Top of the Foot Pain:
Foot Pain in the Top of the Arch: [Causes, Symptoms & Best Treatment]
Do you have foot pain the top of the arch?The #1 cause is a top of the foot bone spur. This can cause a bump and nerve pain. Find out how to treat it FAST!
Table of Contents
Pain in arch and top of foot treatment video:
Top of foot above arch pain causes:
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!
Foot Pain in the Top of the Arch Overview:
- Foot Pain in the Top of the Arch depends on whether you feel pain within the arch itself or if most of the pain is at the top of the foot.
- Plantar fasciitis is one of the most common sources of foot pain globally, and it is felt at the bottom of the foot.
- There are many different causes of pain at the top of the foot.
- Would you please follow our guide to learn more?
Causes:
1) Dorsal Compression Syndrome:
- Dorsal compression syndrome occurs when there is too much stress on the ball of your foot.
- This compresses the top of the foot.
- It stretches out the bottom of the foot.
- So if the top of your foot is numb or irritated & the bottom is in pain, this is it!
- This can also lead to a lack of shock absorption in walking or running.
- It will eventually lead to mid-foot arthritis.
2) Top Of Foot Numbness Or Tingling:
- The top of foot tingling is usually due to nerve irritation.
- The medial dorsal cutaneous nerve is most frequently affected.
- This nerve covers the bump on top of your foot and runs along the top of your big toe.
- If a nerve is irritated and becomes numb, this is known as neuropraxia.
- Neuropraxia can take up to a month to get better, so treat it properly!
3)Top Of The Foot Bone Spur:
A bone spur on top of the foot forms due to abnormal friction and stress on the bone.
- As the bones of the midfoot rub against each other, the bone re-enforces itself.
- This is similar to a callus forming in a high-pressure area.
- The same thing will happen to the bone on the top of your foot.
- A top of the foot bone spur is ubiquitous.
- It can lead to the top of the foot numbness, burning, and tingling.
- This occurs due to nerve compression.
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 start hurting and causing pain gradually.
- 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 of days to a couple of weeks.
- But in some cases, it may be essential to seek imaging & further treatment.
6)Fluid Cyst:
- Ganglionic cysts are soft masses across the top of the foot which are not immediately dangerous!
- These are simply pockets of fluid that pouch out from the joints of your foot bones like a balloon.
- Treatment consists of draining and removing the pocket of fluid.
- But they should still check out by a podiatrist because there is a chance that they may be something a little more dangerous.
7) Top of the Foot Extensor Tendonitis:
- Just like a nerve can get irritated on top of the foot, so can tendons.
- Extensor tendons are the ones responsible for lifting your foot toward your shin.
- They can become irritated from being overworked.
- This is very common in long-distance runners and running hills.
- The front of your leg and the top of your foot will be sore.
8)Plantar Fasciitis – Entire Arch Pain.
- This is by far the most common pain in the arch of your foot.
- 15% of all people around the world have it.
- If it feels painful in the morning & painful after walks, this is the first thing you should consider.
- Plantar fasciitis is usually related to flat foot & is due to the stretching of the tissues in the middle of your foot!
Is the Pain in the Arch or on Top of the Foot above the Arch?
1)Foot Pain in the Arch
- Pain occurring within the actual arch is almost always due to a condition called plantar fasciitis. This is a ligament that runs across the bottom of your foot, holding the front of the foot against the ground. This ligament can be thought of as almost a continuation of the Achilles tendon around the bottom of the heel that follows along the bottom of your foot and inserts into your forefoot.
- The plantar fascia can easily become overloaded and enter into a cycle of breaking down and healing itself called inflammation. This is one of the most common problems in foot medicine that a podiatrist must address, and we have come up with a complete guide to get you through this pain!
Complete Painful Arch Treatment Guide
2)Foot Pain on Top of the Foot
- Pain occurring at the top of the foot is not usually due to one widespread condition like foot pain in the arch. Instead, there can be main smaller problems that are occurring. It is possible to have any of the following:
- Bone Spurs, Stress Fracture, Nerve Entrapment, Ball of the Foot pain, Extensor Tendonitis, Tight Footwear, Sprains of the Mid-tarsal joint, Ganglionic Cysts, Pregnancy, Ingrown Toenails, and Hammertoes.
Foot Pain on Top of the Foot Guide
For more on Foot Pain in the Top of the Arch:
Home Treatment:
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 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.
Pain Relief:
- Menthol-based creams have been studied medically, and shoe safety and excellent results.
- This is not fluff. These are scientifically-backed!
- Biofreeze is cost-effective and shows great results.
- This is more for people who have difficulty sleeping or walking due to significant issues.
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.
- Please 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.
- The cushion under the front of your foot prevents it from twisting out against the outside of your shoe as much as possible.
- These are one of the best possible options for the 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:


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




Best Dress Shoe Orthotics:
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
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
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Best 3/4 Length Orthotics:
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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.







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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.
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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:
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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.
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Top of the Foot Pain: