Don’t Let Accessory Navicular Bone Pain Ruin Your Life! Quick And Easy Arch Pain Relief.

Quick answer: Dont Let Accessory Navicular Bone Pain Ruin Your Life Quick And Easy Arch Pain Relief has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The patterns we see most often are overuse, poorly-fitted shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.

★ DR. TOM BIERNACKI, DPM, FACFAS · BOARD-CERTIFIED PODIATRIST

Accessory Navicular Bone Pain: Quick Answer

Medically reviewed by Dr. Tom Biernacki, DPM

Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026

The accessory navicular is an extra small bone (or piece of cartilage) on the inside of the midfoot, present in about 10-15% of the population. Most are asymptomatic, but in some patients (especially active women in their 20s-40s, or after an ankle sprain), the accessory bone becomes irritated — causing pain, swelling, and a visible bony bump on the medial midfoot, often worsened by tight shoes or repetitive activity.

Conservative treatment ladder: (1) shoe pad over the prominence to reduce friction, (2) custom orthotic with medial arch support to offload the accessory bone, (3) short walking boot for 4-6 weeks if acute inflammation, (4) NSAIDs + ice. Most patients improve within 6-12 weeks. Surgical option: Kidner procedure — remove the accessory bone, advance the posterior tibial tendon to the navicular. 90% success rate. 6-8 weeks recovery.

Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy

Quick Answer

Don’t Let Accessory Navicular Bone Pain Ruin Your Life relates to arch concerns — typically caused by foot structure or fatigue. Most patients improve in 6-12 weeks with intervention with conservative care. Appointments in Howell + Bloomfield Township: (810) 206-1402.

Don’t Let Accessory Navicular Bone Pain Ruin Your Life! Quick And Easy Arch Pain Relief.

Don’t Let Accessory Navicular Bone Pain Ruin Your Life! Quick And Easy Arch Pain Relief.

🦶An accessory navicular bone can lead to severe inner foot pain or inside of the foot pain!🦶 This is also known as an os naviculare bone, accessory navicular syndrome and can be thought of as a fracture of the navicular bone. We go over the best accessory navicular syndrome treatment!
Full Video: https://youtu.be/HnHY9Cgn7jU 🦶

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DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.

At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Township office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.

Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Township is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.

Our podiatric team brings decades of combined clinical experience to every patient encounter. We stay current with the latest evidence in podiatric medicine and surgery, applying emerging treatments — including EPAT shockwave therapy, MLS laser, PRP injection, and minimally invasive surgical techniques — where the evidence supports their use for specific conditions. Michigan patients can trust that the treatment recommendations they receive at Balance Foot & Ankle reflect the current standard of care, not outdated approaches. Call (810) 206-1402 to schedule at our Howell or Bloomfield Township office.


Related Treatment Guides

Insurance questions are easy to address before you schedule — call Balance Foot & Ankle at (810) 206-1402 and our insurance team will verify your specific plan’s coverage for the services you need. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Priority Health, HAP, and Medicare and Medicare Advantage plans. Our verification process identifies your copay, deductible status, and any prior authorization requirements in advance, so you can make an informed scheduling decision. Both our Howell and Bloomfield Township locations offer convenient daytime and early morning appointment times to fit busy schedules.

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Dont Let Accessory Navicular Bone Pain Ruin Your Life Quick And Easy Arch Pain Relief 2 - Balance Foot & Ankle

When to See a Podiatrist

If morning heel pain has persisted more than 6 weeks, home care alone rarely fixes it. At Balance Foot & Ankle, we combine in-office ultrasound diagnostics, custom orthotics, and — when needed — shockwave or PRP to resolve plantar fasciitis that hasn’t responded to stretching and inserts. Most patients are walking pain-free within 4-8 weeks of starting a structured plan.

Call Balance Foot & Ankle: (810) 206-1402  ·  Book online  ·  Offices in Howell & Bloomfield Township

Pros & Cons of Conservative Care for foot care

Advantages

  • ✓ Conservative care first
  • ✓ Book online 24/7
  • ✓ Multiple insurance accepted

Considerations

  • ✗ Self-treatment can mask issues
  • ✗ See a podiatrist if pain >2 weeks

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In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your foot and ankle conditions, our podiatry team at Balance Foot & Ankle can help with expert evaluations and advanced in-office care.

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More questions patients ask

What is an accessory navicular bone and why does it cause arch pain?

An accessory navicular is an extra bone located on the inner side of the foot near the navicular, present in about 10% of people. It creates a prominent bony bump on the inner arch that can become painful from shoe pressure and abnormal mechanics. Balance Foot & Ankle diagnoses and treats accessory navicular pain at our Howell and Bloomfield Township offices. Call (810) 206-1402.

How is accessory navicular pain treated without surgery?

Conservative treatment includes custom orthotics to support the arch and reduce stress on the accessory bone, wide shoes without medial seam pressure, anti-inflammatory medications, immobilization in a boot for flare-ups, and physical therapy. Balance Foot & Ankle successfully manages most accessory navicular cases non-surgically.

When is surgery needed for accessory navicular bone pain?

Surgery (Kidner procedure) is considered when conservative treatment fails after 6–12 months. It involves removing the accessory bone and tightening the posterior tibial tendon. Balance Foot & Ankle at 4330 E Grand River, Howell and 43494 Woodward Ave #208, Bloomfield Township performs this procedure when non-surgical options are exhausted.

Is accessory navicular pain common in active people and athletes?

Yes — accessory navicular pain often flares during periods of increased activity, especially in adolescent athletes and runners. Increased repetitive stress irritates the fibrous junction between the accessory bone and the navicular. Balance Foot & Ankle treats athletes with accessory navicular pain and develops plans that allow return to sport.

How do custom orthotics help accessory navicular pain?

Custom orthotics redistribute pressure away from the painful accessory bone, support the arch to reduce strain on the posterior tibial tendon, and correct foot pronation that stresses the medial midfoot. Balance Foot & Ankle provides 3D-printed custom orthotics specifically contoured to offload the accessory navicular. Call (810) 206-1402.

Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.

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4330 E Grand River Ave
Howell, MI 48843
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43494 Woodward Ave #208
Bloomfield Township, MI 48302

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