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The Truth 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.

Podiatrists also take care of the leg as well as the feet. Training in medical school to become a foot doctor is arduous and comprehensive. The curriculum embraces topics such as genetics, biomechanics, microbiology, physical rehabilitation, biochemistry, pharmacology, sports medicine, orthopedic surgery, and women's health in addition to basic anatomy and physiology.

One of the most common foot problems is a broken toe. This painful condition may be the result of having a heavy object dropped on it, by repetitive stress or in some sports. The latter instance is referred to as a stress fracture. How do you know when you have fractured a pedal digit? Well, it hurts. It may also be swollen, stiff, bruised and make it hard to walk.

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.

Generally, we don't seem to take our feet seriously and often overlook or neglect foot conditions. Often, this is because we are too embarrassed. We think they are too trivial and don't want to bother the doctor or look like a wimp or an idiot. This is, emotionally speaking, penny wise and pound foolish.

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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