What is the Cause of the Hard Bump on Top of the Foot & How to Treat It?

A hard bump on top of the foot is a condition that develops because of two common causes. You may think that one of them is a neuroma, but that’s not true. If the bump is extremely hard, then it can be a bone spur. And if it’s not that hard, the lump can be a cause of ganglion cyst.

So what we’re going to do in the article is discuss these two conditions along with their treatment options. But before we do that, it’s important to know that lump on top of the foot is nothing to worry about. Surgery is something that the podiatrist recommends only after exhausting the other solutions.

So let’s find out more!

Hard Bump on Top of the Foot

Bone Spur on Top of the Foot (Bony Lump on Top of the Foot)

Ever heard of metatarsal cuneiform exostosis or exostosis foot? It is considered to be the most common cause of bone spur. This hard bump on top of the foot forms between the medial cuneiform and first metatarsal bones.

When these bones are subjected to excessive pressure, they give rise to a bone spur. And it can cause severe pain and discomfort in the foot.

What is a Bone Spur?

Now let’s discuss the treatment options to eliminate not only the pain but also the condition.

Treatment of Bone Spur on Top of Foot

  • When struck down by a bone spur, it’s necessary to wear the right kind of footwear. And for this condition, you need deeper shoes. Many shoe manufacturing brands offer such designs. In fact, they create running, walking, and work shoes for all types of foot ailments.
  • The use of orthotics also goes a long way in healing the condition quickly. What they do is prevent the bones from rubbing against each other or jamming together. Orthotics are also responsible for providing the much-needed arch support. It’s important to keep your foot from falling flat or collapsing. And with proper arch support, you can achieve that.
  • You need to make sure that there is no pressure falling on the bump. And using foot pads is an excellent way of keeping the pressure off. They stick to the skin and do a great job at relieving pressure. And the best part about foot pads is that they’re reusable.
  • ​Another effective treatment method is a steroid injection. The doctor will give you a cortisone injection in the inflamed region to heal the condition quickly.
  • The last option to consider is surgery. If nothing else seems to work, then removing the bone spur is the only way of getting rid of the ailment.

Ganglion Cyst (Soft Lump on Top of Foot)

Many of us consider ganglion cysts to be tumors, which means harmful by nature. While it’s true that they are tumors, they are completely benign and harmless. Ganglion cysts form above the joint or inside fibrous tissues that cover the tendon.

These cysts have a round shape and can be either firm or squishy to touch. The condition gives rise to a lot of irritation, even more than pain. And the fluid that it contains within is called the synovial fluid.

Treatment of Ganglion Cyst

Conservative treatment should always be the go-to solution when it comes to treating foot ailments. Surgery is something that you need to consider only when all else fails. And you will be glad to know that ganglion cysts heal by themselves. This means you don’t need to treat them to make them disappear.

In most cases, the hard bump on top of the foot is harmless. But sometimes that is not the case. So at such times, there’s a procedure called aspiration that might help (ganglion cyst removal). This requires the doctor to place a needle inside the cyst to drain out the synovial fluid.

After performing aspiration, you receive a steroid injection. This helps in dealing with inflammation. The injection is also responsible for preventing the cyst from developing again.

Draining and Removing a Huge Ganglion Cyst with Aspiration

If the cyst comes back, you have no other option but to undergo ganglion surgery. But this is something that happens very rarely. So the chances of the cyst growing back again are pretty slim.


So now you know what the hard bump on top of the foot is, right? It can either be a ganglion cyst or bone spur. And it’s important that you visit a doctor or podiatrist to know more about the condition. It can prove to be extremely painful if not treated immediately.

Even if no treatment is required, discussing the condition with your doctor won’t hurt. It’s better to be safe than sorry, right? The thing about foot ailments is that they tend to make walking and standing a painful experience. And we don’t want that when work and life keeps us on our toes, quite literally.

We hope the article helped in understanding the causes and treatment of such a condition. If there’s anything that you think we failed to discuss, please let us know.

Have you ever had to struggle with a bony lump on top of the foot? How did you treat the condition?

You can leave your comments in the section below.


1. https://www.footankle.com/other-foot-problems/bumps-on-top-of-the-foot/

2. http://www.tanglewoodfootspecialists.com/faqs/why-do-i-have-a-bump-on-top-of-my-foot.cfm

3. http://www.simple-remedies.com/home-remedies/bone-spurs/bone-spur-top-of-foot-causes.html

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