Know the causes and options for pain treatment at the top of the foot, a frequent problem that can affect your daily activities.

Know the causes and options for pain treatment at the top of the foot, a frequent problem that can affect your daily activities.

Experimenting pain in the upper foot can be an annoying sensation that can hinder everyday activities. This condition, known as the dorsal pain of the foot, may be due to various causes, such as lesions, excessive use or underlying medical conditions. Understanding the underlying factors and recognizing associated symptoms is crucial to determine appropriate treatment options and prevent subsequent complications.

Causes: The pain in the upper foot may be due to several causes. A common cause is stress fractures in the bones of the foot, in particular the metatarsals, which connect the fingers with the middle part of the foot. These fractures can occur due to repetitive activities or excessive use. Another possible cause is tendonitis, which is the inflammation of the tendons that run through the upper foot. In addition, conditions such as arthritis, nerve pinching or bursitis can contribute to the appearance of foot pain.

Important Information:

  • Stress fractures: small fissures in the bones as a result of a repetitive effort.
  • Tendonitis: inflammation of tendons that causes pain and limitation of movement.
  • Arthritis: joint inflammation that can affect foot joints.
  • Nervous pinching: compression or irritation of the nerves of the foot.
  • Bursitis: Inflammation of the small bags full of liquid that cushion the bones, tendons and muscles near the joints.

Symptoms: The symptoms associated with foot pain vary depending on the underlying cause. Common symptoms include pain, sensitivity, swelling and difficulty with supporting weight on the affected foot. In cases of stress fractures, pain tends to get worse with activity and can improve with rest. Tendinitis can cause pain that increases during movement or when pressure is applied to the foot. Arthritis can cause joint stiffness, swelling and limitation of movement amplitude. Nervous pinching can cause acute and sharp pain or a burning sensation at the top of the foot. Bursitis can cause localized swelling, heat and sensitivity.

When pain is experienced in the upper foot, it is recommended to consult a healthcare professional to obtain an accurate diagnosis and an appropriate treatment plan. The doctor can perform a physical exam, review the patient’s medical history and request diagnostic tests such as radiographs or magnetic resonances to identify the underlying cause. Treatment options may include rest, ice application, immobilization, pain treatment, physiotherapy or, in severe cases, surgery. Following the recommended treatment plan and taking the necessary precautions can help relieve foot pain and prevent future complications.

Soreness on Top of Foot: Causes, Symptoms, and Treatment


  • Excessive use: repetitive activities, such as running or jumping, can force the muscles, tendons and ligaments from the top of the foot, causing pain.
  • Footwear: The use of shoes that do not provide proper support or have a tight adjustment can contribute to foot pain. The high heels and shoes with narrow toe are the most common culprits.
  • Trauma: accidents or injuries that cause a direct impact on the top of the foot can cause pain and discomfort.
  • Arthritis: various forms of arthritis, such as osteoarthritis or rheumatoid arthritis, can affect the joints and foot tissues, causing pain.
  • Tendonitis: The inflammation of the tendons at the top of the foot, known as extensor tendonitis, may be due to excessive use or repetitive effort.

Note: It is important to consult a healthcare professional to obtain a precise diagnosis, since other foot conditions, such as overload fractures, nerve pinchings or infections, can also cause similar symptoms.


  1. Pain or sensitivity at the top of the foot
  2. Swelling or redness of the affected area
  3. Difficulty walking or supporting weight on the foot
  4. Limitation of the amplitude of movement of the foot and the ankle

Depending on the underlying cause, additional symptoms such as rigidity, heat or a feeling of click can also occur.


The treatment of pain in the upper foot depends on the underlying cause. It is recommended:

  1. Rest and avoid activities that worsen pain
  2. Raise the foot and apply ice compresses to reduce swelling
  3. Use footwear to provide adequate support and adjustment
  4. Use free sale analgesics or ant i-inflammatories, following the recommendations of a healthcare professional.
  5. Stretch and strengthen foot muscles with adequate exercises.
  6. If necessary, go to physiotherapy, orthopedic templates or other forms of specialized treatment.
Causes Symptoms Treatment
Excessive use, footwear, trauma, arthritis, tendonitis Pain, swelling, difficulty walking, amplitude of limited movement Rest, ice, elevation, support shoes, medication, exercises, specialized treatment

Overuse Injuries: Understanding the Main Causes

One of the main causes of overcourse injuries are repetitive movements. When a specific movement is repeated again and again, such as running, jumping or kicking, muscles, tendons and ligaments involved are subject to enormous tension. A continuous effort without leaving enough time for these structures to be repaired by themselves can cause microdesgarros, inflammation and consequent pain and discomfort.

Tip: To avoid excessive use injuries caused by repetitive movements, it is important to incorporate variety into the training routine. This can be achieved through cross training, which consists of performing various activities that work different muscle groups.

Another important cause of overload injuries are training errors. Forcing the body too much, too soon or without adequate progression can cause an overload of the muscles and joints. Some examples of training errors are abruptly increasing the duration or intensity of training, neglecting rest days or ignoring adequate heating and cooling routines. Ignoring these crucial aspects of training can cause lesions due to excessive use and hinder sports performance.

  • Expert advice: Always remember to listen to your body and be cautious at any discomfort or pain. If you experience persistent or worsen pain, it is essential that you consult a healthcare professional to obtain an appropriate diagnosis and treatment plan.
  • Curious fact: lesions due to excessive use are not limited to athletes; They can also occur in people who perform repetitive tasks in their day to day, such as machine writing or working in the garden.
Common causes of lesions due to excessive use Precautionary measures
Repetitive movements Incorporate variety through cross training
Training errors Gradually increase intensity and duration, include rest days and perform adequate heating and cooling exercises

Stress Fractures on the Dorsum of the Foot: Signs and Treatment

The signs of stress fractures in the back of the foot can include localized pain, sensitivity and swelling. Patients may also experience difficulties in supporting weight or performing activities that involve dorsiflexion, such as walking or climbing stairs. Adequate diagnosis and treatment are essential to prevent subsequent injuries and favor healing.

Signs of Stress Fractures on the Dorsum of the Foot:

  • Localized pain and sensitivity at the top of the foot
  • Swelling and bruising
  • Pain that worsens with activity and improves with rest
  • Difficulty supporting weight or performing dorsiflexion movements

Treatment Options for Stress Fractures on the Dorsum of the Foot:

  1. Rest and immobilization: you have to protect your foot and give it time for it to heal. This may involve the use of crutches or a march boot to reduce weight load.
  2. Ice and elevation: The application of ice bags and foot lifting can help reduce swelling and pain.
  3. Pain treatment: Free sales analgesics may be recommended, such as no n-steroidal ant i-inflammatories (NSAIDs), to relieve discomfort.
  4. Physiotherapy: Once the initial pain and swelling refer, physiotherapy exercises can help strengthen the foot and promote complete recovery.
Treatment duration From 4 to 8 weeks or until complete healing is confirmed by image tests.
Prevention Adequate footwear, gradual increase in training intensity, regular stretching and strengthening exercises of the foot and lower leg muscles.
Complications If they are not treated or if the foot is still subjected to tension, overload fractures can evolve to complete fractures or cause chronic pain.

Note: It is important to consult a healthcare professional to obtain a precise diagnosis and a personalized treatment plan for overload fractures in the back of the foot.

Extensor Tendonitis: Identifying and Managing the Condition

To identify the tendinitis of the extensor, the common symptoms associated with this condition must be recognized. One of the main signs is pain in the upper foot, specifically around the tendons. This pain can get worse with specific movements or activities such as walking, running or jumping. Swelling and sensitivity around the affected area are also common symptoms to take into account.

Common symptoms of extensor tendonitis:

  • Pain in the upper foot
  • Discomfort during movement
  • Swelling and sensitivity
  • Difficulty wearing adjusted footwear

Note: It is important to differentiate tendinitis from the extender from other foot conditions, such as stress fractures or nerve compressions, since treatment and management approaches may vary. If the symptoms persist or worsen, it is recommended to request a medical evaluation to determine a precise diagnosis.

The treatment of extensor tendonitis implies a combination of sel f-care and professional treatment measures. Resting the affected foot and avoiding activities that exacerbate symptoms is crucial to allow tendons to heal. The application of ice bags or the use of ant i-inflammatories can help reduce pain and inflammation. In addition, carrying support and use orthopedic templates can provide stability and relieve pressure on the foot.

If sel f-care measures do not provide significant relief, a healthcare professional may recommend additional treatments such as physiotherapy, stretching exercises or the use of an orthosis or splint to immobilize the foot. In severe cases, corticosteroid injections or surgical intervention may be necessary to relieve symptoms and favor healing.

Table: Self-care Measures for Managing Extensor Tendonitis

Sel f-care measures Benefits
Rest affected Allows tendons to heal and reduce inflammation
Ice bags Reduces the pain and the inflammation
Use ant i-inflammatory medications Relieve pain and reduce inflammation
Use support shoes and orthopedic templates Provides stability and reduces the pressure on the foot

Nerve Compression: How It Leads to Foot Soreness and Ways to Relieve It

Nervous compression refers to the pressure or entrapment of nerves in the foot, which can be a consequence of various factors such as lesions, repetitive stress or anatomical anomalies. When a nerve is compressed, a wide range of symptoms can occur, such as foot pain, tingling, numbness and weakness. Compression can occur at different points of the foot, such as the upper part, between the fingers or along the plant.

Causes of Nerve Compression in the Foot

Nervous compression in the foot may be due to several factors, including:

  1. Tight footwear: the use of too narrow or tight shoes can exert pressure on the nerves of the foot, which causes compression and posterior pain.
  2. Footing and ankle lesions: sprains, fractures or other lesions in the foot or ankle can cause swelling or inflammation, which in turn can compress nearby nerves.
  3. Nervous entrapment syndromes: conditions such as Tarsian tunnel syndrome or Morton’s neuroma can cause nervous compression in specific areas of the foot, causing localized pains.

One of the main types of arthritis that can cause feet pain is osteoarthritis. Arthrosis occurs when the protective cartilage that cushions the ends of the bones in the joints is gradually wears, which causes friction between the bones. This can cause pain and inflammation, not only in the affected joint but also in the surrounding areas, including the top of the foot.

  1. Outrosis in the foot can cause pain and sensitivity at the top of the foot, especially around the midfix joint and the big toe.
  2. Inflammation caused by arthritis can affect ligaments, tendons and foot tissues, causing additional discomfort and limited mobility.
  3. In some cases, the development of bone spur, which are abnormal bone growth, can contribute to pain in the upper foot. These bone spurs can be formed due to the deterioration of the cartilage and the attempt of the body to repair the damaged joint.
Common symptoms of arthritis on the foot:
1. Pain and sensitivity at the top of the foot
2. Swelling and stiffness in the affected joints
3. Difficulty walking or supporting weight on the foot
4. Limited movement range in the affected joints
5. Visible bone spur formation

It is essential that people who experience pain on the top of the foot go to the doctor to obtain a precise diagnosis and proper treatment. A healthcare professional can evaluate the symptoms, perform a physical examination and request image tests, such as radiographs or magnetic resonances, to determine the underlying cause of pain and inflammation. Treatment options may include medication, physiotherapy, orthopedic devices and, in severe cases, surgery. Early intervention and a comprehensive treatment plan can help relieve symptoms, improve foot function and increase the general quality of people with arthritis that affects the top of the foot.

Morton’s Neuroma: Recognizing the Symptoms and Seeking Proper Care

Morton neuroma symptoms:

  1. Pain or discomfort in the anterior part of the foot
  2. Feeling of having a stone inside the shoe
  3. Numbness or tingling on feet fingers
  4. Burning sensation or stabbing pain
  5. Worsening of symptoms when staying for a long time standing or walking

These symptoms can begin gradually, but they can become more intense over time if they are not treated. To correctly diagnose Morton’s neuroma, a healthcare professional can perform a physical examination and evaluate the patient’s medical history. Radiographs or ultrasound can also be used to rule out other conditions and confirm the presence of a neuroma.

Footwear Choices: Tips for Selecting the Right Shoes to Prevent Pain on Top of the Foot

When choosing footwear to prevent pain at the top of the foot, several important factors must be taken into account. First, it is essential to give priority to adequate adjustment. Bad footwear can cause excessive pressure at the top of the foot, causing discomfort and possible injuries. To guarantee adequate adjustment, it is recommended to measure the feet regularly, since the size of the foot can change over time due to various factors, such as weight fluctuations and pregnancy.

Tip 1: Mix your feet regularly and choose shoes that fit the length and width of your feet.

In addition, looking for shoes with an adequate clamping arc is crucial to prevent pain at the top of the foot. Arch fastening helps distribute weight evenly and reduces tension in foot structures. It is important to choose shoes that offer enough clamping of the arc depending on their standing type, whether high, low or neutral.

  • Tip 2: Look for shoes that offer an adequate clamping of the arc as a function of its foot.

In addition, opting for shoes with adjustable closures can considerably relieve pressure at the top of the foot. Lac e-up shoes, velcro strips or buckles allow custom adjustments, guaranteeing a safe and comfortable adjustment. The possibility of customizing the adjustment can relieve any oppression or constriction that may cause pain.

  1. Tip 3: Choose shoes with adjustable closures, such as laces, velcro straps or buckles, for a comfortable and personalized adjustment.
Advice Consideration
Tip 1 Mix your feet regularly and choose shoes that fit the length and width of your feet.
Tip 2 Look for shoes that offer adequate support for the arc of the foot depending on its type of foot.
Tip 3 Choose shoes with adjustable closures, such as laces, velcro strips or buckles, for a comfortable and personalized adjustment.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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