By nature of being more weightless in the water, athletes can begin walking and doing functional activities earlier in the rehab process. ![]() In cases like this, aquatic therapyis integral to the rehab plan. That said, it is strongly advised that the athlete use an assistive device of some kind until gait is normal. Whether or not the athlete uses a boot or crutches is largely determined by the physician. Once the weight-bearing restrictions are lifted, progressive weight-bearing will commence. Hip weakness or maybe even a leg length discrepancy may have put him at risk for the stress fracture, so these are just two other areas that will need to be addressed. First, a thorough physical assessment is needed to determine any impairments in the foot, ankle, or elsewhere that may have contributed to the injury. Like many injuries, rehabilitation is a complex process. Physical Therapy and Rehab for Navicular Stress Fractures This is only one study, but the results are promising for Mr. At seven-year follow up, six of eight were still playing with no symptoms, and one other had some discomfort only. Jacob and Paterson (Indian J Orthop, 2013) found that in a small sample of nine athletes found that 7 of 9 returned to their sport at an average of 5 months post-op. However, this is largely determined by the operating physician so it’s difficult to predict and is dealt with on a case-by-base basis. If surgery is indicated, there is usually a brief period of non-weight bearing, then progressive weight bearing in a boot and crutches. What’s the post-operative plan look like?įirst, non-operative treatment is usually 6 weeks of limited or no weight-bearing, then the athlete is re-evaluated for healing as well as function. This is much different than fixing a knee or a shoulder. The problem is that if the bone requires surgery, there isn’t much room to work with. So, it is obvious that the navicular, while a small bone, is vital to foot function. Therefore, lack of movement will cause injury because of inability to absorb shock, and too much mobility will cause injury due to lack of support. When we walk, run, or jump, much of the loading at the foot takes place at this joint. The joint between the talus, calcaneus, and navicular (Talocalcaneonavicular joint ) is critical to foot function because joints that move distal to it (closer to the toes) move in response to and as compensation for movement or lack thereof in the talus and calcaneus. The bone really doesn’t move much and articulates with the calcaneus (“heel bone”) and cuboid bones too. The navicular is a bone that articulates with the talus (“ankle bone”). ![]() Hopefully, this post will help explain it a bit. You can have confidence that the sports physical therapists at SSOR are your first choice for helping you get back from these injuries. We’ve seen a few of these at SSOR and have expertise in how to treat them. ![]() ![]() Some studies show that conservative treatment is a better option, and one study showed that regardless of operative or non-operative treatment, a 4-month recovery is expected. These are even tricky to diagnose as only 33% are visible on X-ray initially (de Clerrq et al, Acta Orthop Belg 2008). Navicular injuries in the foot are tough to come back from and there is a host of former NBA athletes who have dealt with them. First he has a stress fracture in his back, now he has a navicular stress fracture in his foot that required surgery. Poor Joel Embiid! The former KU hoops star has had some bad luck recently.
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