Video introduction from Mr Paul Dearden, Consultant Surgeon:
Navicular Avulsion
Hello, I’m Dr. Dirden, an orthopaedic surgeon, and I regularly treat patients with injuries like yours. I’m here to guide you through the details of your injury, the treatment plan, and your recovery process.
You have sustained an avulsion fracture of the navicular bone. This occurs when a ligament pulls away a small piece of bone, and it is generally treated similarly to a sprain. You can see an example of this injury on your screen.
This is a common injury, and it typically takes about six weeks to heal. Pain and swelling are normal in the early stages and may persist for up to three months. During this time, you may need painkillers and anti-inflammatory medication, particularly in the first few weeks.
You can find further guidance on the initial management of your injury in Phase 1 of your rehabilitation plan. As for mobility, you can walk on your foot as pain allows. If you were provided with a walking boot, please note that it is not intended to promote healing, but to provide comfort. For detailed instructions on how to apply and remove the walking boot, please refer to the walker boot video.
You can return to driving once you are permanently out of your walking boot, provided you are able to comfortably perform an emergency stop and safely maneuver your vehicle. Similarly, you can return to work as soon as you feel comfortable doing so.
The walker boot is worn for minimum of 4 weeks.
Your recovery
These links will guide you through a number of rehabilitation exercises to help you recover from your injury. You will need to follow them in the correct order.
PHASE 1 (0 to 2 weeks) PHASE 2 (2 to 4 weeks) PHASE 3 (4 to 6 weeks) PHASE 4 (6 weeks onwards)