29/05/2026
👣 Accessory Navicular Pain – Will Shockwave Help?
If you (or your child) have pain on the inside of the foot, especially with flat feet, an accessory navicular could be the cause. This small extra bone can place extra strain on the tibialis posterior tendon, leading to ongoing discomfort.
💥 What about shockwave therapy?
Shockwave can be helpful in some cases—but it’s not always the first step.
✅ It may help if:
• Pain has been ongoing for months
• The tendon is irritated (tendinopathy)
• Other treatments haven’t fully resolved symptoms
⚠️ It’s less effective if:
• The area is very inflamed or acute
• The bone itself is the main source of irritation
• Foot mechanics aren’t being supported
👟 Best approach?
We usually start with:
• Supportive footwear
• Custom orthotics (to reduce strain)
• Strengthening exercises (especially tibialis posterior)
👉 Then consider shockwave as an adjunct treatment, not a standalone fix.
📍 Every foot is different—assessment is key to getting the right treatment plan.
If you’re dealing with inner foot pain, feel free to reach out or book an assessment 👇
📞 08 9417 9727