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Accessory Navicular Syndrome Physiotherapy Singapore

Accessory navicular syndrome causes pain on the inner side of the foot due to an extra bone and tendon irritation. At ACE Physio Sports Singapore, expert physiotherapy helps relieve pain, improve foot mechanics, and prevent recurrence.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 29 May 2026
Accessory Navicular Syndrome Physiotherapy Singapore

What is accessory navicular syndrome?

Accessory navicular syndrome occurs when an extra bone or cartilage develops next to the navicular bone on the inner side of the foot and becomes painful.

This extra bone sits within the posterior tibial tendon, which plays a key role in supporting your foot arch. When irritated, it can lead to pain, swelling, and difficulty walking or wearing shoes.

If you are looking for foot pain physiotherapy in Singapore, ACE Physio Sports provides targeted treatment to relieve symptoms and restore normal function.

Causes of accessory navicular syndrome

Many people are born with an accessory navicular, but symptoms develop when the area becomes irritated.

Common causes include:

  • Flat feet or poor foot mechanics
  • Overuse from running or jumping
  • Trauma or direct injury to the foot
  • Wearing tight or unsupportive footwear
  • Increased activity levels without proper conditioning

These factors increase strain on the posterior tibial tendon, leading to pain and inflammation.

Symptoms (what people actually feel)

Symptoms can develop gradually or suddenly depending on the cause.

You may experience:

  • Pain on the inner side of the foot
  • Pain when walking or running
  • Swelling or redness over the arch area
  • Tenderness when pressing the inner foot
  • Difficulty wearing shoes due to pressure
  • Foot feels weak or unstable
  • Flattening of the arch over time

Common search-type experiences:

  • “Pain inside foot when walking”
  • “Bump on inner foot painful in shoes”
  • “Foot arch pain after running”
  • “Cannot wear shoes due to inner foot pain”

What should I do?

Early management helps prevent worsening of symptoms.

✔ Rest from aggravating activities ✔ Apply ice for 15–20 minutes every 1–2 hours ✔ Wear supportive footwear ✔ Seek physiotherapy assessment early

For expert care, visit: 👉 https://acephysiosport.com

What shouldn’t I do?

Avoid these common mistakes:

✖ Continuing running or high-impact activity ✖ Wearing tight or unsupportive shoes ✖ Ignoring persistent foot pain ✖ Delaying treatment

These can worsen symptoms and prolong recovery.

Physiotherapy treatment for accessory navicular syndrome

At ACE Physio Sports near East Coast Road, treatment focuses on reducing pain and correcting foot mechanics.

Your rehab may include:

Pain relief & support

  • Ice therapy and load management
  • Taping or strapping techniques
  • Footwear advice

Improve flexibility & movement

  • Stretching of the posterior tibial tendon
  • Ankle and foot mobility exercises

Strength & stability

  • Foot intrinsic muscle strengthening
  • Arch support training
  • Balance and control exercises

Long-term prevention

  • Orthotics if required
  • Gait and movement correction
  • Activity modification guidance

We aim to fix the root cause, not just relieve symptoms.

Recovery and long-term effects

With proper physiotherapy:

  • Most cases improve within weeks
  • Pain reduces with correct load management
  • Normal walking and activity return

However, without proper care, you may experience:

  • Recurring foot pain
  • Progressive flat foot
  • Chronic tendon irritation

In rare cases where symptoms persist, surgery may be considered to remove the extra bone.

Why choose ACE Physio Sports

At ACE Physio Sports Singapore, we specialise in foot and ankle conditions and sports injuries.

✔ Accurate diagnosis of foot pain causes ✔ Personalised treatment plans ✔ Sports and running injury expertise ✔ Convenient location near East Coast Road ✔ Focus on long-term prevention

If you are searching for inner foot pain treatment in Singapore, our team is ready to help.

Learn more here: 👉 https://acephysiosport.com

Book Appointment

Don’t ignore foot pain that affects your walking or daily activity.

📞 Call: +65 81535374 🌐 Book Online: 👉 https://acephysiosport.com

Get expert physiotherapy in Singapore and walk pain-free again.

Frequently Asked Questions

Why does my foot hurt most in the morning or when I first start walking?

First-step pain is a classic feature of many foot and ankle conditions, including Accessory Navicular Syndrome. It occurs when irritated structures are suddenly loaded after a period of rest. Physiotherapy addresses the underlying cause and provides strategies to reduce this painful cycle.

Can I keep walking or exercising with Accessory Navicular Syndrome?

In most cases, complete rest is counterproductive. Low-impact activity and physiotherapy-guided exercises maintain fitness while allowing healing. Your therapist will advise which activities are safe and how to progress load gradually through each stage of recovery.

How long does Accessory Navicular Syndrome usually take to resolve with physiotherapy?

Recovery typically takes 6–12 weeks, though chronic cases may take longer. Physiotherapy accelerates healing through load management, manual therapy, and progressive strengthening of the foot and ankle musculature.

Ready to start your recovery?

Our specialist physiotherapists are here to help. Book a consultation today.

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