Bump Or Lump On Side Of Foot: Causes & Best Treatment 2020!

Bump Or Lump On Side Of Foot: The Most common cause of a bump on the middle side of your foot are a bunionette & the 5th metatarsal styloid process.

 

Overview:

Near the outside front of your foot, the causes of bumps are most commonly along the 5th toe, the 5th metatarsal and the 5th metatarsal styloid process.

Near the outside ankle, the bump is most likely the head of your fibula.

 

 

Outside of the foot pain

The most common cause of lumps or bumps on the outside of your foot are your 5th toe and the 5th metatarsal styloid process. If these bones become injured, swollen or inflammed, this can cause swelling! Very rarely is it a dangerous tumor!

 

Causes Of Outside Of The Foot Lump or Bumps:

 

The outside of the foot is called the rigid lever. This is because it is mostly rigid bone.

  • This makes it very likely to have bumps or lumps.
  • The most common causes are the 5th metatarsal.
  • This is a bone with two ends that can become prominent in the outside of the foot.

 

Pinky toe and 5th toe pain
The 5th toe is a very vulnerable toe because it is the smallest toe on your foot! It can very easily get pinched in your shoe all day long, this can lead to numbness burning and swelling.

 

Specific Causes:

  • 5th toe can be swollen.
  • 5th toe tailor’s bunion.
  • The 5th metatarsal styloid process is in the middle outside of your foot.
  • The ankle is due to the head of the fibula.

 

 

Bump At The 5th metatarsal head:

 

 

A foot bump at the outside front of the foot is usually a bunionette.

 

 

 

  • This is also known as a tailor’s bunion.
  • This is exactly like a normal bunion, but occurs at the 5th toe, not the big toe.
  • The causes & treatments are almost identical to the big toe bunion.
  • The pain can be controlled long term with home treatment.
  • It may be a good idea to get a pair of shoes wider in the front.
  • But the only way to remove the pain permanently is to eventually get surgery.

 

Symptoms of a Bump at the front outside of the foot:

 

  • Swelling, redness and pain.
  • Numbness, burning or tingling of the little toe.
  • This numbness is due to nerve compression against the shoe.
  • This can lead to pain against the edge of the shoe.
  • Pain is better when you take your shoes off.

 

The 5th metatarsal Styloid Process (Bump on middle outside of foot):

5th metatarsal styloid process pain
The 5th metatarsal styloid process is usually experienced as pain in the middle outside of your foot. This can cause rubbing against the side of your shoe. Don’t worry this is not a cancerous tumor!

 

A foot bump on the middle outside of the foot is the styloid process.

 

  • If it is painful, this is known as a Jones fracture.
  • This can present as a bump on the middle outside of the foot.

 

  • If it is just a large bump, this is absolutely normal and nothing to worry about.
  • If it is excessively large, you may have an extra bone called an os vesalanium.
  • It is also possible to have a very high arched foot.
  • If you have a very high arch, this is called cavus foot and the styloid process is very prominent.

 

 

Symptoms of a Bump on the middle or front outside of the foot:

  • Swelling, redness and pain.
  • Numbness, burning or tingling of the little toe.
  • This numbness is due to nerve compression against the shoe.
  • This can lead to pain against the edge of the shoe.
  • Pain is better when you take your shoes off.

 

If you have a Jones fracture, of injury to the outside of your foot consider the following options:

 

Outside of the Ankle Bump or Lump:

 

Ankle sprains happen when you roll your foot in:

 

 

 

 

 

 

Good luck with your Bump Or Lump On Side Of Foot!

If you are having pain with a bump on the middle side of your foot: Consider styloid process pain.

 

 

 

Treatment of A Bump Or Lump On The Side Of Foot:

 

  • Most bumps or lumps on the side of the foot do not need to be treatment.

 

  • The majority of the time these masses are not tumors but normal part of your anatomy.

 

  • The most common times we see people come to our office concerned about a tumor or a strange bump, it is simply a normal part of anatomy that looks a little bit bigger on their foot.

 

  • The most common lumps and bumps I see are the 5th metatarsal and the side of the ankle.

 

Best Podiatrist Recommended Shoes

 

Home Treatment Options if Bumps are Painful:

The key is to stop your foot from twisting out and rubbing against the side of your shoe.

 

Shoes for pinky toe sprain and fracture pain
A good pair of shoes and orthotics are the key! Notice the mesh on the outside of the shoe is exactly where the 5th toe is rubbing. This can make all the difference!

 

5th toe and tailor’s bunion gel pads:

  • These gel pads can really help improve your pain.
  • Give these a try!

 

Best 5th Toe & Tailor's Bunion Products:
Best Overall Gel Pad For 5th Toe Pain
Best Low Profile Tailor's Bunion Gel Pad.
Best Low Profile Option For 4-5th Corn/Interspace Pain.
Best Non-Walking Stretching Option.
Povihome 10 Pack Pinky Toe Separator & Protectors, Triple Gel Toe Separators for Overlapping Toe, Curled Pinky Toes Separate and Protect
Bunionette Corrector Pads - 4-Pack of 2 Small Pinky Toe Tailors Bunion Pain Relief Protectors with Premium Gel Cushions Plus 2 Toe Separators - Best Foot Orthotics and Toe Straightener Sleeve. Unisex
Natracure Advanced Gel Toe Separator (w/Toe Loop) - Toe Spacer - Small (1104-M CAT 2PK)
YogaToes GEMS: Gel Toe Stretcher & Toe Separator - America’s Choice for Fighting Bunions, Hammer Toes, More!
Price:
$9.99
$10.95
$5.99
$29.95
Overview:
Best Overall Gel Pad: For 5th Toe and Tailor's Bunion Pain
Good Tailor's Bunion Gel Pad
Great Option For 4th-5th Toe Webspace Corns.
Great Heavy Duty Toe Separator (Not For Walking)
Pros:
Helps the 3rd, 4th and 5th toes. Heavy duty. Helps the entire area.
Lower profile, less bulky.
Slim and effective option for rubbing between the 4th and 5th toes.
Excellent reviews, great for stretching while resting.
Cons:
These are more bulky. Can take up too much room in very slim shoes. These are not a splint! They are for pain relief.
Does not help the 3rd or 4th toe from pinching.
Zero benefit for tailor's bunions and 5th metatarsal joint pain.
Can't wear these while walking. Won't work if you have osteoarthritis. (If your toes don't bend).
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These separators help a lot! I can even wear them comfortably with closed shoes. And they're super soft!"
"I found these, liked the reviews so I thought why not... My first 10 steps felt like I had a new body! I feel more aligned than ever and NO, I repeat, NO foot pain!"
"The suction is an absolutely GLOVE-LIKE fit. amazing! i can absolutely feel that it will realign my toe. it lines up perfectly with my 3rd and 4th toes."
"YogaToes. What a great invention. Made in the USA. $30 and foot pain is lessened in ONE WEARING. Not kidding."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best 5th Toe & Tailor's Bunion Products:
Best Overall Gel Pad For 5th Toe Pain
Povihome 10 Pack Pinky Toe Separator & Protectors, Triple Gel Toe Separators for Overlapping Toe, Curled Pinky Toes Separate and Protect
Price:
$9.99
Overview:
Best Overall Gel Pad: For 5th Toe and Tailor's Bunion Pain
Pros:
Helps the 3rd, 4th and 5th toes. Heavy duty. Helps the entire area.
Cons:
These are more bulky. Can take up too much room in very slim shoes. These are not a splint! They are for pain relief.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These separators help a lot! I can even wear them comfortably with closed shoes. And they're super soft!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best 5th Toe & Tailor's Bunion Products:
Best Low Profile Tailor's Bunion Gel Pad.
Bunionette Corrector Pads - 4-Pack of 2 Small Pinky Toe Tailors Bunion Pain Relief Protectors with Premium Gel Cushions Plus 2 Toe Separators - Best Foot Orthotics and Toe Straightener Sleeve. Unisex
Price:
$10.95
Overview:
Good Tailor's Bunion Gel Pad
Pros:
Lower profile, less bulky.
Cons:
Does not help the 3rd or 4th toe from pinching.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"I found these, liked the reviews so I thought why not... My first 10 steps felt like I had a new body! I feel more aligned than ever and NO, I repeat, NO foot pain!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best 5th Toe & Tailor's Bunion Products:
Best Low Profile Option For 4-5th Corn/Interspace Pain.
Natracure Advanced Gel Toe Separator (w/Toe Loop) - Toe Spacer - Small (1104-M CAT 2PK)
Price:
$5.99
Overview:
Great Option For 4th-5th Toe Webspace Corns.
Pros:
Slim and effective option for rubbing between the 4th and 5th toes.
Cons:
Zero benefit for tailor's bunions and 5th metatarsal joint pain.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"The suction is an absolutely GLOVE-LIKE fit. amazing! i can absolutely feel that it will realign my toe. it lines up perfectly with my 3rd and 4th toes."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best 5th Toe & Tailor's Bunion Products:
Best Non-Walking Stretching Option.
YogaToes GEMS: Gel Toe Stretcher & Toe Separator - America’s Choice for Fighting Bunions, Hammer Toes, More!
Price:
$29.95
Overview:
Great Heavy Duty Toe Separator (Not For Walking)
Pros:
Excellent reviews, great for stretching while resting.
Cons:
Can't wear these while walking. Won't work if you have osteoarthritis. (If your toes don't bend).
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"YogaToes. What a great invention. Made in the USA. $30 and foot pain is lessened in ONE WEARING. Not kidding."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Great Orthotics Stop Your Foot From Rubbing:

  • Orthotics stop your foot from twisting out against the side of your shoe.

 

Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Best Heavy Duty Orthotic (Thickest Fit)
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Powerstep Pinnacle Plus Met Insoles, Red/Blue
Powerstep Pinnacle Maxx Orthotic Insole, Maroon, Men's 10-10.5 / Women's 12
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
Price not available
$31.98
$19.99
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Do not wear these in cute or dress shoes!
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Powerstep Pinnacle Plus Met Insoles, Red/Blue
Price:
Price not available
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
Cons:
Do not wear these in cute or dress shoes!
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
Powerstep Pinnacle Maxx Orthotic Insole, Maroon, Men's 10-10.5 / Women's 12
Price:
$31.98
Overview:
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
Pros:
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
Cons:
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Crucial Tips:
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
$19.99
Overview:
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Great Braces Stop Your Ankle & Side of the Foot From Rubbing:

  • If the side of your foot or ankle is rubbing, try these great compression and support braces.
  • These should really help you out.

 

Best Heel & Ankle Compression For Pain Relief:
Best Premium Brace (Support & Compression)
Budget Brace With Some Compression & Some Support.
Best Pure Compression & Slim Fit Ankle Support
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize The Ankle Muscles and Joints for Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
Ankle Brace for Plantar Fasciitis and Ankle Support - Ankle Wrap for Sprain, Tendonitis & Heel Pain Relief for Women & Men
POWERLIX Ankle Brace Compression Support Sleeve (Pair) for Injury Recovery, Joint Pain and More. Achilles Tendon Support, Plantar Fasciitis Foot Socks with Arch Support, Eases Swelling
Price:
$104.00
Price not available
Price not available
Overview:
This is The Top Level Brace - Does Compression, Support & Great Fit.
This brace attempts mild compression and mild support.
Focused on great fit and excellent overall compression. Little focus on support.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Excellent reviewmost 2,000 5 star reviews. Great fit into almost any type of shoe. Very Slim, very cost effective.
Cons:
Expensive. It doesn't do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Does not really provide stability. It still likely is not thin enough for a dress shoe or a dress heel combined with a sock.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
This is mean for lower activity and better fit than a true supportive brace. Don't use this for an acute sprain or injury.
This is excellent for what it does. Which is simple compression with minimal support. This would be great with an orthotic and running shoe in a non-acute/severe injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"You will not go wrong forking over the money for this. I tried at least 6 different braces before buying this. All either had very little support and fell apart when washed, or lost stretch completely. This brace is the only one I’ll buy."
"Unlike a typical ankle brace, this wrap works like a brace with the abilty, based on how you wrap your ankle, to put direct pressure on the area were you need the most support. After wearing the wrap for a week straight, my ankle pain has been substantially reduced."
"So far, this has been outstanding. It's tight enough to stay secure and provide the necessary stability, while thin enough to wear with dress shoes. The quality is outstanding."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Best Premium Brace (Support & Compression)
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize The Ankle Muscles and Joints for Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
Price:
$104.00
Overview:
This is The Top Level Brace - Does Compression, Support & Great Fit.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Cons:
Expensive. It doesn't do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"You will not go wrong forking over the money for this. I tried at least 6 different braces before buying this. All either had very little support and fell apart when washed, or lost stretch completely. This brace is the only one I’ll buy."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Budget Brace With Some Compression & Some Support.
Ankle Brace for Plantar Fasciitis and Ankle Support - Ankle Wrap for Sprain, Tendonitis & Heel Pain Relief for Women & Men
Price:
Price not available
Overview:
This brace attempts mild compression and mild support.
Pros:
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Cons:
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Important Tips:
This is mean for lower activity and better fit than a true supportive brace. Don't use this for an acute sprain or injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Unlike a typical ankle brace, this wrap works like a brace with the abilty, based on how you wrap your ankle, to put direct pressure on the area were you need the most support. After wearing the wrap for a week straight, my ankle pain has been substantially reduced."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Best Pure Compression & Slim Fit Ankle Support
POWERLIX Ankle Brace Compression Support Sleeve (Pair) for Injury Recovery, Joint Pain and More. Achilles Tendon Support, Plantar Fasciitis Foot Socks with Arch Support, Eases Swelling
Price:
Price not available
Overview:
Focused on great fit and excellent overall compression. Little focus on support.
Pros:
Excellent reviewmost 2,000 5 star reviews. Great fit into almost any type of shoe. Very Slim, very cost effective.
Cons:
Does not really provide stability. It still likely is not thin enough for a dress shoe or a dress heel combined with a sock.
Important Tips:
This is excellent for what it does. Which is simple compression with minimal support. This would be great with an orthotic and running shoe in a non-acute/severe injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"So far, this has been outstanding. It's tight enough to stay secure and provide the necessary stability, while thin enough to wear with dress shoes. The quality is outstanding."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

 

Podiatrist Treatment Algorithm:

If these home treatments did not help, consider seeing a podiatrist!

 

A) Physical examination:

 

  • Examining the foot will almost immediately let us know if something unusually is happening to the foot.
  • This can be difficult to do if you don’t look at hundreds of feet every day!
  • Usually we can tell if something is supposed to be there almost immediately.
  • Read the list below to make sure your foot looks normal!

B) X-Ray of your foot:

 

  • An X-ray can usually be better than advanced imaging for bone assessment.
  • You don’t need to jump straight to an MRI.
  • An X-ray can usually do a great job if there is a foreign object or if there is an extremely large bone prominence.
  • 90% of the time an X-ray is the only imaging you will need.
  • This is something we can get for you while your are in the office.

 

C)MRI if we suspect a soft tissue tumor or injury:

 

  • If there is something unusually happening, we may choose to order an MRI.
  • An MRI is ordered within the hospital and is subject to insurance approval, so it can be slow and painful to get for some insurances even if needed.
  • We can do an in office ultrasound, but generally if we are concerned, an MRI would be the choice diagnostic image.
  • The actual need in the real world for an MRI in this case is extremely low.

 

D) Soft Tissue or Bone Biopsy:

 

  • If something unusual is visualized on MRI or X-ray, the last step may be to make 100% that it is not something dangerous.
  • If you have more of a cystic mass, this may be done in the office with a needle aspiration.
  • But if you have a true bone tumor or concerning mass/lump/bump, we may need to grab a sample in the operating room.
  • If you do have a true cancerous mass, the best thing to do would be to get a second opinion from an oncology specialist.
  • We don’t take any chances in that case!
  • Follow this link for more on bone and cancerous tumors.

Best Podiatrist Recommended Shoes

 

 

Once more, great products to consider for your outside of the foot bumps and lumps: