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Hi, I currently have a 13 year old with excessively flat, hypermobile feet and very painful bilateral navicular bones. An xray last week has shown bilateral os tibiale externum with diameter of approx 13mm. There is increased vascularity as a result of nonspecific inflammatory change/stress reaction. He is very active and plays football at fairly high levels for his age. Other threads i have read indicate people have issued softer formthotics etc. He is currently in interpods with very good supportive sneakers however is still getting a lot of pain. Wondering what other people have tried, i guess i was originally trying to control the excessive pronation but now dont want to irritate the navicular. Im not sure how he would go in a boot but if he has to he has to whilst the inflammation settles. Thanks in advance

 

You really going to need to provide a lot more info for advice. Eg where is STJ axis? supination resistance? etc
What is the cause of the pain? Shoe pressure?

 

thanks Craig and thanks for taking the time to reply
Supination resistance is reasonably low
Pain is currently around the navicular bone but most likely due to shoe pressure
He had found the interpod semi rigid insoles great for previous heel pain
I have spoken to him and we are going to look at using some off loading padding to initially settle the inflammation

 

Rebecca aka Asher discussed an extended D filler a few years ago. Have used it since great orthotics add on. Using a softer material add a norma D filler but keep extra material that extends 2-4 cm past the medial edge of the device. You can the mark the contact point and grind out material for the Navicular. The extra material " wraps" around the medial aspect of the foot . Great for patients with lots of Navicular Drift.