conditions include gout, ingrown toenails, corns or athlete's foot. Ingrowing toenails are a consequence of wearing shoes that are too tight in the toe area. Common sense and comfort are sacrificed for the sake of fashion. Ultimately, an ingrown toenail may be so deep and painful that surgery is required. Athlete's foot is characterized by a dry, red rash on the skin between the toes. This condition may be avoided by staying away from communal shower rooms and swimming pools, where feet congregate with shallow water.

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.

The truth is, when we have pain in the feet, it shows in our face. All the makeup in the world can't conceal the fact that our muscles tighten up and our eyes look sad. We can't always prevent foot pain but we can try and avoid it by wearing smart but sensible shoes and avoid going barefoot in communal spaces where there is shallow water. Happy feet make a happy face!




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