It is recommended to gradually increase training by no more than 10-15 percent each week to allow for adequate recovery. Consuming adequate calcium and vitamin D have also been shown to decrease the risk of stress fractures. Also, for fractures that heal poorly surgery is often needed.įor all stress fractures and general bone health, nutrition and eating enough calories for the demands of sport is very important. Sometimes even with appropriate treatment, these fractures do not heal because of poor blood supply and surgery is needed. If the pain is persistent, the period of time in a cast and non-weight bearing is extended. For less severe fractures, if pain is resolved at that time, a graded return to activities starting with physical therapy is begun. Initial treatment for the majority of these fractures is in a cast and non-weight bearing for 6 weeks. Treatment of tarsal navicular stress fractures is determined by the severity and location of your injury. MRI is particularly helpful at seeing early signs of bone injury, even if a full fracture has not occurred. These can help better determine the severity of the injury and what type of treatment is needed. Advanced imaging is often needed, such as magnetic resonance imaging (MRI) or computed tomography scans (CT scan). ![]() Your doctor will likely obtain an x-ray, though these are often normal. In approximately 80 percent of people with a tarsal navicular fracture, there will be tenderness of the tarsal navicular bone. Your doctor will exam your foot to look for bruising or swelling, evaluate the movement of your foot, and determine areas of tenderness. Your doctor initially will ask you questions regarding the pain you are feeling, such as where you have pain, how long it has been hurting and what activities make it better or worse. Tenderness when pushing on the navicular bone.It can progress to pain with low-intensity activities, such as walking and eventually steady pain, even at rest. Frequently, patients will initially have pain only after high-intensity activities like running or jumping. Pain with walking, running or jumping.Mild swelling or bruising to the foot, though often not seen.Vague pain to the middle or top of the foot and in the arch of the foot.Atypical foot structure, such as high arches.Change in equipment, such as different shoes or training surface.Increased frequency, volume or intensity of sport training.This usually is seen as slowly increasing pain over time, initially with infrequent pain with activity and progressing to constant pain. A stress fracture ranges from bone swelling to a full break that develops from repeated pressure on the bone rather than one large force. If there is increased stress or inadequate recovery, a fracture can develop. The tarsal navicular bone also has certain areas with decreased blood flow, making it a risk for injury and poor healing. Fractures in this bone may happen from injury or overuse. It can be easily injured from physical activities like running and jumping because of where it is located. This bone is located on inside part of the foot along the arch and helps support the arch of the foot. The foot is made up of several small bones, including the tarsal navicular bone.
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