The top of the foot has from time to time been referred to as the “saddle” as it is considered to resemble the back of a horse the location where the saddle could be placed. There is certainly a particular problem or bump that might grow on top of the feet, which is why this sometimes known as a Saddle Bone deformity. Medically this is what's called the dorsal metatarsal cuneiform exostosis. This is a over growing of some bone that develops on the top of the foot at the base of the first metatarsal bone as well as the bone at the rear of this. It truly is hardly ever known as the saddle bone deformity within the medical literature. The bone tissue becomes increased on account of jamming of the joints on the base of the first metatarsal bone and the bone tissue increases as a result of this particular jamming due to too much movement of the metatarsal. It may be seen as being a lump over the top of the mid-foot. This bigger piece of bone tissue may become painful as a consequence of pressure upon the bump from the footwear, particularly if the shoelaces are done too firmly. This will end up being a specific problem in sports activities like snow skiing or ice hockey because the footwear that are used may be inflexible and can place a lot of pressure around the enlarged bone. The pressure can also cause a bursitis to form, and this may become irritated. If there are shooting type discomfort associated with this then that may mean that a nerve might be pinched, otherwise the pain is generally identified as a dull or maybe sharp in its character. There might be a bit of swelling on the region. The bigger bone tissue is not hard to observe with a x-ray. There could also be some arthritis in the joints observed on x-ray that could be resulting in the signs and symptoms. There are more problems that might imitate the saddle bone deformity such as a ganglion cyst or a tendinitis.

The most effective initial therapy for a saddle bone deformity is just to stay clear of closed in shoes whenever you can because that could signify that there is no pressure on it. At times you can easily basically remove the laces from the eyelets in the footwear on the section of the enlarged bone and that may be sufficient to get pressure away from it for the signs and symptoms to improve. A different way to get pressure off of the lump would be to stick a pad under the tongue of the shoe over the bump. These pads may be in the shape of a doughnut having a hole in the middle or perhaps a U shape. These two types of pads are intended to get pressure off the uncomfortable bump. Adhesive felt pads can be used and stuck underneath the tongue of the shoe. If this is very effective, then a more permanent material like korex works extremely well and stuck in place for the long term. If the saddle bone deformity is very swollen then a corticosteriod injection therapy and nonsteroidal anti-inflammatory drug treatments are usually necessary temporarily to obtain alleviation. In the event that these steps don't work for a saddle bone deformity, there are operative alternatives to remove the bone as well as fuse the problem joint.