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Published on: 11/18/2024

What Are the Causes of the Pain in the Top of the Foot?

Pain in the top of the foot can arise from various causes, including injuries, structural issues, and underlying medical conditions. Understanding these causes is essential for effective treatment and management.

answer background

Explanation

Injuries and Trauma:

One of the most common reasons for pain in the top of the foot is an injury, such as a sprain or fracture. These injuries can occur from activities that put stress on the foot, like running or jumping. A fracture, which is a break in the bone, can lead to sharp pain and swelling.

Metatarsalgia:

This condition refers to pain in the metatarsal region, which is the area of the foot where the long bones meet the toes. It can be caused by overuse, improper footwear, or foot deformities. The pain may feel like a burning sensation or sharp discomfort, especially when walking or standing.

Tendonitis:

Inflammation of the tendons on the top of the foot can also lead to pain. This condition often results from repetitive activities or overuse, causing discomfort during movement.

Structural Issues and Other Conditions:

  • Foot Deformities: Conditions like bunions or hammertoes can change the structure of the foot, leading to pain in various areas, including the top. These deformities can create pressure points that become painful over time.
  • Nerve Issues: Sometimes, nerve entrapment or irritation can cause pain in the top of the foot. This can happen if a nerve is compressed due to swelling or structural changes in the foot.
  • Underlying Medical Conditions: Certain health issues, such as arthritis or diabetes, can also contribute to foot pain. These conditions can lead to inflammation and changes in the foot's structure, resulting in discomfort.

(References)

  • Ashman CJ, Klecker RJ, Yu JS. Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics. 2001 Nov-Dec;21(6):1425-40. doi: 10.1148/radiographics.21.6.g01nv071425. PMID: 11706214.

  • Afonso PD, Britto SV, Spritzer CE, Martins E Souza P. Differential Diagnosis of Metatarsalgia. Semin Musculoskelet Radiol. 2023 Jun;27(3):337-350. doi: 10.1055/s-0043-1764388. Epub 2023 May 25. PMID: 37230133.

  • Cooper MT. Common Painful Foot and Ankle Conditions: A Review. JAMA. 2023 Dec 19;330(23):2285-2294. doi: 10.1001/jama.2023.23906. PMID: 38112812.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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