Pain On Top of Foot

Pain On Top of Foot. can have many different causes. Since the foot is made up of many small tarsal bones , multiple joints, muscles and tendons, there are many options for Pain On Top of Foot. The most common cause of pain is accidents or stress. But even skin diseases , bad footwear or inflammation can lead to pain. Depending on the cause, these pains can have different character and thus contribute to the diagnosis.

Pain On Top of Foot

Figure pain ankle

  1. Achilles tendonitis / Achilles tendon rupture
  2. Bone fracture – toes, metatarsus, tarsal bones (here, outer ankle fracture )
  3. Ligament extension / ligament tear on the ankle
  4. Lower and upper heel spurs calcaneus spores
  5. Hammer toes and claw toes ( deformities of the toe bones) Digitus malleus
  6. Plantar warts Verrucae plantares
  7. Hallux valgus – (deviation of the big toe in the metacarpophalangeal joint)
  8. Hallux rigidus – (joint wear of the great toe joint )
  9. Inflamed nails / nail fungus
  10. Osteoarthritis / arthritis – degenerative change of joints / inflammation of the joints

Pain On Top of Foot as a result of injury

Foot injuries often occur as a result of accidents. Especially a torn ligament as a result of Umknicktraumas, for example during sports, is particularly common. This can lead to an outer or inner band break. Also, tendon injuries (eg Achilles tendon rupture ), bone fractures in the area of ​​the foot or joint injuries can occur in the context of an accident. But also muscle tension or muscle injuries due to overload cause Pain On Top of Foot.

Pain On Top of Foot as a result of inflammation

Inflammations in the area of ​​the foot usually do not develop suddenly, but develop a little more slowly. But they are no less painful. A joint inflammation ( arthritis ) develops due to prolonged improper loading and keeps mostly to long. In some patients, the inflammation persists permanently, so it is called a chronic arthritis.

Tenosynovitis ( tendovaginitis ) usually occurs as part of a sustained permanent strain. By severely rubbing the tendons over the bones, they can become inflamed and then lead to severe pain when re-stressed. Also tendon in the midfoot can become inflamed and painful. In contrast to the aforementioned inflammations, the inflammation of the bone (osteomyelitis ) is very rare.

It is a bacterial inflammation of the bone. The bacteria enter the bone through an external portal of entry (such as a small injury) and can damage the bone. It is a serious illness with massive general symptoms, so the affected patients must be treated in hospital.

Easier inflammation, such as superficial inflammation of the skin or a nail, also causes pain. However, they can usually be treated locally antibiotic or antiseptic and usually do not require inpatient therapy.

Pain On Top of Foot as a result of foot deformities

Numerous types of foot malpositions can lead to pain from the resulting stress or pressure points. The deformities can be innate or acquired and only emerge in the course of life. Congenital deformities are the kinking foot and the clubfoot . The flatfoot , the hollow foot and the equinus foot can be present at birth as well as in the course of life. All these misalignments are based on changes in the bones or tendons.

The bones and tendons are often not properly created, or their anatomy changes due to bad work or wrong footwear. Diseases like that Hallux valgus (great ball toe ) and the hammer and claw toes are also caused by bad stress or incorrect footwear. However, they are never innate but evolve over the course of life.

Other causes

Neurological causes of Pain On Top of Foot

The tarsal tunnel syndrome ( syndrome bottleneck syndrome ) leads to pain and emotional disturbances by narrowing the tibial nerve. Likewise, a polyneuropathy as a nerve damage, for example, as a result of chronic blood sugar disease ( diabetes mellitus ) can lead to pain and sensory disorders in the legs and feet.


Tumors in the area of ​​the foot, for example a bone tumor , are rare diseases which can lead to pain at rest and during exercise. The osteosarcoma is both in children and adults, the most common bone tumor. The Ewing’s sarcoma is the second most common bone tumor in children. Adults are rarely affected by this tumor.

Joint diseases

Wear of the ankle joint ( arthrosis ) can occur in the course of life with too strong a long exposure. The pain usually occurs at rest and improve by movement. A rheumatoid arthritis of the foot is also possible and leads to pain during exercise. Because of the inflammation of the small ankles, therapy often needs to be systemic.

Diagnosis Pain On Top of Foot

In many cases, the painful feet disappear quickly, especially if they have occurred as a result of heavy or new strain. However, if the pain does not go away again, it is important to see a doctor to make a diagnosis. As a rule, a detailed medical history is initially collected. Here, above all pain character , pain duration and time of the complaints are important.

Especially previous events, such as an accident , or inflammatory changes are important. In addition, the doctor asks for concomitant symptoms such as fever , weakness , weight loss , Diabetes mellitus or a rheumatic disease . Also, the information as to whether osteoarthritis has occurredin other jointscan be important. Afterwards, the foot is thoroughly examined. A swelling or tenderness at one point would be indicative of a traumatological cause, such as a bone fracture.

Immobility or severe pain in a particular movement would be indicative of muscle or ligament injury. Redness , overheatingor a visible bacterial infection may be signs of an inflammatory genesis. As a rule, an X-ray is subsequently taken in the retained position, for example if a torn ligament is suspected. An MRI scan of the footis also possible.

If there is a suspicion of inflammation, blood values ​​and the inflammatory parameters are determined. Also in the context of a suspected tumor , the blood levels should be determined. In addition, the bone can be punctured and thereby samples taken to ensure the tumor diagnosis.

Neurological examinations such as the nerve conduction velocity or an electromyography (EMG) can be carried out as well as the puncture in an articular effusion or a Ultrasound examination (sonography).

Pain On Top of Foot according to the place of occurrence

Pain on the outside foot

Pain that occurs on the outside of the foot can be caused, for example, by the so-called “tailor’s bale” (small toe bale). This is a malposition of the little toe , which usually occurs as a result of a splayfoot  . Due to the spreading, a protrusion on the outer edge of the foot develops . The small toe is pressed inwards in this foot deformity, the base joint is then overloaded and can swell.

Above the metacarpophalangeal joint pressure points form due to the changed shape of the foot . To prevent or mitigate Pain On Top of Foot, it is important to wear loose-fitting shoes and to wear a fitted lineror even the renunciation of shoes themselves, so to walk barefoot, recommended. If all these measures do not help, there is still the possibility of a corrective operation. Another cause, for example, be malpositions of the legs , which causes the pain by a wrong rolling motion while running. Of course, a strain on the ligaments located there can also cause Pain On Top of Foot.

Pain on the inside of foot

Pain on the inside of the foot can be acute due to injury, but it is often chronic due to foot deformities that develop over the years. The sinking / flat foot ( Pes planus ) and the bent foot ( Pes valgus ) play a major role here. The flat / flat foot is caused by a weakness of the muscles and ligaments. These actually serve to maintain the arch of the foot, which is referred to as longitudinal and transverse vault.

Due to the constant strain of standing and walking, the weakness of the structures gradually leads to a flattening in the longitudinal that the flat foot is created. Due to the changed statics , there is now Pain On Top of Foot, which occur especially in the area of ​​the inside. As a result, pain in the calf or knee can also occur. Not only the lowering / flat foot can lead to Pain On Top of Foot, but also the kink foot.

However, it is often associated with a sinking / flat foot. When Kneick foot it comes to a reduction in the inner edge of the foot and an increase in the outer foot edge . Consequently, one kicks inward. Again, there is a change in the static, which affects not only the foot, but on the complete static of the body. Therapeutically, a structure of the holding musclesrecommended through targeted training. In the case of an increase in complaints, a supply of deposits is also highly recommended.

Pain on the heel

Injuries, accidents, bruises or even running on hard ground with wrong shoes can lead to pain on the heel. Another cause can also be a so-called heel spur . This is located at the tendon insertion as a bony spur. It can be located both on the approach for the Achilles tendon ( upper heel spur ), and on the approach for the so-called plantar tendon ( lower heel spur ).

As symptoms the patient notices knife-like painthat are worst in the morning. It is possible that the pain subsides under a light load, but then may worsen again. To reduce the Pain On Top of Foot while walking, the rolling motion is shifted to the outer edge of the foot. There are several causes that can lead to heel spurs. People with obesity , especially tall people or athletic people are prone to such education. To find out where the pain on the heel is coming from, there are a number of possible investigations.

In addition to the physical examination by the attending physician, an ultrasound examination , an X-ray or even an MRI leading the way for the diagnosis. A computer-aided impression measurement of the foot can also be important in order to be able to make a statement about possible foot deformities and increased pressure ranges.

Therapeutically, the patient can be helped very well by certain physiotherapeutic measures, insoles or orthopedic shoes, or by injecting a local anesthetic at the site of greatest pain. Sometimes the application of cold proves to be helpful.

Pain on the big toe / rigidus

Toe pain is very common. Often the cause is in too tight or bad footwear , but also ingrown nails or bruises can be identified as a cause. Pain On Top of Foot that affects the big toe is often caused by hallux valgus ( bunion ). This is mainly caused by incorrect footwear or by family stress. The big toe tilts in the direction of the other toes and leads to a permanent malposition.

The Ballenzeh is a visual diagnosis, so that the trained and experienced doctor does not have to perform any further diagnostic diagnostics. Therapeutically, the patient has many options available to himToe splints and insoles , through active foot and toe gymnastics to surgery , to relieve the pain and malalignment. The hallux rigidus represents arthrosis of the great toe joint, ie the wear of the cartilage.

Causes of osteoarthritis, for example, injuries of the joint with cartilage involvement, the metabolic disease gout or Fehlbelastung and overloads.

Men are more often affected by this condition. It comes to pain and movement restrictions in the joint, the toe can often only be moved up in pain. Initially, special pains can be used to reduce the pain, and surgery can be used to improve mobility as the next step. If the disease is in an advanced stage, joint preservation is often not possible, so stiffening or joint replacement is the last option.

The gout disease can also cause Pain On Top of Foot. It particularly affects the big toe. The ground joint of the big toe is reddened, swollen and hurts at the slightest touch. Gout accumulates too much uric acid in the blood, causing the body to produce uric acid crystalsforms, which accumulate in joints and internal organs and deposit. Gout is often an acute illness that subsides after a few days.

The disease is treated in two stages. In acute attacks of gout, medicines are given to relieve the attack by controlling pain and inflammation. For this purpose, high – dose anti-inflammatory agents are prescribed. For long-term therapy, drugs are given to permanently reduce uric acid levels in the blood.

It is often necessary for the patient to change their diet in order to reduce the intake of foods that cause uric acid levels to rise in the blood. In particular, meat and alcohol should be avoided.

therapy for Pain On Top of Foot

The therapy of Pain On Top of Foot depends on the cause of the pain. Acute pain events in the context of an accident often require no therapy, but disappear by themselves. Often, a short immobilization of the foot is sufficient until the pain recedes. In some cases, bandages , ointment dressings , a cast splint, or a cast are necessary to immobilize the foot.

Anti-inflammatory drugs such as acetylsalicylic acid or diclofenac can also relieve the pain. In the case of chronic joint diseases, stronger drugs are often needed to inhibit the immune system and inflammation ( cortisone ). In some cases, a conservative therapy is not effective, so surgery must be performed. This may be necessary, for example, in a heel spur.

An arthroscopy ( arthroscopy ) is (osteoarthritis) often performed as part of a suspicion of a chronic degenerative joint. Through physiotherapy , cold and heat treatments, muscle training , electrotherapy or ultrasound therapy, any therapy can be assisted and relieve the symptoms. In any case, the right footwear is important to avoid possible misalignments or incorrect loads. Which further therapy is necessary and useful should be discussed with the attending physician.


Pain On Top of Foot is a wide field with many different causes. These can be divided into individual subgroups such as traumatological causes, bone tumors, inflammations, chronic diseases or neurological diseases. All these causes can be followed by Pain On Top of Foot during exercise or at rest. In addition to the pain, there are many other symptoms that serve to confirm the diagnosis.

Above all, blood values , parameters of inflammation , X-ray , the exact history and other special examinations are necessary. Depending on the diagnosis then takes a conservative or operativeTherapy. In part, the therapy must be supplemented with medication or taken for life. The exact therapy is specific and should be decided by the attending physician.

Pain On Top of Foot
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