Mine was bad enough to cause nerve damage, and had surgery. Now when it gets stressed, feels like I have a golf ball under the front of my foot. Usually riding will help with the back due to the posture. Here's a tip you may or may not believe. Cowboy boots help! A co-worker told me this about 15 years ago, I tried a cheap pair and have been wearing them ever since. Something about the posture change. YMMV.
later, Tom.