The top of the foot has every now and then been named the “saddle” since it is thought to appear like the back of the horse the spot that the saddle may be placed. There exists a certain problem or lump that might occur at the top of the foot, so you see this at times referred to as a Saddle Bone deformity. Technically this is whats called the dorsal metatarsal cuneiform exostosis. It is an overgrowth of some bone that develops at the top of the foot at the bottom of the first metatarsal as well as the bone at the rear of that. Its almost never referred to as a saddle bone deformity within the healthcare literature. The bone becomes bigger on account of jamming of the important joints around the bottom of the first metatarsal bone and the bone develops in response to that jamming with the too much motion of the 1st metatarsal. It could be seen as being a hump on top of the feet. The swollen piece of bone tissue can get uncomfortable as a consequence of pressure upon the lump from the shoe, especially if the shoelaces are tied too tightly. This will likely also be a specific issue in sports similar to snow skiing or ice hockey because the footwear which are worn are very rigid and might place a great deal of pressure around the bigger bone. This pressure could also cause a bursitis to develop, which can get swollen. In case there are radiating type pains connected with this then that could signify that a nerve might be irritated, otherwise the pain sensation is often described as a dull or perhaps sharp in its characteristics. There could possibly be some swelling on the area. The enlarged bone is simple to check out on a x-ray. There could also be some arthritis in the joints seen on the x-ray which may be adding to the signs and symptoms. There are additional problems that could imitate the saddle bone deformity like a ganlionic cyst or a tendon inflammation.
The best early therapy for a saddle bone deformity is only to stay away from closed in shoes wherever possible because that can indicate that there is no pressure on it. Occasionally you can just just get rid of the laces from the eyelets in the shoe over the section of the enlarged bone tissue and that could be more than enough to get pressure off it for the symptoms to improve. An additional way to get pressure from the area will be to adhere a pad under the tongue of the footwear above the area. These kinds of pads can be shaped like a doughnut having a pit in the center or a U design. These two are meant to get pressure away from the painful spot. Adhesive felt may be used and stuck beneath the tongue of the shoe. When this is beneficial, after that more permanent material like korex work extremely well and fixed in place for the long term. In case the saddle bone deformity is very inflamed then a shots and nonsteroidal anti-inflammatory drug treatments are usually necessary in the short term to get relief. In the event that these approaches are unsuccessful for a saddle bone deformity, there are operative options to remove the bone tissue along with stiffen the problem joint.