Sustainable treatment success of an Os naviculare syndrome using conservative measures, infiltration therapy, and shock waves.
Julian Ramin AndresenSebastian RadmerStephan E PuchnerPublished in: Journal of surgical case reports (2024)
Medial plantar foot pain can have various causes, and the painful Os tibiale externum should be considered in the differential diagnosis. A reliable diagnosis can be made through physical examination and multimodal imaging. We report on a 53-year-old man with severe, load-dependent pain consistent with an accessory navicular syndrome, caused by a pes planovalgus, which consecutively induced focal inflammation and tenosynovitis of the tibialis posterior tendon. Multifactorial conservative measures, including infiltration therapy, provided only moderate symptom relief. A final shockwave therapy ultimately led to a sustainable symptom relief.