Pain On Top of Foot – Common Causes, Symptoms & Treatments

Many people suffer from the chronic pain on top of the foot. It profoundly affects the daily activity like standing, running or even walking.

Foot pain can cause a big trouble as they carry our body weight and help us to move from one place to another. With constant pressure of body weight and movements, injury of the foot can worsen easily.

It is found that almost 75% Americans experiences foot pain and many seek treatment just because their foot hurt on the top.

There are a set of symptoms that may accompany top of foot pain these are –


  • Tenderness of suffering foot
  • Redness of affected area
  • Swelling around top of foot
  • Pain that increases with movement of the foot, like walking, running etc.

Pain at the top of foot can be triggered by multiple causes, while there are almost 8 to 10 causes are more prominent than others.

We will see how these different causes leads to foot pain.

Stress Fractures of Foot Bones

By carrying the weight of a whole body during walking, our foot bones are always functioning under great tension.

Stress fracture of metatarsal bones is the most common cause that triggers foot pain.

Metatarsals are the long bones that found in foot and situated between tarsal bones & phalanges of toes.

Even a small fracture in these bones can lead to pain in upper part of foot.

These type of fractures are commonly found in the people who involve in actions that demand repetitive jumping, running or kicking.

It can be seen in athletes.

Such fracture leaves swelling and tenderness in the foot as well as can cause pain during walking & running.

To get relief from these pain, it is better to have complete bed rest until the fracture heals. Even if you require to walk, use crutches to avoid direct pressure on suffering foot.

You can even apply ice to affected area to reduce pain and redness. Consult your doctor and take proper medications. If require undergo surgery.

Extensor Tendonitis

Our bone works when muscles attached to them contract & relax. These muscles attach to the bone with specialized tissues know as tendons.

Constant stress or injury to these tendons leads to inflammation of tendons causing a condition known as tendonitis.

Multiple things can trigger tendonitis like foot injury, tight shoes that put pressure on the tendon, standing for a long time or running barefoot on an uneven ground.

Tendonitis can be acute or chronic. It causes swelling on top of foot, dull aching pain while moving your foot. It may cause discomfort while wearing footwear.

In such condition applying ice to the foot may help. Also, pay attention to your shoes and get a pair of shoes that fits comfortably to your foot. If pain continues,Β take some bed rest and get your foot checked by orthopedics.

Sinus Tarsi Syndrome

Though this is not a common problem, it can cause pain in foot around the top area near an ankle.

It is caused by inflammation of Sinus Tarsi.

Sinus Tarsi is a channel that found between the bone of ankle and heel. It provides space for blood vessels, nerves and ligaments of muscles.

Often, it is caused by the sprain in ankle region, continuous baseball & ballet practice etc.

It leads to pain at outside area of ankle and top of the foot. Pain become severe with movements of foot and relieves by rest. It may cause ankle stiffness.

It is advised to take rest along stability training and some useful exercise that your doctor can advise you.

Common peroneal nerve dysfunction

It is a branch of sciatic nerve that provides sensation as well as motor function to the toes, foot and lower part of leg.

Trauma or injury to this nerve may lead to dysfunction which creates tingling sensation at upper part of foot.

Other symptoms includes foot drop and weakness on lower leg.

Also Read – Sural Nerve Pain


Gout is a disease that caused by defect in metabolism of uric acid in our body.

It is one of the common cause for foot pain that located near the big toe.

Gout is nothing but an inflammatory arthritis that affects joints and causes accumulation uric acid crystals leading to top of foot pain and swelling of joints.

Gout commonly affects the big toe of foot.

Pain with tenderness, redness and swelling of affected joints are the common sign and symptoms of Gout.

It is better to avoid food with purine levels like organ meats (liver, kidney etc), some seafood like herring,sardines, tuna & scallop etc also cut down the alcohol consumption.

Other common causes of foot pain are –

  1. Extensor Tendonitis
  2. Sinus Tarsi Syndrome
  3. Hammer Toe Or Mallet Toe
  4. Nerve Entrapment
  5. Gout Affecting Foot Joints
  6. Athlete’s Foot
  7. Ganglion Cyst
  8. Tarsal Coalition
  9. Tibialis Anterior Tendonitis
  10. Bone Spurs
  11. Metatarsalgia
Click Here to Leave a Comment Below 3 comments
Scott McCulloch - May 18, 2016


I’m a long-distance runner, and have battled top-of-foot pain off and on for a long time. I did try different lacing techniques and shoes, which helped some. I also found stretching my calves and hammies helped. Ultimately, I made a little shoe insert that redistributed the pressure from the shoe laces over a wider area – and it let me log the miles again almost pain free. Not to shamelessly self-promote, but in case it can help someone here, this is my website where you can see what I did: http://www.topfootpain.com And yes, I sell it too! πŸ™‚

Lillian Schaeffer - October 4, 2016

This is some great information, and I appreciate your point that pain in your foot can be because of a stress fracture. My daughter play softball, and her foot has been causing her some pain ever since practice yesterday. Knowing that it could be a fracture, we’ll definitely look into visiting a professional to get it checked. Thanks for the great post!

Jasper Whiteside - January 6, 2017

Stress fractures are interesting to me because they don’t necessarily need an impact to cause them. They can be caused by consistent high pressure. I think this is why the article says that they are the most common cause of foot pain. I would think that they would be hard to diagnose without an x ray.


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