Navicular Stress Fracture

Anyone encounter one of these? I’ve had a little swelling and mild pain in the vicinity of the “N” area. At first, I thought it was do to my laces being too tight on my running shoes, but I kept loosening them up and the feeling would persist. This started about 2 months ago, went away for about a month and has just returned within the last two weeks.

I completed 7 miles on Wed, ached a bit during the run, but never went away during the day. That night there was a noticeable lump right where my shoe laces would have been tied.

I’ve got 15 miles tomorrow in prep for a late Feb marathon. Any thoughts?

Did you get an x-ray? It used to be common to treat these with a below the knee walking cast when I was working my way thru chiro college on weekends as an orthopaedic technition in a hospital. Not sure what they’re doing with them these days.

No xray yet, hoping to take a few days off and see what happens. Did a little bit of reaearch on the net and there are definitely some similarities between what I read and what it feels and looks like. I probably shouldn’t have done that! I guess a majority of the time it won’t show on an xray, only a CT scan or bone scan. I’m trying to stay away from the dreaded “Boot”…

Here’s a good article that might be helpful:

http://www.aafp.org/afp/20030101/85.html

There is also something called “navicular syndrome” where there is pain but no facture present. I’ve treated this in my office by using a chiropractic techniqe to adjust (manipulate) the navicular bone. This along with ultra sound and custom orthotics has made a difference in some of the cases I’ve seen.

If you think it’s a sfx, don’t do the run. DON’T DON’T DON’T you’ll fracture if further.

Feeling your pain… literally…

nel34 - I almost never see these on plain film X-rays. Gold std is MRI, but a triphasic technetium bone scan is quite sensitive as well. If for whatever reason you think you have a navicular stress fx, you must not run on it. These are quite a bear to get to heal and are generally treated with a below the knee, non-weightbearing cast - sorry. I’d get it checked out. You might also want to google: insertional PT tendonitis or accessory navicular to see if this fits better (but get professional help anyway). Stress fx of the navicular is usually not palpable as you mentioned, but an accessory bone that has pulled off into the PT tendon is.

Good luck