Foot Doctor Top Foot

Dr. Tom Biernacki, DPM, FACFAS
Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS
Board-certified foot & ankle surgeon · Balance Foot & Ankle · (810) 206-1402
Last reviewed: May 2026

You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what top of foot pain — when to see a foot doctor means and what actually works. Call (810) 206-1402 to book an appointment at our Howell or Bloomfield Township office.

Quick answer: Foot Doctor Top Foot comes up often in our clinics. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.

✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

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Causes:

Top of the foot nerve pain:
Radiating nerve pain on top of the foot
Radiating nerve pain on top of the foot can occur when the nerves on top of the foot press against the top of the shoe.
Top of the foot bone spur pain:
bump and lump on top of the foot pain and treatment
The middle and top of the foot have developed a large spur here. This can press against the top of the foot and irritate the nerves.
Top of the foot sprain:
Top of the foot sprain pain fracture
A Lisfranc fracture or Lisfranc sprain can lead to extensive pain, swelling, and bruising at the top of the foot.
Top of the foot extensor tendinitis pain:
Top of the foot extensor tendinitis
One of the most common causes of top-of-the-foot pain is top-of-the-foot extensor tendinitis. This is called tibialis anterior tendinitis.
Top of the foot bruising:
Top of the foot bruising
An injury to the top of the middle of the foot can cause the top of the foot bruising. This can take approximately 2-4 weeks to heal. You may need to change your shoelaces to keep pressure off of them while wearing a shoe all day.
Top of the big toe joint spur.
top of the big toe joint bone spur top of the foot
At the top of the big toe, the joint spur is called hallux rigidus. This can prevent upward bending of the big toe joint.
Top of the toe pain:
Bone Spur on top of the foot causes
As people get older, it is possible to develop a bone spur on top of the foot. This can be a very treatable condition.

Symptoms:

The symptoms of top of the foot pain and most on with the specific causes. The most common causes include:
  • Numbness, burning, and tingling for a nerve injury or nerve bruising to the top of the foot.
  • If you have a traumatic injury, this may be a Lisfranc sprain or Lisfranc spur fracture.
  • It is possible to develop the top of the foot spur. This can cause aching, burning, and tingling.
  • It is possible to bruise the top of the foot against her shoe. This can be from tight shoelaces or tight shoes.
  • If your big toe joint has pain, this may be hallux rigidus or big toe joint arthritis.

Expert Podiatric Care in Michigan: Balance Foot & Ankle

Michigan patients with foot or ankle concerns — whether they involve acute injuries, chronic pain patterns, structural deformities, nail problems, or diabetic complications — can access expert fellowship-trained podiatric care at Balance Foot & Ankle. We serve Livingston County patients from our Howell office at 4330 E Grand River and Oakland County patients from our Bloomfield Township office at 43494 Woodward Ave #208. New patient appointments are available; we accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. In-office digital X-ray and musculoskeletal ultrasound are available at both locations for same-visit diagnostic imaging. Michigan patients ready for expert foot care can call Balance Foot & Ankle at (810) 206-1402.

Forefoot Pain, Sesamoiditis, and Ball-of-Foot Conditions in Michigan: Balance Foot & Ankle


Related Treatment Guides

Michigan patients with forefoot pain — pain in the ball of the foot, under specific metatarsal heads, or at the 1st MTP joint (big toe joint) — benefit from a podiatric evaluation that establishes the specific diagnosis rather than treating generalized metatarsalgia. Sesamoiditis (inflammation of the sesamoid bones beneath the 1st MTP) requires sesamoid-offloading orthotics and, for severe cases, steroid injection or surgical excision. Metatarsalgia from 2nd-4th metatarsal overload responds to metatarsal pad placement and custom orthotics addressing the mechanical overload pattern. Morton’s neuroma causes burning and numbness into the 3rd and 4th toes and responds to steroid injection and surgical decompression when conservative care fails. Plantar plate injuries at the lesser MTP joints require MRI confirmation and specific orthotic modifications. At Balance Foot & Ankle, Michigan patients with forefoot pain receive a thorough diagnosis with weight-bearing X-rays and ultrasound, and targeted treatment based on the confirmed diagnosis. Call (810) 206-1402 for an appointment at our Howell or Bloomfield Township office.

📍 Located in Michigan?

Our board-certified podiatrists treat this condition at two convenient locations. Book online 24/7 at either office.

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Pain on Top of Your Foot?

Our podiatrists identify the cause of dorsal foot pain and provide targeted treatment for fast, lasting relief.

Clinical References

  1. Menz HB, Jordan KP, Roddy E, Croft PR. Characteristics of primary care consultations for musculoskeletal foot and ankle problems in the UK. Rheumatology. 2010;49(7):1391-1398.
  2. Rao S, Riskowski JL, Hannan MT. Musculoskeletal conditions of the foot and ankle: assessments and treatment options. Best Pract Res Clin Rheumatol. 2012;26(3):345-368.
  3. Bica D, Sprouse RA, Armen J. Diagnosis and management of common foot fractures. Am Fam Physician. 2016;93(3):183-191.

Insurance Accepted

BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →

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More Podiatrist-Recommended Foot Health Essentials

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Universal podiatrist-recommended insert for pain relief and prevention.

Foot Massage Ball

Daily 3-minute roll reduces most forms of foot and heel pain.

Moisture-Wicking Sock

Prevents fungus, blisters, and odor — the basics matter.

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General Foot Care - Balance Foot & Ankle

When to See a Podiatrist

If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers online booking 24/7 at our Howell and Bloomfield Township clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.

Call Balance Foot & Ankle: (810) 206-1402  ·  Book online  ·  Offices in Howell & Bloomfield Township

Visit Balance Foot & Ankle — Online Booking 24/7

Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, you can book online 24/7.

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Appointments at our Howell and Bloomfield Township offices. Board-certified podiatric surgeons. Most insurance accepted.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.

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Howell

4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Township

43494 Woodward Ave #208
Bloomfield Township, MI 48302

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