Foot Heberden

What is Heberden and “Foot Heberden ( Kasahara Node )”?

When we hear about “Heberden”, it is usually describes swelling and deformation on the first joint of fingers (DIP joint). However, in addition to Hand Heberden there is also ” Foot Heberden.” (Kasahara Node)

Most Bunions (Hallux Valgus) with tremendous deformation are highly likely related to Heberden. We provisionally call these deformations “Kasahara Nodes” because they are not formally addressed in medical conferences. Heberden, start in the hands, feet and both hands and feet. When Feet Heberden (Kasahara Node) has not been properly taken care of, despite the huge number of patients, it results in the progressed Hallux Valgus.

Is it Rheumatism?

Heberden is similar to rheumatism as they both cause pain and deformation of the joints. However, Heberden only occurs on the DIP joint while rheumatism happens on larger joints, such as elbow or wrist. Additionally, Heberden is difficult to be found on the blood test, unlike rheumatism.
This condition happens more often to females, starting from age 30 and occurs in 1 out of 8 people over 50 years old. When Heberden appears on hands, there may be pain picking up things or touching something suddenly, but little pain after the deformation is completed.

Check the hand Heberden

Let’s start from checking if you have hand Heberden.
1, Is there swelling on DIP joints?
2, Is the wrist bone (1st metacarpals) being projected?

The cause of Heberden

The cause of Heberden is still unknown although there are different opinions on the cause, such as autoimmune disease or one of autoimmune connective tissue diseases.

Heberden starting in the hands

Female 40’s with Heberden, Bunion, Neck pain, Autonomic imbalance, Headache, Dizziness

Female 50’s with Heberden, Bunion, Knee pain, and Lumber hernia

Female 60’s with Heberden, Bunion, Headache, Depression, Autonomic imbalance


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