Episode 3: Accessory Navicular in Kids: Causes, Symptoms & Treatment | Pediatric Foot & Ankle Podcast

Accessory navicular is an extra bone or piece of cartilage on the inner side of the foot, just above the arch, and it’s a common cause of foot pain in kids and teens. In this episode, Dr. Jarman and Dr. Baxter of Pediatric Foot & Ankle explain what accessory navicular is, what symptoms to look for, and how it’s treated, so parents know when a painful bump on the inside of their child’s foot needs attention.

In this episode, you’ll learn:

  • What an accessory navicular is and how common it is
  • Why accessory navicular pain often starts in active preteens and teens
  • Signs to watch for, such as a bony bump, redness, swelling, or pain with shoes and sports
  • When surgery for accessory navicular may be recommended

Quick answers

What is an accessory navicular?
An accessory navicular is an extra bone or cartilage located on the inner side of the foot near the arch. Many people have one and never feel symptoms.

What causes accessory navicular pain?
Pain often happens when the area is irritated by tight shoes, sports, or strain on the tendon that attaches near the extra bone.

How is accessory navicular treated in children?
Most kids improve with nonsurgical care such as rest, supportive shoes, orthotics, or a walking boot. Surgery may be considered if pain continues despite these treatments.

When should my child see a foot doctor?
If your child has ongoing pain, swelling, or a tender bump on the inside of the foot, a pediatric foot and ankle specialist can evaluate it.

Is your child dealing with foot pain? Schedule an appointment with Pediatric Foot & Ankle in Gilbert and Chandler, Arizona today.

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Children Under 8 Yrs old

Typically includes stretching, bracing, and physical therapy to support healthy gait development.

Children Over 8 Yrs old

May include a broader range of options, including surgical evaluation if conservative treatment hasn’t resolved the pattern.