Top of Foot Pain: Causes, Symptoms, and Treatment

Top of foot pain can affect your ability to perform daily activities, exercise, and even walk comfortably. Whether the discomfort is mild or you’re experiencing severe pain, understanding the causes and treatment options is crucial for recovery.

At Precision Orthopaedic Specialties, we specialize in diagnosing and treating orthopedic conditions, including foot pain. With convenient locations in Northeastern Ohio, we are committed to helping our patients get back to their active lives. Call us today to schedule an appointment!

A woman with top of foot pain is holding her foot in Chardon, Ohio.

What is Top of Foot Pain?

Top of foot pain refers to the discomfort that occurs across the upper part of the foot. It can develop suddenly due to an injury or slowly over time due to overuse. The pain may vary from mild to more severe pain, depending on the underlying cause, and it often interferes with daily activities like walking, running, or even standing.

Common Symptoms Accompanying Top of Foot Pain

Top of foot pain is often accompanied by additional symptoms, which can help pinpoint its cause:

  • Swelling on the affected foot
  • Tenderness, particularly when wearing shoes or touching the top of the foot
  • Nerve pain, such as burning or tingling sensations
  • Difficulty moving the big toe or other toes
  • Redness or bruising
  • Pain that worsens with activity or prolonged standing
 

If these symptoms persist or intensify, it’s important to consult a medical professional to prevent further complications.

What Causes Top of Foot Pain?

Several common conditions contribute to pain on the top of the foot. These include:

Stress Fractures

Stress fractures are small cracks in the bones, often caused by repetitive impact or overuse. This is common among athletes, especially runners, who place heavy stress on their feet. Stress fractures cause severe pain that worsens with activity and typically improves with rest.

Extensor Tendonitis

The extensor tendons are responsible for lifting your toes. Inflammation of these tendons, called extensor tendonitis, is a frequent cause of pain on the top of the foot. This condition often occurs due to tight shoes, muscle tightness, or improper foot mechanics during activities like running.

Peripheral Neuropathy

This condition can cause nerve pain, prickling or numbness in the top of the foot. The feeling can spread into the legs.

Gout

Gout is a type of inflammatory arthritis that can cause sudden and severe pain in the top of the foot.

How is Foot Pain Diagnosed?

To get foot pain diagnosed, your physician will start with a detailed medical history and physical examination. They will likely ask about the nature of your pain, how long you’ve been experiencing it, and any recent injuries or changes in activity level. During the exam, your doctor may press on specific areas of the foot to identify tender spots or swelling.

Diagnostic tests such as X-rays, MRIs, or CT scans may be used to check for fractures or soft tissue injuries. In some cases, a doctor may also use ultrasound to assess the tendons and muscles.

Treatment Options for Top of Foot Pain

Treatment for top of foot pain depends on the cause and severity. Here are some common options:

  • Rest and Ice: Taking a break from activities like running allows the foot to heal. Applying ice to the affected foot helps reduce pain and swelling.
  • Physical Therapy: Targeted exercises help stretch and strengthen the foot muscles and tendons, promoting healing and reducing future injuries. Physical therapy is particularly useful for conditions like extensor tendonitis or plantar fasciitis.
  • Footwear Modifications: Wearing proper, supportive shoes is crucial. Avoid tight or poorly fitted shoes, and consider adding orthotics or insoles for better arch support.
  • Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation.
  • Immobilization: In more severe cases, such as with stress fractures, a brace or walking boot may be recommended to protect the foot while it heals.

Prevention Tips for Foot Pain

Preventing top of foot pain is often possible with a few simple lifestyle adjustments. Here are some tips:

  • Wear Proper Shoes: Ensure that your shoes fit well and provide the necessary support for your activities.
  • Stretch Regularly: Stretch the muscles in your feet and calves to prevent muscle tightness and injuries.
  • Gradually Increase Activity Levels: Avoid sudden increases in activity intensity to reduce the risk of stress fractures and tendonitis.
  • Strengthen Your Feet: Incorporate exercises that target foot strength to improve overall stability.

Get Relief for Top of Foot Pain at Precision Orthopaedic Specialties

If you’re dealing with chronic pain or discomfort in your feet, don’t wait for the condition to worsen. Contact Precision Orthopaedic Specialties today to schedule a consultation and get your foot pain diagnosed. With locations in Chardon, Chagrin Falls, and Middlefield, OH, we are here to help you get back to your active lifestyle, pain-free.

Medically reviewed by Mark J. Mendeszoon, D.P.M.

Frequently Asked Questions about Foot Pain

If you notice severe pain in your foot that worsens with activity, along with swelling and tenderness, you may have a stress fracture. It’s important to seek medical advice for proper diagnosis and treatment.

You should avoid high-impact activities like running until your foot pain is diagnosed and treated to prevent worsening the injury.

Yes, physical therapy is often recommended for conditions like extensor tendonitis and plantar fasciitis. It can help improve strength and flexibility in the foot, reducing future pain.

The main symptoms of plantar fasciitis are heel pain and stiffness. While it may also cause pain at the top of the foot, it wouldn’t be a symptom on its own.