Top of the Foot Pain:
Top of the Foot Pain [Causes, Surgery & Best Remedies!]
The #1 Top of the foot pain causes include bone and soft tissue problems. We go over the Top 5 causes and the 100% BEST Treatments for fix them!
Table of Contents
Top of the Foot Pain Picture Gallery:
The most common causes of top of the foot pain:
- Top of the foot nerve compression.
- A swollen top of the foot can also occur due to stress across the top of the foot.
- Lisfranc fracture or sprain.
- Sprained top of the foot.
- Top of the foot bone spur.
- Hallux rigidus or dorsal 1st metatarsal joint spur.
- Dorsal foot compression syndrome.
- Flat foot compression leading to osteoarthritis.
So, let’s look at the PICTURES!
Top of the Foot Pain Overview:
- Top of the foot pain causes are usually due to one of three common and treatable problems: Ganglionic cysts, bone growth at the top of the foot and irritation of the nerves that run across the top of your foot.
- Each of these problems are very well known to podiatrists and foot doctors and luckily, these are all very treatable!
- We go over the most common causes and their treatments.
Causes:
1)Ganglionic Cyst
Ganglionic cysts are more of an annoyance than something dangerous. But you still want them evaluated to make sure that its not anything more dangerous.
- They appear as a soft movable mass most of the time, but occasionally they can be hard.
- They can get bigger at night time.
- They usually don’t hurt.
- They can feel like a water balloon underneath your skin.
2)Bone Growth on the Top of the Foot
This usually occurs more toward the inside of the foot. It is a bony bump that could have developed from genetics or from wearing high heel shoes for many years, or any other reason!
- This is always hard.
- You can feel the joint move as the front of your foot bends on the back of the foot.
- You can usually always definitely tell it is the bone and not something soft.
3)Nerve Irritation on the Top of the Foot
This can occur very frequently with the bone growth, or even just with tight shoes. This is the most common problem if there is no mass at the top of your foot. With treatment this can take up to 2 weeks to heal and your focus should be on decreasing the inflammation.
- No bump.
- Numbness, burning or tingling.
- Something is irritating or compressing the top of your foot recently.
For more information on bumps toward the front of the foot visit.
4)Metatarsal Stress Fracture:
- If you are a runner or started heavy walking.
- This does not happen instantly!
- It can take days or weeks to gradually start hurting and causing pain.
- Eventually this will get too excruciating to continue walking or running.
- This can take 10-21 days to show up on X-ray.
5)Sprained Top Of The Foot:
- A sprain in the top of the foot or the arch is called a Lisfranc sprain.
- In most cases it is usually only a sprain that lasts a couple days to a couple weeks.
- But in some cases it may be essential to seek imaging & further treatment.
Top of the Foot Pain Surgery:
It is possible to use surgery to excise the bone spur that develops on top of the foot:
- This can be a longer recovery time, taking roughly 2 to 3 months to get back to even 75 to 80%.
- This is called metatarsal cuneiform resection surgery, this is for an exostotic spur.
- This does work very well, but the key is to still keep wearing good inserts and good shoes.
How likely is surgery to fix it?
- You have to consider that as you’ve gotten older, the muscle mass and the flexibility in your body has decreased.
- If you’re developing arthritis in an area, this likely means that your body is compensating through this area.
- Unfortunately even after surgery and cleaning of the spur, you are not a teenager again.
- What this means is the same underlying causes that created this pain, are likely developing still and it is only a matter of time before new spur start to form.
- The best way to guarantee that this will not happen again is to get in as good shape as possible, lose weight, get great shoes, get great orthotics and this is where we see the best possible results.
Best Home Remedies:
- These are top of the foot pain products. The real key is getting good supportive shoes with good supportive orthotics.
- Over the next few weeks in the next few months your foot pain should diminish greatly.
- Just make sure to see your podiatrist for a true evaluation of your foot pain.
Get Great Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the top of your foot.
- This can strain through the middle of your foot and compression.
- This is especially important if you have a plantar fasciitis, flat feet or weak ankles.
- Consider shoes combined with a good supportive orthotics for best pain relief!
- The following link will show you what our favorites are.
The real key to fix outside of the foot pain in order:
1) Most important is a good orthotic for your shoe.
- Give these 1-2 weeks of effort and you will really notice the pain relief.
- This does not instantly fix the pain, but prevents future damage.
2) Ankle brace for the most possible correction.
- Check the recommended braces below.
- For ankle pain this is almost guaranteed to improve your problem
3)Menthol based cream for pain relief.
- Creams and gels like biofreeze act like ice but save you 20 minutes!
- Check below for our recommended pain relief options.
Best Orthotics:
Our Recommended Orthotics To Stop Outward Compression:
- Orthotics are the single most important way to improve your outside of the foot pain, Seriously!
- Most people don’t think orthotics will fix their foot pain.
- Besides trauma, 95% of all 5th toe, middle of the foot and outside of the ankle pain can be improved with orthotics.
- This is because orthotics help your foot from twisting out and compressing against your shoe when you walk.
- Don’t take our word for it, read the reviews!
Most Important Tips For Orthotics:
- Make sure you have a roomy enough shoe.
- I’m warning you right now, don’t try to stuff a full length orthotic into a tiny tight shoe, it won’t work.
- If you have tighter or dress shoes: try the dress shoe or 3/4″ orthotics.
These orthotics are for slimmer shoes, without laces:
- If you are tight in the front of your shoes, or the shoes are tighter, these 3/4″ might be the best choice for you.
- But if you have a choice, the full length orthotics are much, much more supportive!
- So if you wear work boots or running shoes, get the full length, they get you more support.
Full length orthotics give you the most correction and improvement:
- If you have roomy enough shoes like running shoes or work boots. Get a full length orthotic.
- They cushion under the front of your foot and prevent it from twisting out against the outside of your shoe as much as possible.
- These are one of the best possible options for medium and heavy duty correction!
Dress Shoe orthotics:
- These are premium leather orthotic recommendations for dress shoes.
- If you have a tight dress shoe get the 3/4″ orthotic.
Top of the Foot Home Treatment:
- There are usually two phases to treating the top of the foot pain treatment.
- This doesn’t matter whether it’s an intermittent sharp pain on top of the foot, pain on top of the foot near toes, tendonitis on top of the foot, or a top of the foot bone spur. Treatment is all roughly very similar.
- The two phases of treatment include controlling the acute inflammation and correcting the biomechanics, which led to the problem in the first place.
- Great top-of-the-foot shoes and great orthotics lead to the prevention of dorsal compression syndrome. This prevents compression on top of the foot. It prevents the stretching on the bottom of the foot.
- This will also reduce your numbness, burning, and tingling pain.
Control Inflammation:
Massage & Ice Products:
- The metal ball is one of my personal favorites.
- This can work well for a bruised top of the foot.
- This is not a permanent solution. You still need to remove the stress off of the top of the foot.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This can also work as a great option for a bruised top of the foot or top of the foot extensor tendonitis.
- This is not a permanent solution. You still need to remove the stress off of the top of the foot.
Massage Sticks:
- These can work great for loosening your muscles.
- This allows less tightness and pressure on the ball of your foot.
- This works best for extensor tendonitis on the top of the foot.
Removing The Stress:
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- This will limit dorsal compression syndrome and limit extensor tendonitis to the top of the foot.
Best Top of the Foot Pain Shoes:
- Getting a great supportive pair of shoes will ensure that pressure is removed from the top of the foot.
- There is much less compression appreciated.
- This is especially important if you have a swollen top of your foot, intermittent sharp pain on top of your foot, and top of the foot compression.
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
The Best Top of the Foot Pain Orthotics:
- These are our recommended orthotics.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
Best Full-Length Orthotics:
Best Dress Shoe Orthotics:
Best 3/4 Length Orthotics:
Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
Top of the Foot Pain Trauma:
- If you have a sprain Of the foot, Lisfranc fracture, or a fracture to the top of the foot, you need to protect it.
- The recommended way of doing this is to offload with a good supportive boot or cast.
- The best way to do this is, of course, to see your podiatrist and get evaluated with an x-ray, ultrasound, and potentially even an MRI or CT scan.
- If you cannot do so, it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for a very long period of time when they suffer a traumatic injury. Unfortunately, there is no other way around us in labor jobs.
- If you have a sit-down job, there are ways to get people back to work quicker, but this can be impossible otherwise.
Top of the Foot Fracture Boot Treatment:
- There are pros and cons to using a boot to treat your foot pain. The pros are that your injured heel will hopefully have a chance to heal gradually! If you are immobilized too long, the cons are that you will gradually become stiff and overworked to your other leg. r
- Our favorite fracture boots and their supplies:
Offloading and Scooter treatment:
- These are favorite knee scooters and walking devices.
- If your Achilles tendonitis pain is severe, offloading can be very effective until the pain calms down.
Top of the Foot Pain:
Top of the Foot Pain: