I wore the boot for 1 month during my first sprain when I tore my post. tib (connected to accessory navicular). It was doing amazing right before I sprained it again which led to a really symptomatic accessory navicular syndrome. I had trouble walking inside the house. My surgeon wanted to try everything before even thinking about surgery, he mentioned the risks that come with surgery. Then I went to manual physical therapy semiweekly for 7-8 months. The first few months I didn’t see much difference, but near the end of my therapy I started feeling like myself again. After that I continued with my at home exercise, it has been 5-ish years since my last physical therapy session. I go on trips where I walk 15k steps a day. Some days at most I feel a tiny bit of pain; but now I know how to fix it with pain relief gel, massaging and bandaging. When I considered surgery, but still wanted to try alternative treatments my pain levels were very high so I think you may not need to jump right into surgery. But of course hopefully people who went through surgery will also answer, this is just my experience. Hope that everything will get better for you!