Overview
Pain on the top (dorsal surface) of the foot is a common condition that can result from various causes, ranging from minor injuries to serious medical conditions.
Common Causes
Immediate Causes
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Extensor tendonitis: Inflammation of the tendons that run along the top of the foot
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Stress fractures: Small breaks in the metatarsal bones
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Direct trauma: Injuries from dropping objects or impact
Underlying Conditions
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Arthritis: Particularly osteoarthritis or rheumatoid arthritis
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Gout: Crystal deposits in joints causing inflammation
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Peripheral neuropathy: Nerve damage causing pain and numbness
Symptoms to Watch For
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Pain characteristics:
- Sharp or dull aching
- Burning sensation
- Pain while walking
- Pain at rest
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Associated symptoms:
- Swelling
- Redness
- Bruising
- Difficulty wearing shoes
When to Seek Medical Care
Consult a healthcare provider if you experience:
- Severe pain that limits daily activities
- Inability to bear weight
- Significant swelling
- Pain lasting more than a few days
- Signs of infection
Treatment Options
Self-Care Measures
- Rest and activity modification
- Ice application (15-20 minutes at a time)
- Compression bandaging
- Elevation above heart level
- Proper footwear selection
Medical Treatments
- Physical therapy
- Anti-inflammatory medications
- Orthotic devices
- Corticosteroid injections (in some cases)
- Surgery (for severe cases)
Prevention
- Wear properly fitting shoes
- Gradually increase exercise intensity
- Maintain healthy weight
- Practice proper warm-up before activities
- Use appropriate footwear for specific activities
Recovery and Outlook
Most cases improve with conservative treatment within a few weeks. Recovery time varies based on the underlying cause and severity of the condition.