The top in the foot has occasionally been named the “saddle” because it is thought to appear like the back of the horse the location where the saddle might be placed. There does exist a distinct disability or bump that could grow on the top of the foot, that is why this sometimes known as a Saddle Bone deformity. Medically this is whats called a dorsal metatarsal cuneiform exostosis. It can be overgrowth of certain bone which occurs on the top of the feet near the base of the 1st metatarsal bone along with the bone behind this. It is rarely ever referred to as a saddle bone deformity in the clinical literature. The bone tissue will become swollen due to jamming of the joints around the bottom of the 1st metatarsal bone and the bone tissue grows in response to this particular jamming with the too much motion of that metatarsal bone. It might appear to be like a hump on top of the mid-foot. This bigger bit of bone tissue can get painful due to pressure about the lump from the shoe, particularly if the shoelaces are done too firmly. This will likely end up being a specific issue in sports including snow skiing or ice skating because the boots which are used are quite rigid and will place a great deal of pressure around the bigger bone. The pressure could also cause a bursitis to form, which may become inflamed. If there are shooting type aches and pains connected to this then that could signify that a nerve might be irritated, or else the pain is often identified as a dull or maybe sharp in its characteristics. There could possibly be some inflammation over the area. The enlarged bone is not hard to observe on a x-ray. There may also be some osteoarthritis in the joints seen on the x-ray which may be adding to the pain. There are other conditions that may well act like the saddle bone deformity like a ganglion cyst or a tendon inflammation.
The best initial treatments for a saddle bone deformity is merely to keep away from closed in shoes wherever possible since that can mean that there is no pressure on it. Sometimes you can easily just remove the laces in the eyelets in the shoe above the part of the enlarged bone which may just be sufficient to have pressure away it for the swelling to improve. An additional way to get pressure off of the area would be to stick a pad beneath the tongue of the shoe above the bump. These types of pads are usually shaped like a donut having a gap at the center or perhaps a U form. Both of these are created to get pressure off of the painful spot. Adhesive felt padding works extremely well and stuck beneath the tongue of the shoe. When this is very effective, after that more long-lasting material for example korex may be used and stuck in place for a long time. In case the saddle bone deformity is especially irritated then a injection therapy and nonsteroidal anti-inflammatory medications are usually necessary for the short term to get alleviation. In the event that these kinds of approaches fail to work for a saddle bone deformity, there are surgical alternatives to excise the bone tissue and fuse the problem joint.