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    Hello,

    I have an accessory navicular (type II). I have been symptomatic off and on for 4 years. Currently, I have been diagnosed with posterior tibial tendon dysfunction, stage II. Recent MRI showed some damage to tendon, tear of 1 cm. Doctor is advising surgery which includes FDL tendon transfer, removal of accessory bone and evans flatfoot procedure. I am researching whether I have viable alternatives to surgery. I would like to try an articulated AFO with physical therapy per studies I have read on pttd. However, from the excerpts I have read of these studies it is not usually stated whether any of the patients had tendon tears and there is no mention of the added complication of accessory navicular syndrome. Any advice would be appreciated or recommendation of ortho doctor in central florida area who can help with this kind of treatment.
     
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