The top in the foot has at times been named the “saddle” because it is thought to look like the back of a horse the place that the saddle may be placed. You can find a certain problem or bump which could occur on top of the foot, so you see this occasionally called a Saddle Bone deformity. Scientifically this is known as the dorsal metatarsal cuneiform exostosis. This is a overgrowth of some bone that occurs on the top of the feet around the base of the 1st metatarsal bone and also the bone proximal to this. It is infrequently referred to as a saddle bone deformity within the healthcare literature. The bone tissue becomes enlarged due to jamming of the joints on the bottom of the first metatarsal bone and the bone tissue develops in response to this specific jamming due to excessive motion of this metatarsal. It will appear to be a hump over the top of the foot. The enlarged bit of bone tissue may be painful resulting from pressure about the lump from your shoe, especially if the shoelaces are done up snugly. This could possibly end up being a specific issue in sports activities like skiing or ice hockey because the footwear which are worn are very inflexible and can put a great deal of pressure about the bigger bone. All the pressure may result in a bursitis to develop, and this could become red-looking. If there are shooting type aches and pains connected to this then that may indicate that a nerve might be pinched, otherwise the pain sensation is generally referred to as a dull or sharp in its characteristics. There could be some inflammation on the area. The bigger bone is not hard to see on a x-ray. There may also be some arthritis in the joints seen on the x-ray that may be triggering the signs and symptoms. There are additional conditions that might imitate the saddle bone deformity such as a ganlionic cyst or a tendon irritation.

The best primary therapy for a saddle bone deformity is simply to stay clear of closed in footwear if you can , because that can suggest that there isn't any pressure on it. Sometimes you can just simply take away the shoelaces from the eyelets in the footwear on the area of the enlarged bone tissue which could be enough to have pressure off it for the signs and symptoms to get better. A different way to get pressure off the area would be to stick a pad underneath the tongue of the footwear over the lump. These types of pads might be in the shape of a donut with a pit in the center or a U shape. These two are intended to get pressure away from the uncomfortable spot. Adhesive felt can be used and stuck underneath the tongue of the shoe. If this is effective, after that more long-lasting material like korex can be used and fixed in position for the long term. If the saddle bone deformity is particularly irritated then a steroid injection therapy and nonsteroidal anti-inflammatory medications may be required temporarily to get relief. If these kinds of strategies are unsuccessful for a saddle bone deformity, you will find operative choices to excise the bone tissue and fuse the problem joint.