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navicular stress fracture

Navicular stress fracture

I had struggled with a stress fracture to my navicular for 18 months. I had been in and out of plaster but no further treatment was given. Mark was recommended to me by a physio I knew, after an initial consultation he made it clear that it was very unlikely the bone was not going to heal on its own.

After looking at the scan in a follow up appointment he suggested the best course of action would be to operate on my foot. I did not have to wait long for the operation. The care provided throughout was excellent and the treatment and advise from Mark was second to none. What I was most impressed with was the understanding from Mark that time was of the essence and that not been able to play rugby was not good enough. Overall I was very pleased with the whole process and I was back playing rugby as Mark had predicted the following season.

Thanks, Jack Baxter

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Navicular stress fractures can be difficult to diagnose. Pain from the navicular can be confused with ankle joint symptoms.

A careful consultation and examination coupled with a high index of suspicion of a navicular problem is often needed to make a diagnosis. Good quality imaging is essential. Simple xrays may not demonstrate a navicular problem. An MRI scan is often necessary. We are lucky to have the expertise of Yorkshire Radiology in his regard.

The blood supply to the navicular means that there is a vulnerable zone where stress responses and stress fractures are more likely to occur. Repetitive impact loading is relevant. Distance running and impact loading sports such as fast bowling can contribute to these problems.

Conservative treatment can sometimes be sufficient, but more often surgical fixation is required to resolve pain and allow a return to function.