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"Warning for Inner Ankle Bone Pain and Accessory Navicular Syndrome"... Director Hong-Joon Choi of Seoul Gunwoo Orthopedic Clinic Proposes Customized Treatment Based on 9,000 Surgical Cases

If the bone on the inside of your ankle is unusually prominent and you feel a sharp pain in that area every time you wear shoes or walk for a long time, you should strongly suspect Accessory Navicular Syndrome. The accessory navicular is an unnecessary bone located next to the navicular bone, which connects the ankle and the big toe. It is a congenital "accessory bone" found in about 10–14% of the population. While many people live without symptoms, inflammation and pain begin when the connection between the accessory navicular and the navicular bone separates due to increased activity during growth, ankle injuries, or continuous pressure from narrow shoes.

Seoul Gunwoo Orthopedic Clinic, located near Gangil Station in Gangdong-gu, Seoul, is a specialized foot and ankle medical institution that scientifically diagnoses Accessory Navicular Syndrome and provides customized treatments optimized for each patient's foot structure. Director Hong-Joon Choi is a Ph.D. in medicine from Korea University and a former researcher at the Harvard Medical School Foot and Ankle Research Institute. He is a veteran specialist in this field with a clinical record of performing over 9,000 foot and ankle surgeries. The real reason Accessory Navicular Syndrome is dangerous is not just because of the pain from the protruding bone. The posterior tibial tendon, a core tendon that supports the arch of the foot and acts as a pillar during walking, should originally be firmly attached to the navicular bone. However, in patients with an accessory navicular, this tendon is often incorrectly attached to the accessory bone.

This weakens the function of the posterior tibial tendon, leading to acquired flatfoot deformity where the arch of the foot gradually collapses. As the foot flattens, the fatigue level of the entire sole rises sharply, and gait imbalances can lead to the misalignment of the knees and pelvis. To prevent such a chain of problems, Seoul Gunwoo Orthopedic Clinic utilizes foot-specific CT and high-resolution ultrasound to precisely identify the location and degree of separation of the accessory navicular. The clinic also uses gait analysis systems and body type analysis equipment to measure flatfoot progression and physical balance data. Director Hong-Joon Choi performs step-by-step treatments based on the patient's condition using data from over 9,000 surgeries.

When pain is in the early stages or the deformity is not severe, activity adjustment is prioritized along with physical and manual therapy. Customized functional insoles are prescribed to protect the arch and reduce the burden on the foot. Additionally, extracorporeal shock wave therapy and cryotherapy (cold spray therapy) using sub-zero gas are combined to rapidly subside inflammation in the painful area. However, if symptoms recur despite conservative treatment or if flatfoot deformity accelerates, surgical treatment is performed to remove the problematic accessory navicular and firmly reattach the posterior tibial tendon to the navicular bone. Based on Harvard-level surgical techniques, Director Choi minimizes the incision range to drastically reduce post-operative scarring and pain, leading to a quick return to daily life for patients.

After surgery, patients can focus on recovery while receiving close care from a dedicated medical team in the clean, specialized ward of Seoul Gunwoo Orthopedic Clinic, which offers rooms ranging from private to four-person occupancy. In particular, the clinic's systematic rehabilitation exercise therapy program focuses on not only recovering the surgical site but also restoring the weakened muscle strength of the foot to regain a normal gait pattern. As a hub for foot and ankle care near Gangil Station, Seoul Gunwoo Orthopedic Clinic is dedicated to helping residents of Gangdong-gu, Hanam, and Misa break free from chronic pain caused by Accessory Navicular Syndrome and regain a healthy, light stride. We hope you fundamentally restore your precious foot health at Seoul Gunwoo Orthopedic Clinic, where Director Hong-Joon Choi's precise diagnosis and the know-how from over 9,000 surgeries are concentrated.

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