Dr. Mitnick is a foot specialist with over 25 years of clinical practice treating conditions of the foot, ankle and lower leg.
The purpose of this article is to give you information seekers an easier way to diagnose your pain on the top of the foot. I have noticed that many people use "top of foot pain" as their "search" term.
I have listed the more common problems that we foot specialists see on a regular basis, but this list is not all inclusive. Pain can occur with or without a history of trauma. Sometimes repetitive action (or microtrauma as I like to call it) can create pain on top of the foot.
Hopefully this will help you in your search for answers.
TENDONITIS- Diffuse pain on top of the foot which may also include swelling and even redness. There may or may not be a history of trauma.
GANGLION CYST- A spongy to firm lump on top of the foot that may or may not be freely moveable. The lump itself may not be painful on pressure, but pressing on it may cause pain beneath it.
MIDTARSAL FAULT- In people whose feet have a tendency to collapse (fallen arches), there ends up being a jamming of the bones on top of your foot that will lead to pain, with or without shoes. Generally, there will be no history of trauma.
NERVE ENTRAPMENT- There are small nerves running from the ankle down to the toes that are located right under the skin. These are sensory nerves (which give us feeling on the top of the foot). It is not uncommon for these nerves to become traumatized from the pressure of a shoe (mainly tied too tight) putting pressure on the nerve which is then "jammed" into a bony projection underneath it. This nerve is then entrapped and it becomes inflamed and thus painful or in some cases there will be numbness on part of the top of the foot.
STRESS FRACTURE- Without any history of trauma, a person can develop severe pain on the top of the foot usually in the metatarsal area. It will be a localized pain, possibly with some swelling and perhaps redness.
BONE SPUR- A bone spur in the foot is usually a result of arthritic changes in the foot, bone will overgrow and produce abnormal protrusions on top of the foot. Either damage to the specific joint or pressure from your shoe on the overgrowth of bone (bone spur) will cause pain.
SUPERFICIAL PHLEBITIS- Many of the veins on the top of the foot are directly underneath the skin. Since the foot is subject to trauma every step you take, at times the nerves will become inflamed and develop a superficial phlebitis. This is not as dangerous as a deep vein phlebitis seen in the leg, but medical care is warranted.
More detailed information on this subject matter can be found at my web site.
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