There are several causes of pain on the top of the foot. You will need to know the Exact location of Pain on the Foot and Type of Pain You Have. Sudden onset pain without the occurrence of injury on the top of the foot just behind the toes may be a of a metatarsal bone. There is frequently swelling in the area and it is painful to the touch. Another common area of pain occurs near the middle of the top of the foot, generally a bit to the outside of the foot. In this area of the foot the tendons that go to the toes can become inflamed. This is called
One cause of this condition is excessive tightness of the calf muscle. When the calf muscle is tight it places excessive stress on the tendons on the top of the foot that pull the foot upward and against the tightness of the calf muscles. Wearing a shoe with a one-inch heel will help to take the stress off of the tendons on the top of the foot. Aggressive is also very helpful. Oral anti-inflammatory medications can help. When these measures do not work a should be tried. The orthotic corrects the alignment of the foot taking the stress off of the tendons on the top of the foot. More generalized pain on the top of the foot with swelling or a \”thickness\” to the foot may be caused by degenerative arthritis. This is seen in people with flatfeet or a slowly collapsing arch. Another area of degenerative arthritis that causes pain on the top of the foot is in the area of the big toe joint. Jamming of the joint will cause bone spurring to occur on the top of the foot. Pressure from the shoe can cause pain. Treatment for these conditions consists of taking oral anti-inflammatory medications and functional foot orthotics.
Surgery can be an option for the degenerative arthritis about the big toe joint. Generalized pain in the top of the foot that occurs in children and young adults may be due to a condition called. This pain tends to occur on the outside portion of the top of the foot. A tarsal coalition is the abnormal fusion of two or more bones in the mid portion of the foot. It can be hereditary. It tends to get worse with activity. If not treated in its early stages it can cause significant arthritis in the foot causing a limitation in the person\’s activity. Early diagnosis is made using x-rays and a or. Treatment is with the use of functional orthotics and on occasion surgery. Early diagnosis and treatment is very important. Pain can also occur on the top and inside of the foot. In people who are very active in sporting activities can develop pain in this area. The pain can be due to a stress fracture of one of the bones (Navicular bone) in this area. Diagnosis can sometimes be difficult. X-rays are generally negative and if a stress fracture is present the diagnosis may require a bone scan or. Treatment consists of rest with a limitation of activity, oral anti-inflammatory medications, below the knee walking casts, functional orthotics or rarely surgical exploration of the area. Yet another area of pain on the top of the foot is just below the ankle joint on the outside portion of the top of the foot. In this area of the foot there is a small fleshy area. This fleshy area is a small muscle called the Extensor Digatorum Brevis.
Underneath the muscle there is a small canal between two bones. This area is called the Sinus Tarsi. In this area there are three small ligaments that can become inflamed. A common cause of this pain is due to a flattening of the foot, which pinches these small ligaments. Sometimes there is actual jamming of two bones causing the pain. Treatment consists of to reduce it effect of flattening the foot, oral anti-inflammatory medication, cortisone injections, functional orthotics and occasionally surgical exploration. Extensor tendinitis is inflammation of the extensor tendons which run along the top of the foot and straighten the toes. Pain is felt along the top of the foot. Treatment involves rest, application of cold therapy during the acute stage followed by a full rehabilitation program including gentle stretching and strengthening exercises. Symptoms of extensor tendonitis consist of pain on the top of the foot which is made worse during running and is relieved with rest. Pain is likely to occur gradually over time through overuse with the athlete complaining of an aching pain on the top of the foot. There may also be some diffuse swelling over the top of the foot. Symptoms may also be felt when the tendons are stretched by curling the toes. One assessment test is resisted dorsiflexion where the therapist resists the athlete attempting to pull the foot upwards. If pain is triggered then the extensor tendons are likely to be involved. Extensor tendonitis or extensor tendinopathy as it is probably better known now amongst the medical profession is one of the most common causes of \’top of foot pain\’.
It affects the tendons which pull the foot upwards (tibialis anterior, extensor hallucis longus, extensor hallucis brevis and extensor digitorum longus tendons). P is most common. The term tendonitis implies inflammation of the tendon (itis meaning inflammation) whereas tendinopathy is probably a more accurate term. It is a general term which includes degeneration of the tendon rather than acute inflammation. Extensor tendonitis is usually caused by overuse. Badly fitting shoes or shoes that are laced too tightly causing pressure on the top of the foot can cause inflammation of the tendons. A change in training methods, particularly running uphill, particularly on a treadmill can also place more stress on the extensor tendons at the top of the foot. Running up hill means the foot has to be lifted slightly higher on each stride. Running down hill the muscles work eccentrically which again places stress on the extensor tendons as can running on ice or slippery surfaces. What can the athlete do about inflamed extensor tendons? Rest until the pain has gone. Continuing to train when the foot is painful will only make the injury worse and delay the healing. If it becomes chronic or the tendon degenerates then healing will take much longer. Apply a cold therapy and compression wrap. Apply ice of cold therapy can be applied for 10 minutes every hour initially reducing frequency as required over the next 48 hours. Ice can be applied in a wet tea towel or with a re-useable ice pack. Do not apply ice directly to the skin as it may burn.
Read more on. Once the initial painful acute stage has passed then application of heat may be more effective. Ensure footwear is appropriate and in particular the shoes are not laced too tightly. Over tightening the laces puts direct pressure over the extensor tendons in the foot. It may help to try a different lacing pattern. Running shoes are usually good for 400 miles of running and then would benefit from being replaced. Read more on. When all pain has gone a full rehabilitation program to strengthen the extensor muscles should be done. A sports injury professional can advise on the correct exercises to strengthen the extensor muscles. These should always be done pain free and with care. As this is often an over use injury doing too much too soon may increase the chances of the injury recurring rather than achieve the opposite result. which lift the foot up and curl the toes back will work the foot extensor muscles. These should be done in the seated position initially and will also work other muscles of the lower leg and shin. What can a sports injury specialist or doctor do? A professional will assess the injury and confirm the diagnosis ruling out the possibility of a Often pain on passive stretching indicates tendinitis, but pain when the toes are pulled outwards might indicate a stress fracture. A doctor may prescribe anti-inflammatory medication such as although this should not be taken if the patient has asthma. If it is a long term problem a may be given although repeated injections to tendons can weaken the tendon. In very rare cases surgery is performed.