Choosing the Right Brace for Accessory Navicular Bone Growth - Orthopedics

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Hello, doctor.
I have an exostosis on my right foot.
When I visited the doctor after twisting my ankle, they mentioned that my ankle is a bit loose and suggested replacing my current brace (which is causing friction).
What type of brace should I choose to ensure sufficient protection for both exercise and daily walking?

Matcha, 10~19 year old female. Ask Date: 2023/06/17

Dr. Chen Yongxue reply Orthopedics


This depends on the perspective; please discuss it with your attending physician.

Reply Date: 2023/06/17

More Info


When it comes to choosing the right brace for an accessory navicular bone growth, especially after experiencing an ankle sprain, there are several factors to consider to ensure adequate support and comfort during both daily activities and sports.
First, it’s important to understand the nature of the accessory navicular bone. This is a small extra bone located on the inner side of the foot, just above the arch, which can sometimes cause pain or discomfort, particularly if it becomes inflamed or if there is associated tendonitis. The presence of this accessory bone can also affect the stability of the ankle joint, especially after an injury.


Types of Braces
1. Ankle Braces: For general support, a lace-up or elastic ankle brace can provide compression and stability. These braces are adjustable and can be tightened or loosened as needed, which is beneficial for accommodating swelling or discomfort. Look for a brace that offers good ankle support without restricting too much movement, as some mobility is necessary for functional activities.

2. Stirrup Braces: These braces are designed to provide more rigid support and are often used after an acute injury. They stabilize the ankle by preventing excessive inversion or eversion, which can be particularly helpful if you have experienced a sprain. Stirrup braces are typically bulkier but can be very effective in preventing further injury.

3. Custom Orthotics: If you have ongoing issues with your accessory navicular bone, consider consulting a podiatrist for custom orthotics. These can help redistribute pressure away from the accessory bone and provide additional arch support, which may alleviate discomfort during activities.

4. Walking Boots: If your doctor recommends more immobilization, a walking boot may be necessary. This is especially true if there is significant pain or instability. Walking boots provide a high level of support and can help in the healing process by limiting movement.


Features to Look For
- Comfort and Fit: Ensure that the brace fits well and does not cause any chafing or discomfort. Since you mentioned that your current brace is rubbing against your skin, look for options with padded interiors or those made from softer materials.

- Adjustability: A brace that allows for adjustability can be beneficial as it can accommodate changes in swelling or discomfort throughout the day.

- Breathability: Look for materials that allow for airflow to prevent excessive sweating and discomfort, especially if you plan to wear the brace for extended periods.

- Weight: A lightweight brace will be more comfortable for daily wear and during physical activities.


Consultation with a Specialist
Before making a decision, it’s advisable to consult with a healthcare professional, such as an orthopedic specialist or a physical therapist. They can assess your specific condition and recommend the most appropriate type of brace based on your activity level, the severity of your symptoms, and any other underlying issues.


Conclusion
Choosing the right brace for an accessory navicular bone growth involves considering the type of support you need, the comfort of the brace, and how it fits into your lifestyle. Whether you opt for a simple ankle brace, a more supportive stirrup brace, or custom orthotics, the goal is to provide adequate protection while allowing you to remain active. Always prioritize comfort and consult with a healthcare provider to ensure that your choice aligns with your recovery goals and activity levels.

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