The top part of the foot has sometimes been named the “saddle” as it is considered to appear like the back of the horse the location where the saddle could go. There exists a specific disability or bump which may occur on the top of the feet, that is why this occasionally termed a Saddle Bone deformity. Medically this is whats called the dorsal metatarsal cuneiform exostosis. It is an over growing of certain bone that occurs on the top of the foot near the base of the 1st metatarsal and the bone behind that. It is rarely ever termed as a saddle bone deformity within the healthcare literature. The bone becomes swollen due to jamming of the joints on the bottom of the first metatarsal bone and the bone tissue grows in response to that jamming due to the increased movements of the first metatarsal. It might appear as a lump over the top of the feet. This swollen bit of bone tissue can get uncomfortable caused by pressure on the lump from your shoe, especially if the laces are tied up tightly. This could possibly additionally be a unique condition in sports activities similar to skiing or ice hockey because the boots that are used can be rigid and might put a large amount of pressure to the enlarged bone tissue. The pressure also can cause a bursitis to develop, and this may be painful. If there are shooting type aches and pains associated with this then that may suggest that a nerve might be irritated, or else the pain is often identified as a dull or perhaps sharp in its character. There may be a bit of swelling on the region. The bigger bone is straightforward to view with a x-ray. There could also be some osteoarthritis in the joints observed on the x-ray that could be increasing the pain. There are additional conditions that will act like a saddle bone deformity such as a ganglion cyst or a tendon irritation.

The best early therapy for a saddle bone deformity is simply to keep away from closed in shoes as much as possible since that can indicate that there isn’t any pressure on the bone. At times you can just only get rid of the shoelaces from the eyelets in the shoe on the part of the swollen bone tissue which may just be ample to get pressure away it for the symptoms to improve. A different way to get pressure off the lump would be to stick a pad underneath the tongue of the footwear above the bump. These types of pads are usually shaped like a donut having a pit in the center or a U shape. These two types of pads are created to get pressure off of the painful location. Adhesive felt padding can be used and stuck underneath the tongue of the footwear. When this is very effective, then a more long-term material like poron work extremely well and glued in place for the long term. In the event the saddle bone deformity is very swollen then a corticosteriod injection therapy and nonsteroidal anti-inflammatory drug treatments may be required in the short term to get alleviation. If these steps do not work for a saddle bone deformity, you can find surgical alternatives to excise the bone along with fuse the joint.


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