The Truth About Navicular Pain

By Mattie Knight


Shaped a bit like a boat, navicular bones are located in the wrists and feet. Between two and 15 percent of people are born with an extra navicular bone called the accessory. Horses are prone to accessory bones, and often become lame as a result. Many humans can carry these extra bones and not notice them. Others, unfortunately, experience navicular pain, heel spurs, bunions and plantar fasciitis.

Foot specialists in the medical world are known as podiatrists. Older practitioners may call themselves chiropodists. In European countries where English is not the first language, doctors who specialize in problems with the foot are called podologists or podologos. Down Under, in Australia, they are known as podiatric physicians or podiatric surgeons.

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.

Typically, a broken toe will mend within a few weeks. Immediate first aid procedures are to raise the foot, pack it with ice and instruct the patient to sit and rest. Being waited on like a prince or princess is small compensation for pain and loss of mobility.

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.

Feet smell and look funny and we often take them for granted. We are embarrassed about going to the doctor about them and will suffer tremendously in silence. This is false emotional economy, because we will feel foolish about neglecting the problem for so long.

Pain in the foot shows up in the face, no matter what we do. Many of the facial expressions on people in paintings by Toulouse Latrec look like they belong to people with painful fet. It is the kind of pain that cannot be masked by makeup. For a happy face, make sure you have happy feet!




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