Why does the top of my foot hurt?

27 Jun

Pain on the top of your foot can be excruciating, making it difficult or impossible to walk even a few steps.

pain in top of foot

Assuming there is no visible injury, and you can’t attribute the pain to falling, twisting your ankle, barefoot running, or dropping furniture on your foot, the cause could be anything from an ingrown toenail to Gout.  A podiatrist would have to do a thorough examination to determine the specific cause, but here are the most common reasons you might have pain in the top of your foot.

Nerve Entrapment

Your shoes have quite an affect on the health of your foot. Shoes that are too tight, including athletic footwear, can cause Nerve Entrapment – also known as a “pinched nerve”. Repeated pressure on one area irritates the nerve and can cause a surprisng amount of pain. Ice, rest, and a change to less constricting footwear should resolve the pain.

Midtarsal fault

The arches in your feet are meant to absorb the shock of running, walking, and standing. When the arches fall and you suffer with flat feet, the tarsal bones can become compressed, which leads to damaged joints, bone spurs, and irritation.  The top of your foot may be slightly swollen, have red spots, and pain will increase with activity. Improper footware is one of the main causes of this condition.

Metatarsal Stress Fracture

Stress on the metatarsal bones (the five long bones in the front of the foot) can cause tiny cracks in the bones. This is a very common injury for athletes, dancers, and those who return to exercising after a long layoff.

Extensor Tendonitis

The Extensor Tendons lie just under the skin on the top of the foot. Their job is to pull the toes up away from the ground, and when they become irritated, the pain can be excruciating and often confused with a fracture. The most frequent cause of this complaint is once again, footwear that’s too tight.

Other reasons for pain in the top of the foot may include

  • Bone spurs
  • Sprain
  • Ganglion Cyst
  • Aging (arthritis)
  • Hammertoes
  • Gout

Pain on the top of the foot could indicate a mild irritation to your nerves or tendons from tight shoes, or a more serious condition. If rest, ice, and over the counter anti-inflammatory medications do not relieve the symptoms, call podiatrists at PA Foot and Ankle Associates for an immediate examination. We will determine the cause of your pain and create a customized treatment plan for you.

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272 Responses to “Why does the top of my foot hurt?”

  1. Sandy April 16, 2014 at 7:57 am #

    In January 2014 I had a bunion removed as well as a neuroma on my left foot. Two dissolvable pins were put in at the time of the surgery. After about 4 weeks I developed an infection in the incision of the neuroma but it has since cleared up. It has been about 14 weeks since my surgery and I am still in excrutiating pain when I walk. The pain seems to be coming from the top of my foot in the area of the neuroma. It is very stiff and extremely sore and it constantly stays swollen. Since the surgery my second toe has shifted and is not pointing inward toward my big toe. Prior to the surgery it was straight. My surgeon put be back in my boot with a spacer between my toes. I’ve been back in the boot for about a week now but still in a lot of pain. Any idea of what could be causing such pain?

    • PA Foot And Ankle April 16, 2014 at 9:44 am #

      Sandy: We can’t diagnose you via the internet, unfortunately. But it sounds like you have a very serious problem. Did a podiatric surgeon perform the procedure?

      • Sandy April 16, 2014 at 10:40 am #

        Yes, he performed bunion surgery on my right foot last year with no problems.

      • PA Foot And Ankle April 16, 2014 at 10:48 am #

        Sandy: If he’s a podiatric surgeon, then I’m sure you’re in competent hands. Unfortunately, your symptoms are too complicated to diagnose without seeing x-rays, tests, or knowing your case history.

  2. amber April 16, 2014 at 3:23 am #

    The past two months my right foot has been hurting. But not the whole foot just the the right side of the right foot top/side/bottom. I can’t stretch my foot without it hurting or walk too long without the pain coming, which isn’t good due to me being a waitress. If I stretch it the pain shoots up to my ankle along with the whole side.what could this be?

    • PA Foot And Ankle April 16, 2014 at 9:41 am #

      Amber: Those who waitress and others who have jobs which involve lots of time on their feet frequently experience what we call “overuse injuries”. Basically, muscles, ligaments, and joints become fatigued and irritated.If stressed long enough, they give way and the result is a fracture or tear. You should definitely seek an evaluation from a podiatrist, but before then, buy quality athletic shoes (or others) which support your feet correctly. They should have sufficient padding and arch support and not slide up, down, or sideways. To manage the pain, rest, ice, and elevate your sore foot whenever possible and use aleve or advil to manage the pain.

  3. Rhonda April 11, 2014 at 9:12 pm #

    A few months ago I started with a pain on top of my left foot that hurt when I flexed my foot or wore heels. I’m active and do kickboxing and bootcamp but don’t recall hurting it. A month and 1/2 ago I hurt the left side of the same foot on top from kickboxing. It’s the same pain as the middle top of my foot. X-rays showed nothing. The pain comes and goes but worsens with heavy activity or kicking. Both places hurt but the one more to the left is pain full. It hurts to point my toes and if im laying down, I can’t move my left foot outward (flexing to the left) without pain. I can walk ok though. What could this be? Are the doctors missing something? It was an orthopedic doctor. I just don’t want to continue working out if I’m making it worse.

    • PA Foot And Ankle April 14, 2014 at 8:52 am #

      Rhonda: You may be suffering from what we call an overuse injury: muscles, tendons, and joints are becoming fatigued from too much use. It’s important to get a handle on it, because at some point, something has to give, and that usually results in a fracture. We suggest seeing a podiatrist as soon as you can for a full evaluation – podiatrists are experts at diagnosing these conditions. Until then, rest, elevate, and ice the feet when sore, and use advil or aleve to control the pain. Also make sure that you’re wearing quality athletic shoes that support and pad your feet correctly.

  4. Hannah April 8, 2014 at 9:58 pm #

    I have a pain on the top of both of my feet. It is an aching and throbbing kind of pain and I get this feeling after running, cheer, etc. I also get it at random times when I am just walking around. It is also tender at touch but once I apply ice to the pain in the top of my foot, the pain slowly starts to decrease.

    • PA Foot And Ankle April 10, 2014 at 11:38 am #

      Hannah: It sounds like your tendons, ligaments, muscles, or joints are experiencing what we call an overuse injury. From your activity, the foot is becoming irritated, most likely because you’re not wearing proper athletic shoes. Make sure the shoes you wear are a quality pair, with proper padding and arch support. Be warned however, that if you continue to see these symptoms and don’t address the issue, you could end up with a fracture. Ice, rest, and elevate the foot when possible, and use advil or aleve to control the pain and irritation.

  5. Anna April 5, 2014 at 2:14 am #

    Top of my foot, below the pinky and 2 other toes,.hurts extremely bad. Pain is unbearable if toes are curled or when taking a step and pushing off with toes. Came on practically out of nowhere, just doing household chores. Any ideas?

    • PA Foot And Ankle April 7, 2014 at 11:07 am #

      Anna: The tendons are probably irritated, or the joints in the bones of your feet (metatarsals). Rest, elevate, and ice the foot whenever possible, and use advil or aleve to control the pain. Also make sure that you’re wearing athletic shoes that support your feet correctly – off-the-shelf shoes don’t cut it these days. If the pain doesn’t subside in 3 days, please see a podiatrist for an evaluation.

  6. John April 4, 2014 at 4:59 pm #

    I started work this morning and my left foot was fine. About 1hour in it started hurting and as the day went on it became extremely painful when I walked (like standing on a nail every step) I had to stop or almost drag my foot and limp. It’s at the top of the foot more on the middle/left side of my I’m on my feet pretty much all day at work. Now I’m sat down it’s eased but feels a bit numb.

    • PA Foot And Ankle April 7, 2014 at 11:04 am #

      John: Sounds like you may have fractured your foot without being aware of it. Or it could be a tendon injury from overuse. Please get an evaluation from a podiatrist. Until then, rest the foot whenever possible, elevate, and ice, and use advil or aleve to control the pain.

  7. Amber April 1, 2014 at 3:22 pm #

    I’m hoping you can help. The joint on my right big toe hurts when I walk, giving me a limp. The pain starts at the big toe and shoots toward the smaller toes. It only hurts when I walk or point my toes up. My shoes aren’t too tight, I haven’t exercised recently, and there’s been no injury.

    • PA Foot And Ankle April 3, 2014 at 9:52 am #

      Amber:
      You may have a bunion forming, or you may have injured the joint without knowing it. You might also have sprained your toe or fractured one of the bones. Please see a podiatrist at your earliest opportunity for an asessment.

  8. Summer Alswager March 30, 2014 at 9:41 pm #

    Please help I am experiencing a very high level of pain in the upper top foot/ connecting to the ankle . It only seems to be while im lying down that its unbareable what could this be??

    • PA Foot And Ankle April 3, 2014 at 9:53 am #

      Summer:
      Summer: That’s a very unusual symptom, as most pain occurs when weight bearing on the foot. Have you seen a podiatrist yet? We highly suggest you do so as soon as possible.

  9. Natalie Greenham March 30, 2014 at 7:51 am #

    Hi, it is the end of summer here in Australia and I have been wearing open sandals and thongs all summer. Today, being cooler, I wore running shoes for 5 hours but did not walk too much at all in them. Tonite I have a big bump on the top of my foot that is very painful and I can hardly touch it!! I am icing it at present. One thing to note, 3 days ago I got an excruciating cramp in the leg of the same foot. Could this be related or were my laces just too tight? Thanks.

    • PA Foot And Ankle April 3, 2014 at 9:56 am #

      Natalie: Your shoes may have been too tight, or you may have a growth of some sort which you were unaware of, and it became irritated from the shoes. If the irritated area doesn’t resolve in a few days with ice, rest, and aleve or advil, please see a podiatrist for an evaluation.

  10. elizabeth March 28, 2014 at 11:10 pm #

    The top part of my foot hurts when I stand. It’s in the area above my arch, in the area above my last three toes. It pops occasionally when walking and tends to have the tense feeling of needing to pop. It ranges from a sharp pain to a dull achy pain. I work 40 hrs a week on my feet at a job that does not allow us to wear tennis shoes. This has been going on for the past few weeks.

    I know you can’t diagnose it without looking at it, but do you have any ideas on what it could be and if it’s worth the doctor bills to go see someone?

    • PA Foot And Ankle April 3, 2014 at 9:58 am #

      Elizabeth: It sounds like you have what we call an overuse injury. Your tendons, muscles, or bones have become irritated from wearing shoes that aren’t protecting your feet properly. We definitely suggest seeing a podiatrist for an evaluation. Until then, rest, ice, and elevate the sore foot whenever possible, and use advil or aleve to manage the pain.

  11. Jaymee March 28, 2014 at 9:52 am #

    Please help! For the past few months on and off I have been experiencing terrible pain in the soft bit between the bones of my little toe and the next toe along (on the top of my foot). It is a throbbing pain and it really hurts when I bend my toes as I walk. I don’t know whether my sporting activities (such as tennis) have anything to do with this. Could you please reccomend a treatment.

  12. Matt March 26, 2014 at 11:29 am #

    The top of my foot hurts, what feels like between the bones, and extends under to the side of the arch. If I step down and my foot is flat, it doesn’t seem to hurt too bad. As soon as I lift my foot up, it’s very painfull. Also, shifting weight towards the arch hurts pretty bad or lifting my toes up. Most of the pain occurs when I lift my foot off the ground though.

    • PA Foot And Ankle March 27, 2014 at 12:01 pm #

      Matt: Sounds like you may have fractured your foot. Please have an examination from a podiatrist as soon as possible.

  13. Alyson March 26, 2014 at 12:42 am #

    The top of my foot hurts! The muscle or tendon attached to my big toe hurts to bend my big toe or to put pressure on it. I dropped a big piece of a heavy metal on my foot yesterday. There is no external bruising though.

    • PA Foot And Ankle March 26, 2014 at 10:16 am #

      Alyson: You no doubt injured your foot internally and you should see a podiatrist asap for a diagnosis. Just because there’s no bruising doesn’t mean there’s no injury.

  14. me March 25, 2014 at 8:56 pm #

    My mom has been complaining for the past few months that her feet have just been killing her after her 8 hour shifts at work. She has to stand walk, and hurry on a daily basis. She has pain on the top of her right foot and all around the outsides. From what she has told me, she tried to change her shoes, the extra innersoles, tylenol, ibuprofen, and nothing has worked. What should she do? Thanks!

  15. mmmlele March 20, 2014 at 11:12 pm #

    Hello,

    A friend stepped on the top of my right foot while he was wearing boots. It ended up bruising and being a bit painful when bend it. Walking is fine but running is not. It is now almost two weeks later and my foot still hurts, especially if I put pressure on it (i.e. rest my foot on top of the injured one). Should I be concerned or will it just take a bit more time to heal? Thanks!

    • PA Foot And Ankle March 21, 2014 at 9:05 am #

      Your symptoms are consistent with a contusion (bruising), but also with a fracture. We recommend getting it looked at by a podiatrist and until then, rest, elevate, and ice the sore foot, and use advil or aleve to control the soreness.

  16. Joe March 19, 2014 at 11:00 am #

    Hello, I am an avid runner. I went on an 8 miler this morning and the run went great except for the last 0.5 mile. Suddenly it felt like a dull throbbing on top of my foot near my ankle but more towards the inside of my foot than right in the middle. As I finished the run the pain got a little more intense. During the early parts of my run I did have a couple of steps where I misjudged and slammed my left foot into the road fairly hard (it was mostly dark). Now that I have cooled down the pain has increased slightly but I’d still call it probably an irritating dull pain. Could this just be a bruise? A sprain of something in the area? I’ve taken some aleve and will try to RICE when I can. Any advice is greatly appreciated. Thanks!

    • PA Foot And Ankle March 19, 2014 at 11:26 am #

      Joe:
      Sounds like you may have sprained your ankle – many people do so without even realizing it. We suggest getting it evaluated by a podiatrist as soon as possible.

  17. Amanda cartwright March 17, 2014 at 9:55 pm #

    I have had a hard knot on the top of my foot for about 3 years now. It hurts so bad sometimes that I can barely walk. It hurts worse when I’m on my feet for long periods of time. The knot feels hard like a bone. Is this something I should worry about?

    • PA Foot And Ankle March 18, 2014 at 3:37 pm #

      Amanda: You should definitely be concerned with it. It’s a painful, abnormal growth, and you need to have it examined by a podiatrist.

  18. Bo March 17, 2014 at 3:28 pm #

    Hi there,

    I came across your site while searching the web for an answer that I was not able to find yet. A few days ago, I was sitting “weirdly” on the floor and after that in the evening, there was a bump (swelling) that was localized on the top part of my foot, at the place where foot and the ankle meet, and slightly towards the outside of the foot. The bump was about size of a walnut. The bump was tender to touch the first day, so I rested and iced it for a while. The next day, there as a bit more swelling one the top part of my foot below the lump, not much, and that is now almost gone as well. While I am definitely getting better as far as pain and ability to walk in my shoes, the bump is still there and now it is rather hard to touch but not painful. I was not able to find any indications during my search as to what the issue could be, and I would appreciate if you could help and let me know as to what exactly is ailing me. Thanks!

    • PA Foot And Ankle March 17, 2014 at 3:51 pm #

      Bo: Hard to diagnose over the internet, but your symptoms could be consistent with a sprain, fracture, or tendon injury. Since the lump is still present, we suggest you get it checked out as soon as possible, and in the meantime, keep doing what you’re doing – rest, ice, elevation.

  19. Sienna Reid March 14, 2014 at 10:17 pm #

    Hey :) I’m a gymnast and the top of my foot has started hurting after gym last night.i woke up this morning and it was still the same. Do you know what’s wrong?

    • PA Foot And Ankle March 17, 2014 at 10:54 am #

      Sienna: Without an examination, we can’t tell you specifically. But if we were to guess, you most likely have an overuse injury, which is very common in your sport. Elevate, ice, and rest your foot whenever possible and stay off the mats for a week. If the pain is still present, see a podiatrist, as you might have a fracture.

      • haily danielle March 19, 2014 at 5:36 am #

        Hi, the top of my foot hurts as well, its not bad when i’m not on it but when I stand the bend of my foot hurts really bad forcing me to limp. It didn’t do this until I got off work last night. I stood at the register for three hours and remember tying my shoes extra tight before my shift.. should I go to school or try to stay off of it? I’m off today but work again tomorrow evening.

      • PA Foot And Ankle March 19, 2014 at 11:24 am #

        Haily:
        Your symptoms are consistent with a minor ankle sprain, or an overuse injury from being on your feet for long periods. The first thing to do is to elevate, ice, and rest the sore foot and take advil or aleve to manage the pain and soreness. The second thing to do is to make an appointment with a podiatrist for an evaluation to make sure something more serious isn’t going on.

  20. Christopher March 14, 2014 at 3:04 pm #

    Good afternoon and would like some insight. I have this pain in my left foot where if I turn it all the way to the right it hurts badly or if try to bend it to stretch it hurts bad. I’m currently wearing orthodics with combat boots everyday for work. I wakeup in the morning and it hurts to walk until I get going. After that it is fine for the day. It has been going on for the last few months. I had my foot run over with a panel cart (hockey glass) and almost ripped off my achelies tendon.

    • PA Foot And Ankle March 14, 2014 at 5:14 pm #

      Christopher: Did you ever have your foot examined after your injury?

      • Christopher March 14, 2014 at 9:23 pm #

        No I haven’t had it examined. Not by a person who specifically looks at the foot or ankel.

      • PA Foot And Ankle March 17, 2014 at 10:51 am #

        Christopher: Considering that your achilles tendon may be significantly injured, we highly recommend you see a podiatrist as soon as possible. Your symptoms are consistent with achilles damage. If you need to wear boots for your job, we also suggest buying a high quality pair with good support – combat boots are notorious for their lack of support. If you don’t absolutely have to wear boots, buy a quality pair of athletic shoes which will pad and support your feet correctly.

  21. lee March 14, 2014 at 8:37 am #

    could you help me my foot was fine yesterday but today i have woken with a pain in the top of my left foot just under my toes in the middle its very painful to walk so much so asif it has bruised or something

    • PA Foot And Ankle March 14, 2014 at 9:55 am #

      Lee: Your symptoms are consistent with a number of possible injuries: fracture, tendon or ligament irritation or damage, or nerve entrapment. Make an appointment to see a podiatrist for an evaluation and until then, rest, elevate, and ice the sore area.

  22. Rachael March 12, 2014 at 12:08 am #

    Hi,
    I’m a 20 year old female and I’ve been having pain in the top of my right foot for the past couple of months. It hurts to point my toes, and my right foot is now swollen as if I were pregnant or something. The subtle pain has even started to work its way up into my shins. My doctor told me to take tylenol 3 times a day to reduce the inflammation for 10 days since I’m allergic to ibprophen, however that didn’t work. My feet swells up the most after an 8 hour shift at work in the pharmacy. Have I damaged a nerve in my foot? Is there any other remedy for this other than tylenol?

    • PA Foot And Ankle March 12, 2014 at 11:17 am #

      Rachael: First of all, we’re surprised that your doctor told you to take tylenol to reduce swelling, because it has no effect. Tylenol isn’t an anti-inflammatory, as advil or aleve are. The fact that you have pain when you point your toes would indicate that you’ve injured your foot in some way – probably not a nerve, possibly a sprain, fracture, or tendon issue. The foot is most likely swelling up as a response to putting weight on the injured area. Most likely pain is creeping up your leg because you’re unconsciously shifting your weight, placing more stress on areas not adapted to it. Please make an appointment to see a podiatrist as soon as possible, and in the meantime, please wear athletic shoes at work (if possible) to provide proper support for your feet. If you’ve been wearing high heels while your foot has been bothering you, that could also be the cause of your problem.

  23. Elizabeth February 19, 2014 at 8:55 pm #

    Hi there. I suffer from flat feet and I have always felt discomfort and pain when walking for long distances. Recently, I have been going to the gym to try and lose weight (I am overweight, 170 pounds 5’2″ if that helps) and since I have been going, the pain has been getting worse. I knew it was from adding even more pressure to my flat feet but the veins on top of my feet are now protruding more and it’s painful to stand for more than a couple of minutes. It sounds weird but the best way to describe it is that my veins have moved from their usual spot. An hour or two after exercising, the redness I have goes away and the pain lessens but it’s still uncomfortable. While the veins on both of my feet are now more visible, my left foot has a specific part of the vein that will turn into a bubble if I put any pressure on my toes or if I pull my foot up towards my knee and leg and that bubble forms right on the top of my foot. My right foot has a vein that is swollen and dark purple and I can clearly see it from the top of my foot towards my large toe. Since this all started because of being more active, I was hoping it would get better the more often I exercised but it doesn’t seem like it. I don’t know if this can all be resolved by buying a specific type of footwear or shoe insert or if there might be something more serious going on.

    • PA Foot And Ankle February 20, 2014 at 1:19 pm #

      Elizabeth: The “bubble” in the vein could indicate a number of conditions. Bulging of the vein could be caused simply by muscles pressing up against it, or something serious. As far as the footwear goes, in any case you should be wearing comfortable and supportive athletic shoes to exercise in – the better the quality, the more protection they’ll give your feet. As you have flat feet, we also highly recommend that you see a podiatrist to have custom orthotics molded to support them. We’re happy that you’re managing your weight with exercise – you’re working in the right direction, but you have to protect your feet.

  24. Densylm February 17, 2014 at 10:00 am #

    Hi,
    I am a runner and recently I’ve got a pain on my first metatarsal, big toe knuckle sort of area, that is only felt when I’m wearing shoes. I can’t precisely pinpoint the area of pain, theres no sweling or bruising and I can walk barefoot, with no pain, but can only wear shoes that are laced up very loosely. I can wiggle my toes with no problems. Any suggestions? Thanks

  25. Randi February 14, 2014 at 4:49 pm #

    forgot to mention that the bend of my foot to my ankle is also the major point.of.pain.

  26. Randi February 14, 2014 at 4:43 pm #

    I have a soft lump on the top of my right foot. its excruciatingly painful to turn my foot to the left at all. if I lift my foot up behind me and kind of take pressure off it it hurts. I can walk on it cuz I.have no choice but its very painful. the pain is mainly on the top stretching downward toward my toes. I don’t know what to do

    • PA Foot And Ankle February 20, 2014 at 1:27 pm #

      Randi; Your symptoms are consistent with a number of problems: fracture, sprain, tendinitis, nerve entrapment, and a few other things. You really need to see a podiatrist as soon as possible to get it resolved.

  27. Caroline February 14, 2014 at 10:02 am #

    I am 18 and i rarely exercise but starting yesterday the tops of my feet really hurt and its mainly while im walking and then the pain subsides after i am off my feet for a little while and i dont know why because i haven’t had anything happen to injure myself.

    • PA Foot And Ankle February 14, 2014 at 12:46 pm #

      Caroline: You clearly have injured your feet in some way, or they wouldn’t be troubling you. Can you be more precise about what area on the top of your foot hurts?

      • Caroline February 14, 2014 at 9:56 pm #

        Oh sorry its the area above my two first toes about halfway up my foot.

      • PA Foot And Ankle February 20, 2014 at 1:24 pm #

        Could your shoes be laced too tightly, or simply too tight, rubbing or irritating your foot? That’s a classic problem in that area of the foot.

  28. Traci February 9, 2014 at 1:27 pm #

    I’m a runner–last night I awoke with excruciating pain in my right foot. It came on all of a sudden with no warning signs. It hurt to touch, move or even attempt to walk on it. It was a constant pain and would not relieve until I finally took two Tylenol. I pin pointed the pain to the top of my foot and the crease between my foot and leg, where it bends. My husband believes I was pointing to a nerve last night. Today, I am able to walk on it, however I must either limp or walk on the outside of my foot. I’m unable to apply full pressure. Can you help with a diagnosis or what to do? Before this, I had not run for 2 days with no problems.

    • Traci February 9, 2014 at 1:31 pm #

      I forgot to add, that there is a bruise on the top of my foot also, that I discovered this morning.

      • PA Foot And Ankle February 10, 2014 at 9:23 am #

        Traci: You’ve clearly injured your foot in some way if there’s a bruise. I assume the bruise is in the same area that you indicated your pain was? If so, you may have sprained your ankle. As a runner, it’s essential that you get this looked at by a podiatrists asap so that it heals correctly and doesn’t give you trouble down the road.

  29. raja February 6, 2014 at 11:54 pm #

    hi, Im currently having horrible foot pain in the top of my feet. The top of my feet are red and a bit swollen. I can barely walk on them, let alone stand on them. I did slip and fall on ice this morning, could that be why my feet hurt? And what can I do to stop the pain? i have ice on them now and took pain meds, but the pain meds aren’t working.

    • PA Foot And Ankle February 7, 2014 at 9:22 am #

      Raja: It sounds like you may have a fracture. Please get medical attention immediately.

  30. Amy Lee January 29, 2014 at 4:04 pm #

    Hey, I have a reoccuring pain on my left foot directly above my pinky toe and half way up my foot to my ankle, its a tense sharp throbbing pain, it comes and goes for days at a time…

    • PA Foot And Ankle February 7, 2014 at 9:24 am #

      Amy. You may have fractured the 5th metatarsal, which is the bone that runs to the small toe. But it also oculd be a number of other things, such as tendinitis. The only way to know for sure is to have podiatrist check it out.

  31. rhona January 29, 2014 at 9:33 am #

    hi, for the past few days i have had a pulsing pain from the top middle of my left foot that seems to pulse into my ankle, i seem to notice it more when im off my foot but i think that is only because my mind is occupied when i up and moving around, the other thing is on my right i have the same kind of pain that throbs from the back of my right ankle on the right side that also pulses but seems to shoot up the leg to the side of my calf, could this be all nerve assosiated, it is constantly bothersome and while the pain on the right comes and goes during the day showing itself more at night when im trying to relax (not saying it is not there in the day) the left foot pulses on and off all day long, never seems to go away and is an ache kind of pain, please help

    • PA Foot And Ankle January 29, 2014 at 9:50 am #

      Rhona: Sounds like your feet are suffering an overuse injury – are you overweight? Sorry, but we needed to ask. Feet, ankles, and lower legs are put under a lot of stress when they’re carrying more weight than they were designed for. Your pain could indeed be nerve associated, but it could also be from fatigued tendons, arches, or metatarsals, assuming you haven’t fractured something. The only way to know for sure is to get an exam from a podiatrist.

      • rhona January 29, 2014 at 10:46 am #

        I am slightly over weight, 180lbs 5ft 6, there has been no injury to my feet but i do suffer from reinards phenomenon, i also get alot of spasm in my feet where they ramp up and kind of curl in, i then see the tendons by my toes twitching, i have herniated discs in my neck and back, and nerve damage in upper and lower extremities, but this constant pulsing pain is new and unberable

      • PA Foot And Ankle January 29, 2014 at 11:19 am #

        Rhona: The Raynaud Phenomenon wouldn’t be affecting you in this way, to the best of our knowledge. In light of this new info about the nerve damage and the herniated discs, your pain could certainly be caused by nerve damage or nerves being pinched. Unfortunately, we can’t give you more detail than that, as a pinched nerve anywhere along your spine could present pain anywhere in your extremities. Please see your physician for a diagnosis, as this could become quite serious.

  32. Tammy January 29, 2014 at 12:25 am #

    All of the little bones on the top of my foot feel like they are broken. The pain is unbearable and it almost makes me want to vomit.I haven’t injured the foot so what could be the cause?

    • PA Foot And Ankle January 29, 2014 at 9:27 am #

      Tammy: If you have pain, you have injured your foot. If you have pain that severe, please seek medical attention immediately.

  33. Socorro January 26, 2014 at 8:19 pm #

    Hi, I have a really bad pain on my left foot. It’s upper side by the pinky toe. It’s very uncomfortable to walk on and painful?

    • PA Foot And Ankle January 27, 2014 at 9:01 am #

      Socorro: Your pain could be from a number of things: shoes that don’t fit properly or the early stages of a Tailor’s Bunion to name two reasons. It’s difficult to know precisely without seeing it. Please see a podiatrist for an evaluation, and until then, ice the sore area, rest and elevate your foot, and use ibuprofen or naproxen (advil or aleve) to control the pain.

  34. Wildref January 25, 2014 at 7:18 am #

    Hi,

    I have a pain in the top middle of my foot (above the arch) in my right foot and pain on the left side of my right shin. My foot hurts to run and walk while the shin is mainly only sore to touch. I rested for a week and started running again and the pain has no subsided and has started at the same spot on my other foot. Is this too serious? What can I do?

    Thanks in advance!

    • PA Foot And Ankle January 25, 2014 at 8:56 am #

      Wldref: When pain appears in the same area of the opposite foot it would indicate that you’re favoring that foot and shifting weight off of the sore foot. Pain above the arch could be metatarsalgia, or a number of other conditions. Tough to tell without a diagnosis. Please see a podiatrist for an evaluation, but until then, ice the sore areas, use aleve or advil to manage the pain, and rest. Also make sure you’re wearing quality athletic shoes to pad and support your feet properly.

  35. Charles January 17, 2014 at 6:56 pm #

    I have very recently developed pain in my left foot that starts where the ankle meets the top of the foot, dead center, and radiates to my toes. Pulling my toes back, raising my toes up (heel on the floor) and walking causes no pain but if I extend my toes downward, foot downward (below the heel) ans if standing tip toe, the pain is immediate and severe, like an electric shock and then cold numbness. There has been no injury and symptoms came out of nowhere.

    • PA Foot And Ankle January 20, 2014 at 8:55 am #

      Charles: A band of tissue wraps around your foot in that area. Your symptoms perfectly describe an overuse injury of that tissue – could be caused from being overweight, or you may have damaged it while exercising. Ice the area twice a day for 20 minutes, wear shoes which don’t apply pressure to that junction, and use anti inflammatory pain meds like advil or aleve to control pain. If the problem doesn’t subside in 2 weeks, see a podiatrist for an evaluation.

  36. Kalvin January 16, 2014 at 2:00 pm #

    Hi, the top of my left foot is in pain somewhere between the pinky toe and middle toe. It started just when I woke up yesterday and it still hurts today. It hurts when I walk and even when just sitting down. It hurts when I apply pressure at the ball below my pinky toe. Like others, I don’t have insurance. What can I do other than seeing a doctor first?

    • PA Foot And Ankle January 23, 2014 at 12:44 pm #

      Kalvin: If you can’t afford to see a doctor, we recommend using over the counter meds like advil or aleve to control the pain, elevating the foot whenever possible, and icing the sore area at least twice a day.Also make sure you’re wearing shoes that support and pad your feet properly – in other words, high quality athletic shoes.

  37. Chris Bieder January 15, 2014 at 5:01 am #

    It was almost a month ago when i fell asleep on my neck funny and when i woke up my left leg from about my knee down was numb and a lil around my neck well my foot stayed numb for about seven days like when you fall asleep on you arm anyways i had neck pain for a while went away but still feels like i lost a lil feeling on the back of my neck and my left leg now hurts on top of my skin almost like sunburn or my leg hair being pulled i have feeling can move everything sometime i get sharp pains and spasms in leg im thinking maybe nerve damage

    • PA Foot And Ankle January 15, 2014 at 5:26 am #

      Chris: Sounds like you have a pinched nerve. Normally not serious, but you should see your physician for relief.

  38. Brenda January 12, 2014 at 12:21 pm #

    I have a bump on the top of my foot where it bends. It was Smaller but now double the size. It hurts to touch and this morning it hurt while lying in bed. Not sure if I should be concerned.

    • PA Foot And Ankle January 13, 2014 at 8:39 am #

      Brenda: A painful lump is definitely not a normal development. Please seek advice from a podiatrist as soon as possible.

  39. meghan January 6, 2014 at 11:47 pm #

    I have this horrible on and off pain on the top of my foot, in the middle, and it only hurts when im sitting down, relaxing or laying in bed, but when im up on my feet, it doesn’t hurt. it started maybe a couple months ago, any suggestions on what it might be?

    • East Penn Foot And Ankle January 7, 2014 at 8:40 am #

      Meghan: Those certainly are curious symptoms. If you’re diabetic, it could be the start of diabetic peripheral neuropathy. If you’re not diabetic, possibly arthritis or tendinitis. We highly suggest that you see a podiatrist as soon as possible for an accurate diagnosis. Problems addressed early are easier to resolve than those that linger.

    • Kris Cadigan January 12, 2014 at 8:51 pm #

      My pain occurs whenever I try walking upwards or downwards…on stairs for instance or walking up or down a hill. It’s across the top of my foot & it doesn’t bend. I’m walking like Frankenstein. Flat surfaces doesn’t bother me as much.

      • PA Foot And Ankle January 13, 2014 at 8:42 am #

        Kris: Your pain could be the result of a stress fracture to one or more of your metatarsals, or irritation of the joints which connect them. I’d recommend seeing a podiatrist as soon as you can.

  40. kent December 29, 2013 at 9:28 am #

    On the top of my foot just below my little toe I have terrible pain if pressure is put on that area. This has been going on over six months. It does not hurt when I walk or jog. I can move my toes an nothing hurts, there is a little pain when I do foot raises with my toes.

    • East Penn Foot And Ankle December 30, 2013 at 10:52 am #

      Kent: You may have a Tailor’s Bunion forming, or an overuse injury. Difficult to tell from your description. Please see a podiatrist for an evaluation.

  41. Jesse December 28, 2013 at 3:49 pm #

    I have this KILLER pain when I walk on my foot after I got a massage at a sketchy place in Chinatown LA. It’s def on the dorsal part of the foot. It hurts even just sitting here. The most pain is in the middle of the foot on the dorsal side toward the small toes. Hurts when I curl toes especially. I don’t have insurance, how much would it cost to have an office visit? Or can I just skip a visit altogether and rest rest rest?

    • East Penn Foot And Ankle December 30, 2013 at 10:58 am #

      Jesse: If you don’t have insurance, you can first try resting the foot and applying ice to the sore area.Over the counter pain meds like aleve or advil will also help. However, if this fails to resolve your pain in 2 weeks, we highly suggest you see a podiatrist.

  42. Dani December 24, 2013 at 10:27 pm #

    The top of my right foot has been hurting off and on when I step on it. It seems to be random and only affects my being able to walk for 10-30 seconds. I have not changed shoes or walking/running habits recently. Its a stabbing feeling, but it also feels like someone its twisting the bones in a knot.

    • East Penn Foot And Ankle December 26, 2013 at 9:34 am #

      Dani: Any pain as severe as you describe should be checked out asap by a podiatrist. Can you be more specific about the area of pain?

      • Dani December 26, 2013 at 12:58 pm #

        Its right in the middle of my foot. Its not really closer to my toes or my ankle, but centered. I’ll occasionally feel the same pain on my arch, but not as often. I’ve been told I have Achilles tendinitis and I’m not sure if that is affecting anything else even though the new pain isn’t near my heel.

      • East Penn Foot And Ankle December 27, 2013 at 11:00 am #

        Dani: Your pain could indicate a number of problems, but it’s probably from an overuse injury – tendons and joints are irritated for some reason. Your Achilles tendinitis may be indirectly causing the pain in your midfoot, because we tend to shift the way we walk, stand, and run when we have pain in one area. That puts pressure on another area, which causes irritation of those structures, and pain then develops there as well. First, take care of the Achilles tendinitis, because if left untreated, it’s going to get much worse. Use over the counter anti inflammatory meds like advil or aleve to manage the pain and reduce the inflammation. Ice and elevate the sore area whenever possible.And by all means, wear a quality pair of athletic shoes whenever possible. The support and padding they provide will do wonders for relieving your pain.

  43. Cathy December 15, 2013 at 9:51 am #

    The top of my left foot below my big toe has been hurting for the year. Some days I can’t bend it to put on a shoe and have to wear clogs or sandals depending on the weather. I have broken my ankles 3 times and have permanently swollen ankles, but this pain is constant so I don’t believe it’s gout. Can you help me? By the way I only wear flats now as my toes won’t allow me to bend in a show with even a little heel.

    • East Penn Foot And Ankle December 16, 2013 at 9:54 am #

      Cathy: We’re really sorry to hear about the condition of your feet. Please see a podiatrist asap for a full assessment of your condition. As far as the joint of the big toe is concerned, it certainly could be gout, but could be a number of other problems as well, including arthritis – rheumatoid or osteoarthritis. Beyond that, without actually seeing your foot, it’s difficult to guess at what the problem might be. Elevate the foot as often as possible and apply ice to the painful area.

  44. Laura December 10, 2013 at 7:20 pm #

    Help- every single day- since I had to stop running in July due to a minor plantar facitis injury- my feet are killing me. I have gained some weight and want to lose some again due to the inactivity. Anytime I go for walks- if it’s just around town or cross country with the kids, by the time I’ve sat down for 10 minutes and walk afterwards I have to limp to where I want to go. It doesn’t matter what shoes I wear (boots-Adidas-vibram minimums)it hurts afterwards. The more I walk the more it hurts- at night I am sometimes frozen in place, crippled in pain and have to hold on to walls and banisters to walk. I am 35 years young- how is this possible?

    • East Penn Foot And Ankle December 11, 2013 at 10:10 am #

      Laura: Sorry to hear about your pain. Where exactly do your feet hurt? Hard to give advice without more specific info.

      • Laura December 11, 2013 at 2:00 pm #

        If you imagine wearing an anklet- the front area around my anklet would be most painful. Especially when I apply pressure in a seated or standing position or roll my foot out wards.(apply pressure to the outside of my foot. It is as if my ankles are not aligned correctly? Maybe too much pressure on the outside ankle? No clue. My arch gives me no problems whatsoever.

      • East Penn Foot And Ankle December 13, 2013 at 8:52 am #

        Laura: That area where your leg joins your ankle contains a lot of soft tissue, which is vulnerable to all kinds of injuries. Many women experience pain in that area from wearing high heels too often, or twisting their foot when wearing high heels (like stepping off a curb and rolling your ankle). You should definitely see a podiatrist to make sure you haven’t done any serious damage. Until then, elevate your ankle whenever at rest, ice the sore area, and use ibuprofen or naproxen to relieve the pain. Also wear a good pair of athletic shoes whenever possible to give your foot proper support.

  45. peter December 9, 2013 at 4:34 pm #

    Hey! I’ve had this problem that it hurts on top of my foot. I usually only feel it when it’s late and it’s worse after showering. I do have flat foots so I got these specialized things in my shoes to make it better. I use a pair of winter style shoes which is flat on the bottom. I also sometimes when walking a long distance or going barefooted at home have this pain under in the perfect middle. feels like some kind of cramp or schock. help please?

    • East Penn Foot And Ankle December 9, 2013 at 5:31 pm #

      Peter: You’re describing a few different problems. When you get pain late in the day, it suggests that your foot is becoming fatigued from overuse. People with flat feet have little to no arch, so having custom orthotics would go a long way towards relieving your pain. But you also say you have pain on top. You didn’t give us enough info to even take a guess, but as a rule of thumb, rest and elevate your foot whenever possible, ice the sore area and use over the counter anti inflammatory meds like ibuprofen or naproxen to control the pain.

  46. Jared December 9, 2013 at 3:22 pm #

    I have high arches and over weight. Every time I walk a lot in dress shoes I wake up with my right foot in severe pain and it’s very hard to apply weight when I walk. This has happened a couple of times before. Is this just caused from wearing the wrong shoes and being over weight or is there worse problems?

    • East Penn Foot And Ankle December 9, 2013 at 5:26 pm #

      Jared: Depends where your pain is. Dress shoes are notorious for having very little arch support, so if the pain is in your arches, see a podiatrist and have custom orthotics made – they’ll make a world of difference. Over the counter inserts may help a little, but as everyone’s arches are different, they’re hit or miss. And of course, a weight management plan would help as well, as it would relieve some of the pressure on your feet.

      • Jared December 9, 2013 at 5:38 pm #

        It hurts on the top of my foot more towards the right side of my right foot from my ankle to my toes. I felt ok when I went to bed, minor foot fatigue from walking a lot, but noticed when I woke up my foot was swollen and pulsating with pain. I just hope it’s not something worse other than just the shoes I’m wearing. I’m having to walk on crutches.

      • East Penn Foot And Ankle December 9, 2013 at 5:59 pm #

        Jared: Have you seen a doctor?

  47. Jessica December 9, 2013 at 10:35 am #

    Hi, I just woke up and for the past 2 hours my right toe of the foot is in so much pain! The pain is from my ankle to my pinky toe. I haven’t been active lately and I know I didn’t injure it. Could it be some sort of muscle cramp? This has never happened to me and I can’t even stand to take a few steps on it. Could I have possible slept wrong on it?

    • East Penn Foot And Ankle December 9, 2013 at 1:54 pm #

      Jessica: We doubt that you “slept wrong on it”. If the pain persists, please see a podiatrist – your pain could be related to any number of conditions.

  48. Sarah Johnson December 7, 2013 at 10:37 pm #

    Hi! I have also been having a problem with the top of my right foot, near the ankle. It is fine when walking long periods of time. But when I stand up to begin walking, after sitting, I feel terrible pain. Sometimes I have to stand on the foot first for a couple mins, before taking off. It is a sharp pain when there is applied pressure like sitting in an indian style position. I am overweight and I wear loose athletic shoes everyday. With a new job its getting harder to run on command. When off work, the pain subsides for two days until the work week begins. Tylenol does nothing, gonna start with ibuprofen and ice since you recommended it. I will let you know how the remedies work. Thanks for the helpful insight!

  49. natasha bonney December 2, 2013 at 6:45 am #

    hi, im a chef here in tasmania, australia, currently working 38-42 hrs a week on hard floors. Just recently in the last 3 months, both heels start really hurting after about 4hrs on my feet, and as the hours go on (usually do a 8.5 – 9 hr day) the top of my right foot gets so very painful, when i get home i sit then when i get up excruciating pain goes through the top of my right foot, i cant bend it either left or right as it is very painful. My shoes are not tight, my feet don’t swell, but i see like fluid building just before my big toe, very puffy. I limp and hobble, ice helps a bit, rest helps a bit, but it is just the same routine again the next day. please help :)

    • East Penn Foot And Ankle December 2, 2013 at 8:52 am #

      Natasha:
      It sounds like you have a few problems going on. Most notably, it sounds like you’ve got plantar fasciitis in both feet, the most common cause of heel pain. This is due to the hours you’re spending on your feet. If you happen to be overweight (we have no idea), it will worsen this condition. Secondly, it sounds like you have either a fracture or strain of your first metatarsal, the longest bone in your foot. The swelling near your big toe may be associated with the metatarsal problem. So what can you do?

      First, we have to recommend that you see a podiatrist immediately for a diagnosis. Until then, the first thing you must do is buy shoes which support your feet properly, due to the amount if time you’re spending standing. This would be a good pair of athletic shoes with proper padding in the soles and good arch support. Not flats, not high heels, not dress shoes of any kind. When you’re at home, elevate your feet and ice them – the cold will help with the irritation of the tendons. And when you need it, take an over the counter anti inflammatory like ibuprofen or naproxen. For more info, check out these posts: Why your shoes are killing your feet and Why does my heel hurt?

  50. Jennie November 23, 2013 at 8:41 pm #

    I hope you can help, I started having pain on the top part of my right foot. The pain starts at the bottom of my big toe and follows what I assume to be a tendon. I also have something that is moving in the same area. If I put my hand/fingers on top of my foot below my big toe and move my big toe you used to hear a cracking noise but now you can literally feel something inside my foot moving almost like a rubberband stretching or breaking. Have you ever heard of anything like this and what do you think it could possibly be? Of course it’s the weekend and there aren’t podiatry offices open.

    • East Penn Foot And Ankle November 26, 2013 at 11:53 am #

      Jennie: Please seek medical attention from a podiatrist immediately. It could be tendon damage or a fracture, our best guess without an examination.

  51. Paul November 22, 2013 at 7:39 pm #

    Hi there, today i was at my football training, i train 4 times a week for the academy i play for. I got a dead leg, which hurt alot at the time and still does now. I continued training and everything was fine until i got home and starting to feel an excruciating pain in my left middle metatarsal. The pain is still here now in my foot and is pretty much unbearable to walk on! Are the dead leg and the pain in my foot linked in any way?

    • East Penn Foot And Ankle November 26, 2013 at 11:54 am #

      Paul: What do you mean by a “dead leg”? No feeling at all?

      • Paul November 26, 2013 at 12:11 pm #

        This is what a dead leg is, http://news.bbc.co.uk/sport1/hi/health_and_fitness/4284462.stm

      • East Penn Foot And Ankle November 26, 2013 at 12:15 pm #

        Paul: Thanks for the terminology, not a widely used term here in the States. They most likely are two different injuries. You should have the foot looked at immediately, if you plant to continue training, as more stress on that foot will make it much worse. It could be anything from a stress injury (irritation and inflammation) to a fracture.

  52. Leslie November 21, 2013 at 5:59 pm #

    The top of my left foot is very sore. It is sensitive when I am wearing shoes..and the shoes are not tight on that area. It hurts when I stand and at times it feels like a shooting pain from my foot up my leg to my knee and hip area. Have been to peds and sports med specialists. What else can I do?

  53. Dawn November 14, 2013 at 3:00 pm #

    I am having a considerable amount of pain on the top of my left foot closer to the ankle and after looking at the anatomy of the foot would say the pain is over the cuneiform area. There is a small swollen area/lump over area where 2nd & 3rd metatarsals meet cuneiform, but does not feel like a cyst (does not move or fit descriptions of what I have read). Definite pain walking, but also while sitting. Use of OTC pain relievers hit and miss. Rarely wear lace up shoes, but when do laced loosely. Pain on extension not flexion. Am overweight, but working on that. Pain has been ongoing +/- 1yr. Do not have insurance for podiatrist visit any information would be greatly appreciated. Thank you!

    • East Penn Foot And Ankle November 15, 2013 at 10:15 am #

      Dawn: Your pain could be caused by something serious, but more likely it’s what we call an overuse injury. The soft tissue is irritated. This could be from not wearing shoes with proper support, or as you pointed out, your weight. It’s impossible for us to go deeper than that without evaluating you. If you can’t afford to see a podiatrist, use ice on the sore area when your foot is at rest; elevate the foot at rest; use over the counter anti-inflammatory meds like advil or aleve; wear properly fitting athletic shoes as often as possible; and manage your weight.

      • Dawn November 15, 2013 at 11:29 am #

        Thanks for the prompt reply East Penn, I appreciate the information. Did forget to explain that pain feels deep, not just topical and no real pain when area is pressed. I unfortunately have had more than my fair share of orthopaedic issues so I am the owner of a CAM walker (refurbished about 4 times since 1993 if that tells you anything) so I thought I would try it out to see if I could get any relief and wore it a bit last night and this morning. It did seem to help, I guess because I am using the rocker motion rather than heel-toe? Would use of the CW generally be okay or if there is a more serious issue could cause more problems? I have had a fractured (R) 5th metatarsal before and pain feels similar, the deepness of the pain. I will work on getting to podiatrist. I know xrays will be called for but will want as few as possible due to cost; your suggestions for best angle and quantity of views? Want to go in w/prepared knowledge so xray tech doesn’t get picture happy with my foot. Again, I really appreciate your insight and your taking the time to do this says a lot about your practice. Your patients are very fortunate!

      • East Penn Foot And Ankle November 15, 2013 at 11:39 am #

        Dawn: Thanks for the compliments. The CAM walker is probably of benefit because it’s providing a cushion to the underside of your foot. Shoes from an athletic or orthopedic shoe store will also provide that relief. We can’t comment on if it’s okay to use the CAM walker long term or not, as we have no idea of your medical history. X rays should be focused on the area of your pain, but they might want to take a full foot xray, which we would also suggest. Good luck!

  54. Donna November 12, 2013 at 3:13 pm #

    Dear Eastpennfoot,

    I have a constant pain in my right heel, when I push on it really hard it causes a charlie horse in my right calf. This has been going on now for month and very annoying. I thought it was my shoes but it doesnt matter which pair I wear its the same. I have also purchased over the counter the heel supports.. Those were a waste of money.

    • East Penn Foot And Ankle November 13, 2013 at 3:33 pm #

      Donna: From the symptoms you describe, you may have done some damage to your achilles tendon. We highly recommend you see a podiatrist for an evaluation.

  55. Jennifer November 11, 2013 at 9:53 pm #

    I have pain on the top of my right foot all the way to my big toe. If I point my toes, it’s extremely painful. Additionally, some of my other toes on that foot go numb sometimes during the day. On the same foot I have been having a problem with what the doctor described as plantar faciitis. (sp) I have a hard time believing that that is the only problem with my foot. I have pain on both sides of my achilles tendon down about 2 inches up my leg and around my heel right above the ground. The bottom of my food hurts on the heel, but more toward the inside edge of my heel. Not the center of it. I also experience pain in the bottom of my heel if I try to turn my foot from side to side. Any ideas?

    • East Penn Foot And Ankle November 12, 2013 at 8:51 am #

      Jennifer: Your heel pain symptoms are indeed consistent with plantar fasciitis. But the pain on the top of your foot sounds like it’s being caused by something else. The numbness is particularly troubling. Have you seen a podiatrist?

  56. MartyM November 11, 2013 at 7:31 pm #

    I work in retail and recently I have been having a lot of shifts as cashier. This means that for five to eight hours, I am twisting from right to left as I bag peoples’ purchases on the turntable at my left side. There is a mat at each register to give us something softer than linoleum-covered concrete to stand on, but the edge of this mat is a quarter-inch thick, with no taper and the mat has a skirting over the soft part extending two inches all around – this is to prevent tripping on the quarter-inch thickness of the mat.

    Without realizing (until the next time I had to stand on the mat), during one eight hour shift, I was very likely standing with my foot half on and half off the mat, which put my left foot on a bit of a downslope position. I didn’t fall, I didn’t trip, I didn’t drop anything on my foot. The only likely culprit is the constant twisting and turning, and/or standing on the edge of that mat.

    I have developed a pain on the top of my left foot, at the base of the arch and between the upper ends of the second and third metatarsal bones. When taking a step, the top of the foot hurts as it bends at the ball of the foot. It’s only walking, though. Standing on a level surface causes no pain or discomfort. Sitting and bending my foot and toes in every direction with no weight on it doesn’t bother it a bit. I can find the sore place easily if I explore the top of the foot with my fingers :D

    My question is, how long can I expect this to take to heal? It’s been hurting for a week, I have no insurance and there is no way to avoid my next cash register shift unless I want to get fired.

    • East Penn Foot And Ankle November 12, 2013 at 8:47 am #

      Marty: Sorry to hear about your troubles. Your injury probably isn’t serious, it’s what we call an “overuse” injury – basically fatigue and/or irritation. When you’re off your feet, alway elevate the sore foot. To control the pain, use an over the counter anti inflammatory like advil or aleve. When you’re at home, apply ice to the sore area 20 minutes on / 20 minutes off for two hours.

      If you do all of that, and don’t make the same mistake at work again, your pain should subside within 2 weeks. Good luck!

  57. Pat November 7, 2013 at 2:46 pm #

    Hi, I’ve been having pain on the top of my right foot around the 4th metatarsal near the base of my toes for about 4 months now. The pain seems to move around some, but is usually felt around that spot. If I push on that area it feels a little tender but no significant pain. There is no swelling or bruising and I have no memory of injuring it. I think it began in the summer when I was wearing flip flops a lot but when it started hurting, I quit wearing flip flops and started wearing supportive sports-type sandals and sneakers.

    There has been no improvement – it seems to be getting worse. I have come to expect some discomfort when I take a step although it varies in intensity. I got a surgical boot from Amazon in an attempt to help protect it since I couldn’t afford to go to the doctor at the time, but it didn’t seem to help. It even seemed to hurt worse when I took it off at night and took a step or two. I was careful to wear a high supportive sneaker on the other foot so my feet would be as even as possible but I still felt strain in the my lower back and hip from walking in it.

    What do you think?

    • East Penn Foot And Ankle November 7, 2013 at 3:38 pm #

      Pat: Sorry to hear about your pain. If you have strain in your back and hips, your feet are not being supported correctly, which could be the root of your whole problem. Custom orthotics can solve that.

      Our best guess without examining you is that the metatarsal or tendons, ligaments, etc in that area are injured from overuse in some way. Definitely could be from flip flops. We recommend you see a podiatrist, but if you have no insurance, or can’t otherwise afford it, try icing the area when it hurts – 15 minutes on, 15 minutes off, for 1 hour, a few times each day. Also, keep it elevated whenever you’re resting, and use anti inflammatory meds like advil or aleve to control the soreness.

      Always wear high quality sneakers with plenty of cushion and support, and you might benefit from a supportive insole – we always prefer custom orthotics, but if you have no insurance, that’s probably off the table.

  58. Tami November 6, 2013 at 1:20 am #

    Hi….. the last few days i have had really bad pain in and around my toes. When i bend my toes or even take a step my foot hurts and i get a shooting pain up my leg. And when i’m sitting down resting i have a weird tingling feel through my leg like its about to fall asleep. I haven’t done anything that i can think of to hurt myself except one night i wore heels for maybe half an hour. I was just wondering if there was something i could do to help it or if i need to make an appointment to get it checked out.

    • East Penn Foot And Ankle November 6, 2013 at 9:19 am #

      Tami: Your symptoms describe a number of possible conditions, from a tendon strain to a fracture, or nerve impairment. Yes, we absolutely recommend that you see a podiatrist as soon as possible for an assessment. In the meantime, elevate your foot whenever possible, ice the sore area, and use over the counter pain meds like advil or aleve to control the pain.

  59. sundi October 26, 2013 at 11:36 am #

    If I step on the ball of my foot I will getting a stabbing pain on the top where the metatarsal are to the point it hurts to stand eventually if I massage it and stay off it goes away. It can happen just walking or standing it will hit. It hurts to turn my toes up and out. I have never had foot problems in the past and haven’t done anything to my knowledge to injury it. y idea what it could be?

    • East Penn Foot And Ankle October 30, 2013 at 9:18 am #

      Sundi: From your description, you might be suffering a minor fracture or an overuse injury called metatarsalgia. These problems can pop up as we age, wear high heels often, or otherwise don’t wear footwear that supports our feet correctly. We recommend that you wear flat shoes or athletic shoes whenever possible and see a podiatrist for a full assessment to make sure it’s not something more serious.

  60. Russell October 26, 2013 at 12:06 am #

    Hi! I’m not sure if this has been covered already but I guess every foot problem is kind of unique! The top of my left foot has felt bruised for maybe 3-4 months, when I tighten all my toes together, I can feel the tender pain on the top of my foot. The pain isn’t unbearable but definitely uncomfortable. If I press on the top of my foot the bruise/soreness originates about an inch away from the joint of the toe next to my big toe. Any help/insight would be appreciated! I plan on making a podiatrist appointment but I wasn’t sure if there was anything OTC that I could treat it with first! Thank you!

    • East Penn Foot And Ankle October 30, 2013 at 9:12 am #

      Russell: Your pain could be any number of problems: strain from overuse, nerve entrapment, or the beginning of crossover or overlapping toe. Without an exam, it’s impossible for us to recommend any otc products, except rest, ice, elevation, and otc meds to control the pain.

  61. Laura October 25, 2013 at 11:04 pm #

    Hi, my name is Laura an I’ve bin having pain in the top part of my foot. It doesn’t hurt much when I walk but when I wear shoes that require laces the pain shoots up my leg. I’ve bin having to wear flip-flops. It hurts when I bend my toes but when I bend them back is when it shoots up my leg. My parents really don’t care to take me to the doctor and the weather is getting cold so normal shoes are needed. I’ve bin putting Ice on it and its too soon to tell. Please help:)
    ~Troubled Tean

    • East Penn Foot And Ankle October 30, 2013 at 9:06 am #

      Laura: First of all, please ditch the flip flops, as they’re probably making your problem worse. They offer no support for your feet. It sounds like you may have some tendinitis, assuming there’s no fracture. You really should seek medical attention from a podiatrist. If that’s not possible, rest and elevate your foot as often as possible. Ice the sore area. And use over the counter anti-inflammatory medicine like ibuprofen to control the pain. And by all means, buy a good pair of athletic shoes to support your feet properly.

  62. Savanah October 25, 2013 at 2:11 am #

    Hi, i am a competitive volleyball player and about a month and a half ago i sprained my right ankle pretty bad. It still hasn’t healed 100% but ever since then the top of my foot has been very tender and hurts. The pain shoots up all the way to my shins, and it simply hurts to walk most of the time. I know that my shoes are not tied to tight, so i dont know what the problem could be. Any ideas of what could be causing my pain

    • East Penn Foot And Ankle October 25, 2013 at 10:24 am #

      Savanah: The answer is in your comment – your sprain hasn’t healed, and you’re continuing to demand something of your foot that it simply can’t give. As a result, you’re probably causing more damage to not only the original sprain, but also the surrounding tissues which are now being asked to do much more work. We highly recommend you see a podiatrist asap to get proper medical care.

  63. Naya October 21, 2013 at 9:39 am #

    Hi, my wedding was on Friday the 18th I wore heels for about 10 hrs . I would sit but I was constantly up on my feet. By the end of the night my feet were very tired and swollen. Today Monday my lef toe hurts on the top of the nail if i press pressure on it. Should i be worried about this?

    • East Penn Foot And Ankle October 21, 2013 at 10:23 am #

      Naya: Congrats on your marriage! Troubles with your toes are all too common from wearing high heels for long periods. We would be concerned if there was discoloration accompanying the discomfort, or intense pain. Give it a few days to rest – and don’t wear high heels – elevate the foot, ice if necessary, and take advil or aleve (ibuprofen or naproxen) to control the pain. If it doesn’t resolve in about 3 days, please see a podiatrist for an evaluation.

      • Naya October 21, 2013 at 10:28 am #

        Thank you!. Thank you so much, I hope my toe gets better soon if not I will definitely go to the podiatrist

  64. Izzy October 16, 2013 at 10:57 pm #

    For the last few days, there is a spot on the top of my foot, around where the cuneiform and navicular bone where it is tender. It seems to be just SLIGHTLY swollen, so slight I might just be seeing things. I am a competitive athlete, so when any kind of injury comes up I try to catch it and take care of it as soon as possible. I’m a competitive figure skater, so could my skates have something to do with that? Does this sound like something that could get worse over time or something I should be worried about?

    • East Penn Foot And Ankle October 17, 2013 at 8:29 am #

      Izzy:
      Considering the location and the nature of skates, yes, pressure from the skates certainly could be making that area tender. On the other hand, there could also be some soft tissue damage from overuse. Athletes have all kinds of challenges when it comes to their feet. If you have no pain, it’s probably nothing to worry about, but we strongly urge you to see a podiatrist just to make sure. Every athlete should have a podiatrist on speed dial to address foot and ankle issues quickly. In the meantime, ice the area, elevate the foot, and use advil or aleve to manage the inflammation.

    • Nicolas October 19, 2013 at 3:22 am #

      Hi I’m a football player and I’ve been having pain on the top of my foot recently. Whenever I step onto the field and begin to run, my foot starts to ache on the four ligaments next to my big toe on the top of my foot. Also, I have incredibly high arches so my foot also has a lot of pain there too. After practicing football or having a game,the top of my foot still throbs when I get home and rest. Then when I wake up the next morning I find myself limping because it hurts so much. I have a scheduled appointment with the podiatrist but it’s not for a while, so do you think you can help me figure out what’s going on?

      • East Penn Foot And Ankle October 21, 2013 at 9:22 am #

        Nicolas: It sounds like your foot is suffering what we call an “overuse injury”, which is very common among athletes. We’re glad that you have an appointment with a podiatrist, because overuse injuries can eventually lead to torn ligaments, fractures, and nerve impairments. Our guess, assuming it’s nothing more than overuse, is that your podiatrist will recommend custom orthotics to support your foot, which you should definitely have, considering your high arches.

  65. justin October 15, 2013 at 5:09 am #

    The top of my foot hurts and I haven’t hurt it anyway I can think of. It does this every few weeks and it gets so bad I can’t walk on it for a day or two. But every time I go to the doctor they do x-rays and say there is nothing wrong with it. And when it does this usually my foot swelled. Any ideas?

    • East Penn Foot And Ankle October 15, 2013 at 8:36 am #

      Justin: If your doctor found nothing broken or sprained, you may be suffering an overuse injury – the tendons, muscles, or joints are becoming irritated for some reason. First thing to look at would be your footwear – change to wearing good athletic shoes as often as possible. Make sure they fit well and have plenty of padding, like a quality running shoe. If the doctor you’ve seen for your complaint isn’t a podiatrist, please see a podiatrist for an evaluation.

  66. nick October 10, 2013 at 4:48 pm #

    the top of my foot has been hurting for a few months now. i work two jobs and currently go to school and a two year old at home. so its very rare i get time to sit. i have both throbbing pain while just sitting and throbbing pain while walking nothing on my feet, what could this be?

    • nick October 10, 2013 at 4:50 pm #

      its also more in the middle of my foot

      • East Penn Foot And Ankle October 11, 2013 at 8:28 am #

        Nick: The “all over” pain you describe may be stress on the muscles, arch, joints, bones, and tendons from overuse. If you’re substantially overweight, and/or if you’re wearing shoes that don’t support your feet correctly, even the simplest every day walking and standing can cause pain. Our first suggestion would be to rest, elevate, and ice your feet whenever possible, although we understand the limitations of that from your comment. Also use a pain med like advil or aleve to manage the pain. Secondly, get a good pair of shoes – athletic shoes, preferably – that will support and pad your feet correctly. Lastly, please see a podiatrist for a thorough diagnosis to see of anything more serious is going on. Good luck!

  67. Lauren pacy October 5, 2013 at 3:44 pm #

    Hi I have a sharp pain on the top of my foot at the base of my toes hurts when putting pressure on it and occasionaly get a shooting pain but I have no swelling or bruising what could it be

    • East Penn Foot And Ankle October 7, 2013 at 11:41 am #

      Lauren: If there’s no bruising or swelling, it could be just a minor irritation. This is especially common if you’re wearing flip flops or other footwear that doesn’t support your feet well. Elevate your foot and ice it, and use over the counter pain meds to control the soreness. If the pain persists, please see a podiatrist for a diagnosis.

  68. Kelsey C October 4, 2013 at 11:16 pm #

    hi, im currently 30 weeks pregnant and just a few days ago my left foot began to hurt , its on the top central but is spread more to the left side/top. while my whole foot is swollen but not a balloon just puffy hurts pretty bad.. every time I stretch my toes it makes a cracking feeling in my foot.. and hurts worse and worse the more I walk.. wanting to see if I can self treat it. and if anyone knows what it is before I go to doc.

    • East Penn Foot And Ankle October 7, 2013 at 11:46 am #

      Kelsey: Foot disorders are one of the great joys of pregnancy :). Fortunately, foot pain during pregnancy is usually alleviated after delivery of your baby. However, it’s very common that pregnancy results in flat feet due to the sudden (but natural) weight gain. Until your baby is delivered, elevate your feet whenever possible, and use ice to control the pain. However, check with your obstetrician to see if it’s safe for you to use pain medicine, and if so, which type. And encourage your significant other to give you a foot massage whenever possible.

  69. Belverly October 4, 2013 at 4:05 pm #

    Hi. Often when I wake up in the morning, as soon as both feet hit the floor, they ache across
    the front (bridge) of my foot. Very painful for the first 15 to 20 steps. Afterwhich, the pain just kinda goes away. I am a fit walker, and this happens 2 to 3 times during the week.

    • East Penn Foot And Ankle October 7, 2013 at 11:51 am #

      Beverly: Sounds like you may have an overuse issue called metatarsalgia. You could also have arthritis developing in the joints of your foot. It’s a positive thing that the pain goes away after a few steps, but it is a warning sign. Are you wearing good athletic shoes when you walk? Sufficient padding helps enormously for overuse injuries. If the pain persists, please see a podiatrist for an evaluation.

  70. Amy October 4, 2013 at 3:10 pm #

    I do irish dancing and I was dancing yesterday when the top of my foot near the big toe second toe and third toe really started to hurt. I cannot put any weight on it let alone dance on it, I have no idea on how to treat it either, any help would be appreciated. Thanks.

    • East Penn Foot And Ankle October 7, 2013 at 11:54 am #

      Amy: Sounds like you may have a fracture, or may be suffering from an overuse injury. This is a common complaint among dancers. First, elevate and ice the sore foot and use over the counter pain meds of your choice to control the pain. And we wouldn’t suggest dancing for at least 2 weeks to give your foot time to heal. If the pain persists after resting your foot for two weeks, or if it intensifies, please see a podiatrist for an evaluation.

  71. brittany October 3, 2013 at 2:31 pm #

    My left foot on the top had horrible horrible pain….its swollen looks kinda bruised small area on top….can barley walk or move my foot or toes….I have no insurance so my only options are self help and the er… But our er is about a joke….any help or idea what this may be? Oh I was wearing tight socks for about 2 he’s….. Help!!!!!!

    • East Penn Foot And Ankle October 3, 2013 at 2:37 pm #

      Brittany: We’re so sorry to hear about your pain. From your symptoms, we would guess (but only a guess, not official diagnosis), that you may have fractured or broken your foot. I would try and call your doctor or an urgent care clinic and see if they’ll work with you on paying cash. Some practices are extremely generous in this regard and offer a significant discount if you pay day of service. But we have to emphasize that if your foot is indeed broken, it’s important to get it set correctly and immediately to avoid trouble down the line. Good luck!

  72. Jasmyne October 3, 2013 at 5:59 am #

    Hello, i have been having pain on top of my right foot. I had a previous injury, and the pain never went away. The ER said it wasn’t fractured but, my two toes next to my big toe are numb, and the middle of my foot still hurts. Can u tell me what is wrong, and the pain shoots up to my knee.

    • East Penn Foot And Ankle October 3, 2013 at 8:31 am #

      Jasmyne: Numbness, if not caused by a fracture, would indicate that there’s pressure on a sensory nerve somewhere in your foot. We can’t give you an accurate diagnosis over the internet, so please see a podiatrist as soon as possible.

  73. Chelsea G October 2, 2013 at 5:01 pm #

    I’ve been having pain the past few weeks in my right foot, it’s on the top in the middle near where my leg starts. I can remember any type of injury happening recently. It hurts when I walk and move my toes, but not terribly. Just achy.

    • East Penn Foot And Ankle October 3, 2013 at 8:34 am #

      Chelsea: You may have suffered a minor sprain of some sort, as easily as stepping off a curb and rolling your foot slightly. Please see a podiatrist for a diagnosis, and in the meantime, elevate your foot whenever possible and ice the sore area. Use over the counter pain meds when needed.

  74. Kayla September 30, 2013 at 4:44 pm #

    Hi i have had pain in the top of my foot near the middle and i know i havent tied my shoes too tight. it’s been painful to walk on im ok to walk on it if i dont bend my front toes. but still i cannot put complete pressure on it. the pain is dull up my leg. (the right foot and right leg)
    Thanks!

    • East Penn Foot And Ankle September 30, 2013 at 5:15 pm #

      Kayla: the are of your pain would suggest that you might have a fracture. We highly recommend you see a podiatrist as soon as possible. In the meantime, elevate and ice the sore foot whenever possible and use over the counter medicine like advil to manage the pain.

      • Kayla September 30, 2013 at 7:32 pm #

        thanks i wasnt sure what it was and i didnt think it was much so i wanted to ask before i went to the doctor because i have to pay out of my pocket for it again thanks :D

  75. katie September 26, 2013 at 9:02 pm #

    My daughter is 8 years old, and complaining of the top of her right foot hurting. She is in tumbling and dance. She wasn’t wearing sneakers while tumbling, but now because her foot was bothering her she started to wear a good pair of Nike sneakers. But still is bothing her. I know I need to take her in, but any idea on what may be the problem??? I’m worried.

    • East Penn Foot And Ankle September 27, 2013 at 10:29 am #

      Katie: Her pain could be a symptom of anything from minor muscle or tendon soreness to a sprain. Please have her see a podiatrist as soon as possible, because it’s essential that children have their foot and ankle injuries treated correctly so they heal correctly. After all, they’ll be spending the rest of their lives on those feet.

  76. Caroline September 26, 2013 at 5:07 pm #

    I have just started going to a gym every day for the past two weeks and today I was walking down the high street i was wearing flip flops and it felt like a cramp in my foot top and bottom. It now feels like a throbbing contin spasm that is making me limp. Help it’s so painful. It hurts all the time so bad it makes me feel sick.

    • East Penn Foot And Ankle September 27, 2013 at 10:27 am #

      Caroline: First of all, ditch the flip flops, they’re terrible for your feet. If the pain is continuous, you may have fractured your foot during your new physical activity. The only thing we can tell you is that you should see a podiatrist (chiropodist in u.k.) as soon as possible for an assesment

  77. Jasmine September 26, 2013 at 12:31 am #

    I have this unbearable constant pain in both of my feet from my ankles to my toes, the pain is more intense in my left foot and my ankle, foot, and toes constantly pop and crack they get very stiff and the pain gets worse until I move it around until it makes a loud very painful but yet relieving popping sound. It hurts even more to stand not to mention walk on my feet. The top of my left foot is very swollen from right below my ankle down the top almost all the way to my last three toes. What could be causing this? Should I stop cracking/popping. Please help me.. Any helpful advice is greatly appreciated.

    • East Penn Foot And Ankle September 26, 2013 at 9:33 am #

      Jasmine: You clearly need medical attention immediately. We suspect that you may have multiple fractures. If you allow the pain to continue, in other words, let the problem persist, it will only get a lot worse. Please make an appointment with a podiatrist today.

      • Jasmine September 26, 2013 at 10:47 am #

        Thank you for your reply. I also have a very sharp pain that shoots down my tendons in my foot and through my toes when I try to move my toes. Would that concur with the same thing causing the swelling, pain, and popping?

      • East Penn Foot And Ankle September 26, 2013 at 10:54 am #

        It may be from the same problem, but it’s impossible to diagnose you from a post comment. If you live in our area, we’d be happy to see you. If you live elsewhere, please see a podiatrist as soon as possible, as your problem sounds very, very serious.

  78. Teka September 21, 2013 at 2:35 pm #

    I ve been walking for about 4 months recently i’ve started havign pain on the top of my foot it would swell a little on the main vein on the top i can barely bend it or touch it its the left foot only on the outside of the foot toward the pinky toe. Please help

    • East Penn Foot And Ankle September 23, 2013 at 10:46 am #

      Teka: Your symptoms are indicative of a number of possible conditions. Have you seen a podiatrist?

  79. ScottMc September 16, 2013 at 4:30 pm #

    Hi East Penn,

    I had significant pain in the metatarsal area on my foot while training for Boston ’13. My pain was ultimately caused by tight calf muscles and over striding, among other issues. But while I addressed the root cause, I came up with an insert that slides between the shoe tongue and the laces, redistributing the pressure points of the laces. This helped me continue my training uninterrupted by preventing the rubbing and pressure applied on specific tendons. In case it can help your visitors, this is my website where I show the product I’m making: http://www.Foot-Rx.com. -Scott

  80. Yve September 13, 2013 at 4:09 pm #

    If i knock the top of my foot, even very gently, the pain is excruciating. It’s fine at all other times, no pain in movement, walking/running/climbing stairs. Any suggestions?

    • East Penn Foot And Ankle September 13, 2013 at 4:34 pm #

      Yve: That’s very odd, and we wouldn’t venture to diagnose you over the internet. But we suspect it may be a fracture. Please see a podiatrist at your earliest opportunity.

  81. Priscilla September 13, 2013 at 10:01 am #

    I’m 18 and reading this article, it seems I might have extensor tendinitis but the thing is I never wear tennis shoes that are too tight. I always wear flip flops. Could this be a cause? The pain is only in my right foot. Please help?

    • East Penn Foot And Ankle September 13, 2013 at 10:18 am #

      Priscilla: Unfortunately, flip flops are absolutely terrible for your feet, as they offer no support and you have to scrunch your toes constantly to keep them from falling off. You might be interested in reading our post on flip flops: http://eastpennfoot.wordpress.com/2013/07/26/flip-flops-far-from-foot-friendly/. If you don’t want to wear shoes every day, at least invest in a pair of sandals with excellent support in the sole and arch and straps that hold them in place.

      • Priscilla September 13, 2013 at 2:11 pm #

        Thank you for the quick response. I will definitely look into a nice pair of sandals and try to keep the flip flops just for the pool.

  82. Jennifer September 12, 2013 at 10:47 pm #

    I’m 13 and I have been have pain on my right foot on the top for a week it hurts to walk help?

    • East Penn Foot And Ankle September 13, 2013 at 9:48 am #

      Jennifer: Sorry to hear that you’re in pain. There are lots of reasons that the top of your foot might hurt that much, and the only way to know, is for you to see a podiatrist so they can give you an evaluation. Have you been participating in sports, running a lot, cheerleading, or anything like that? When the foot hurts, elevate it and put ice on it and take medicine for the pain like advil or aleve. But please see a podiatrist soon.

  83. Dawn September 10, 2013 at 11:37 pm #

    I’ve been getting pain the last week or so on the top of both feet, as if it is tender. When I take off my shoes the pain goes away. I’ve laced my new shoes so that the laces cross over the ankle section and the toe section, skipping inbetween and this has helped greatly.

    • East Penn Foot And Ankle September 11, 2013 at 3:30 pm #

      Dawn: It sounds like the top of the shoe is creating the pain. Are you sure they fit correctly?

      • Dawn September 11, 2013 at 9:53 pm #

        Yea, while they are new shoes, my old ones did the same but they never used to until a week ago. Its kind of strange. Its the laces from what I can tell.

  84. julie September 9, 2013 at 7:48 pm #

    The top of my right foot has been hurting me and the pain goes up to my shin I have not been walking a lot and my shoes are a half size bigger but it only hurts when resting and its killing me what can I do please

    • East Penn Foot And Ankle September 9, 2013 at 8:18 pm #

      Julie:
      Your symptoms could indicate a number of conditions: torn ligament, fracture, or sprain. Without an exam, we can’t get much closer than that, unfortunately. Please see a podiatrist for an evaluation as soon as possible. In the meantime, use advil or aleve to manage the pain, and elevate and ice the sore area when necessary.

  85. Charlene September 9, 2013 at 3:47 am #

    Hi there! I’m a waitress and started wearing compression socks after I noticed bruising on one of my legs. I’m wondering if the foot part of the sock is too tight as I’m noticing excruciating pain on the top of my feet after long shifts. I wear an athletic shoe along with an insole but it feels loose enough so I’m wondering if it’s the socks. Thanks for any advice you can give.

    • East Penn Foot And Ankle September 9, 2013 at 8:55 am #

      Charlene: I don’t believe that the socks would be causing severe pain in the top of your foot. It’s more likely that you’ve suffered a stress fracture or a nerve entrapment, not uncommon for folks who spend lots of time on their feet. Please see a podiatrist for a thorough evaluation, as your condition will not improve without treatment.

  86. Tara Zimmerman September 7, 2013 at 1:29 am #

    Recently I started dancing again. After 10 years of raising kids I am teaching classes 5 days a week now. I have been sore but nothing too bad until this week, I have started having horrible pain in the tops of my feet! I am using muscles in my feet that have not been used in ages. I thought this was just my feet being sore, am I crazy for thinking this, or should I be concerned.

    • East Penn Foot And Ankle September 9, 2013 at 8:58 am #

      Tara: Injuries happen easily when we resume athletic activity after laying off for a long period. Your pain could be the result of strain from overuse or a fracture. The only way to know for sure is to have an exam done by a podiatrist. In the meantime, rest, ice, elevate, and use advil or aleve to control your pain.

  87. Mia September 5, 2013 at 11:55 pm #

    The top of my right foot has been really hurting. It hurts to walk and to touch one part of the top of my foot. Im in ninth grade go and have been doing a lot of marching lately with my band in school. So maybe that has something to do with it. Plus running in gym. Cause I haven’t done anything else that would make it hurt. So is that why?

    • East Penn Foot And Ankle September 6, 2013 at 8:16 am #

      Mia:
      Your pain could be the result of a fracture or what we call overuse – an irritation of the soft tissue. First, if you don’t have them already, invest in a good pair of athletic shoes which fit your feet properly and have plenty of padding. Second, please see a podiatrist to have your pain evaluated, as it may get much worse.

  88. carly September 5, 2013 at 4:25 pm #

    And pain shoots up into my shin if i flex my foot up

  89. carly September 5, 2013 at 4:24 pm #

    Thanku for quick response its on top of my foot not painful to touch but pain and rest and when walking… uncomfortable in tight footwear…

    • East Penn Foot And Ankle September 5, 2013 at 4:41 pm #

      Well, it could be an entrapped nerve or a number of other conditions. By all means, you must see a podiatrist to resolve the problem, because it will not go away on its own.

  90. carly September 5, 2013 at 3:24 pm #

    I stepped on my right foot funny months ago at the time very painful i ignored it and it went away every now and then it hurts but still ignoring it but now a small bump has come up and its so painful what is this??

    • East Penn Foot And Ankle September 5, 2013 at 3:44 pm #

      Carly: We can’t specifically diagnose your foot problem without seeing you. Is the pain on the top of your foot? Bottom? Side? Bumps can indicate any number of problems, some serious, some not. It’s in your own best interest to have a podiatrist take a look and give you a diagnosis and treatment plan. One thing we can definitely tell you: small foot problems ignored today = big problems later.

  91. Kerry September 2, 2013 at 10:22 pm #

    my foot started hurting today, there’s pain on the top of the foot where the toe bones meet as well as radiating minorly to the toes, Also it feel like my foot is constantly cramped though I can still move it. No new shoes and haven’t done anything I know of – though I have also once in a while have pain in the base of my heel that seems to go away after a few hour – once a month or so, Just wondering if I have to go to the doc – hopefully not since I’m not sure if hes seeing anyone since the flood.

    • Kerry September 3, 2013 at 12:57 am #

      Just updating – I felt something shift in my foot while I was resting it and now the pain is greatly reduced though it has stiffened up.

    • East Penn Foot And Ankle September 3, 2013 at 9:25 am #

      Kerry: By all means seek medical attention from a podiatrist. The pain in your heel is most likely plantar fasciitis and the pain on top of your foot could be cause by a number of conditions.

  92. amanda August 31, 2013 at 12:22 am #

    my right foot has been hurting by pinkie toe down to the ankle I don’t know what I did but I didn’t drop anything on it or fall please help

    • East Penn Foot And Ankle September 3, 2013 at 9:27 am #

      Amanda: It sounds as if you may have fractured the metatarsal bone. Please seek medical attention form a podiatrist as soon as possible. In the meantime, use over the counter pain meds to control the pain, elevate the sore foot and apply ice if swollen.

  93. J.patteson August 27, 2013 at 4:24 pm #

    Can you help me?

    About 5days ago I stepped wrong at work in the grass. Since then I have a limp in my right foot… I didn’t get any swelling but it did hurt but I was in a rush it didn’t bother me. However since then I have a limp and pain on the top of my right foot from the second toe to my pinky toe. I can curl my toes down but it hurts to pull them up and to step off my foot to walk. Any ideas?? I’m trying to find time to go to the dr but I just had a new born a couple of week ago and time is minimal. Is this serious? Or can I just wait it out?

    Again PLEASE HELP

    • East Penn Foot And Ankle August 27, 2013 at 4:35 pm #

      J:
      Those symptoms could indicate a mild sprain, a fracture, or something worse. Ice the painful area, elevate the foot, and use anti inflammatory pain meds like advil to manage the pain. If you’re still bothered with pain in one week, see a podiatrist for an exam and diagnosis.

  94. Isis Simpson August 23, 2013 at 10:19 am #

    Please someone tell me what’s going on with my feet. About two years ago my left ankle became swollen over night when I had come back from a trip to LA. During my whole trip I wore nothing but flat sandals and did lots of walking. The first couple of week when I came back I thought it was just a twisted ankle. But, then I wen to get it checked out and my doctor declared that it was a pulled ligament. I don’t think that diagnosis is accurate now because it hasn’t gone away. I did RICE mesthod for quite a while and no progress. The only time I can be on my feet a little longer is if my shoes have some elevation to them (heels, running shoes etc.) My feet starts to swell as soon as I get out of bed and my ankle is always in excruciating pain, sometimes I wear a ankle brace when I know the day will be long and strenious. But now my right ankle has showed some restrcytions as well, when I go to lift my foot up, the crease on the top of my foot between my leg has pain when I bend it up. Please help me Im only 20 yrs. old and all these complications are seriously taking a toll on my life.

    • East Penn Foot And Ankle August 23, 2013 at 12:27 pm #

      Isis: We sympathize. Your pain and symptoms could be attributable to a number of conditions, which may be serious. No doubt the problems in your right ankle are being caused by the natural tendency to shift your weight off the painful ankle, which puts more stress on the good ankle. You need to see a podiatrist, not your general physician for an immediate diagnosis. We suspect that you did significant damage to the tendons in your left ankle which will at the very least require immobilization and physical therapy. It’s been two years since your symptoms first presented, and clearly they are getting worse, so your injury will not heal on its own.

  95. mandy August 20, 2013 at 1:37 am #

    My pinky toe was really hurting friday when I woke up. I didnt do anything to hurt it. But now 4 days later, its all my toes, the top of my foot, my knee and my hip. It is espically bad at night, and only on my right side.

    • East Penn Foot And Ankle August 22, 2013 at 10:35 am #

      Mandy: Sounds more like a problem with a nerve than a problem with your foot. You should seek a diagnosis from your family physician.

  96. Kenyetta August 19, 2013 at 6:41 pm #

    I started feeling this pain for a couple of days and I didn’t noticed it until I slept over my moms house. The top of my foot kept tingling until I was feeling a numbing pain. When my the top of my foot touches anything, it feels horrible. my guess: working with non comfortable shoes can contribute to more than just painful soles .

    • East Penn Foot And Ankle August 22, 2013 at 10:36 am #

      Kenyetta: You should definitely seek a diagnosis from a podiatrist. Your symptoms could indicate a number of problems, including an entrapped nerve or a fracture.

  97. maria knight August 18, 2013 at 8:49 am #

    HI I just saw your site and got interested …… I have this pain on my feet both feet. i have pain on top of my feet but a little bit on the middile part and a little bit of the lower side. I hope you understand what im saying. I can feel 3 bumps on both feet and since i felt those i think a month ago I’ve been haing pains all over the area. cant walk much as it is very painful. its as if I cant move my feet because i feel as if something is stopping it from moving or the bumps are the ones that put pressure on that area . I have gout and taking allopurinol. could this be a gout effect? will appreciate it a lot if I can hear from you.

    have a wonderful Sunday.

    • East Penn Foot And Ankle August 19, 2013 at 8:44 am #

      Maria: You could have a number of things going on. While it could be gout, there’s no way to be sure without a complete diagnosis from a podiatrist. Please seek medical attention as soon as possible.

  98. mercy August 17, 2013 at 1:01 am #

    I was at a lock-in at church and I hit my big toe against a wall shook it off and was fine didn’t bother me for the rest of the night. The next day it was hurting me a little so I just rested it. I had volleyball tryouts a couple days later we did a lot of running and I was barely able to walk on it for the rest of the week its been three weeks and I feel pain from my big toe to my ankle and its swollen I’ve tried the RICE method and it hasn’t gottten better what should I do.

  99. Dianne Worthy August 16, 2013 at 2:22 am #

    PLEASE SOMEONE HELP ME. I just went to my doctor today because when I walk it feels like the top of my feet are going to split open. They are not that swollen, but that is the best way I can describe it. I get some relief if I keep constant pressure on them like wearing shoes, but to go barefoot is just not tolerable. I have even been sleeping in my shoes. My doctor was at a loss and put me on Lyrica even though he said if it was nerve pain that is usually on the bottom of the feet. Have you ever encountered something like this before. Any insight would be greatly appreciated as I am just physically exhausted from the constant pain. Oh yes I have also been taking percocet around the clock for the pain and it has done nothing to help with the pain either.

    • East Penn Foot And Ankle September 13, 2013 at 9:56 am #

      Dianne: Nerve pain can definitely be felt in the top of the foot. We highly recommend that you see a podiatrist, as they/we are specialists in foot disorders and can get your pain resolved as soon as possible. It’s not a good idea to take prescription medicines long term to treat pain, especially percocet, as you may become addicted to it, and the ability of percocet to control pain diminishes over time as your body builds a tolerance to it. Until you see a podiatrist, elevate your feet when you have pain and ice them at 20-30 minute intervals. Normally we would tell you to also take aleve or advil, but your pain seems to be beyond the reach of over the counter medicines.

  100. jimmy gonsalves August 15, 2013 at 4:10 am #

    i was doing homework and my foot was resting on the top of my foot for a while then when i got up to get a drink i felt a sharp pain on the top of my foot when i walk what do i do

    • East Penn Foot And Ankle August 15, 2013 at 12:05 pm #

      Jimmy: Rest it, ice it, take advil for the pain, if necessary. If this doesn’t relieve the pain in a day or two, please see a podiatrist for an evaluation

  101. kristina August 12, 2013 at 12:19 am #

    Sooo my foot hurts really madly from my big toe to my ankle there is no bump but i feel like i should go to the emergency room but i cant convince my mom that it hurts that bad plz help

    • East Penn Foot And Ankle August 12, 2013 at 8:20 am #

      Kristina: Your symptoms could be the sign of any number of injuries: a fracture, sprain, nerve entrapment, etc. While you may not need an emergency room visit, you should see a podiatrist as soon as possible

  102. Sarah August 11, 2013 at 12:10 pm #

    My left foot hurts at the top. It has been like this for a like 4-5 days now. I’m not sure what’s wrong because I’m not wearing shoes that are too tight. I have been on vacation so I can’t see a doctor yet. All I have been doing was walking the beaches. Nothing too bad. I haven’t had this happen before. I was thinking it was a knot in my foot though. It hurts to lift my toes, and walking.. please help?

    • East Penn Foot And Ankle August 12, 2013 at 8:24 am #

      Sarah: Your symptoms could be the sign of a fracture, muscle strain, sprain, many things. The only way to know for certain is to be evaluated at your first chance by a podiatrist. If you’re still on vacation, elevate your foot whenever possible, ice the sore area as often as possible and use advil to control your pain.

  103. roxanne August 7, 2013 at 11:16 pm #

    Okay soo today i went to work like normal but i figured id wear my flats because i was only gonna be standing for 4 hours…. Well to my surprise after work the top of my left foot started to hurt very badly. It hurts less now, do yu think it could be from me standing in flat shoes n not my normal tennis shoes?

    • East Penn Foot And Ankle August 8, 2013 at 9:21 am #

      Roxanne: there’s really no way to answer your question without an examination, as the pain on the top of your foot could be caused by a number of conditions. Have you seen a podiatrist?

  104. Desiree August 6, 2013 at 9:43 pm #

    I just returned to playing volleyball and I have a sharp pain on the top of my left foot only on the bone distal to my big toe. It is irritated even when not in motion but it has a bump and sticks out more then my other foot and the other one doesn’t even hurt. When I tie my volleyball shoes that’s when it especially hurts. But right now it hurts really bad and I’m not doing anything. HELP!

    • East Penn Foot And Ankle August 7, 2013 at 8:36 am #

      Desiree: That pain could be from a number of sources, but since you have a lump, we’re going to guess that you have a neuroma, which is an entrapment of the nerve. Very common with athletes. The pain will not subside on its own, please see a podiatrist asap.

  105. nikki August 1, 2013 at 6:24 pm #

    I workout M-S and do intensive cardio classes twice a week. I had shin splints for a while and purchased a pair of dr. scholls very active insoles. They helped a lot with the shin splints. Anyway last Thursday I was doing a bootcamp class and felt sharp pains first in the heel then in the top of my foot. Friday morning I couldn’t walk. I implemented the RICE method over the weekend and am now able to walk. There is still pain there but no swelling I am able to bend my toes and wiggle them. What is going on? Can someone help me? I have fitness goals I am trying to reach and now my fear is that they’ll be put on pause.

    • East Penn Foot And Ankle August 2, 2013 at 9:28 am #

      Nikki:
      Our best advice to you for the time being is REST. Many athletes overdo it and develop any one of a number of foot problems, all considered overuse injuries. If they ignore their injuries and “push through the pain”, it can lead to very serious injury which does indeed delay their goals. Continue to use the RICE method and take two weeks off. We’d also suggest visiting a podiatrist to have custom orthotics made for your athletic shoes, to absorb the shock and cushion your feet much better than the over the counter versions.

  106. wendy July 30, 2013 at 2:28 pm #

    I have just had stent put in heart.and since I have been home I am getting nightly cramps in the top of mt feet why is this or does it not have anything to do with it it just started at the same time.

    • East Penn Foot And Ankle July 30, 2013 at 3:27 pm #

      Wendy: As we aren’t heart surgeons, we can’t answer that question. Wait a week and if the cramps persist, please contact a podiatrist in your area.

  107. Karen July 28, 2013 at 11:34 pm #

    Twisted my ankle 8 wks ago. It hurt at the time, but seemed ok the next day. The discomfort was on the top outer portion of my foot. On vacation for 7 weeks – I walked constantly. Every time I bend my toes or walk after sitting it hurts. Sometimes it even hurts when the ball of my foot presses on the floor. What can I do to get rid of this?

    • East Penn Foot And Ankle July 29, 2013 at 9:18 am #

      Karen: It sounds like you may have a stress fracture, but no way to know for sure without an exam. We also don’t want to give you any medical advice without a diagnosis. But if it’s a stress fracture, it’s very unlikely that it will heal properly without proper medical management. Please see a podiatrist as soon as possible

  108. mel July 27, 2013 at 4:34 am #

    my foot is very painful when i walk it keeps swelling up i know its the tendons they feel like they are popping over the years ive sprainef foot countless times. im using tubigrip. ive not seen a doc yet cus im dreading they will blame weight and do nothing (im 20st) i need it sorting i feel useless n mother to a 3yr old

    • East Penn Foot And Ankle July 29, 2013 at 9:16 am #

      Mel: If you let the pain continue it will only get worse. If you fear that weight is the problem, then you should look into a weight management program. But we strongly urge you to see a doc about your feet as soon as possible

  109. Vicki July 25, 2013 at 10:31 pm #

    Thank You for your very informative web page! My feet have been hurting badly since Monday, I saw my PCP yesterday, and he was less than helpful (I actually just went there to play the insurance game and get my referral). I’m off to the podiatrist in Weymouth, Mass. on Tuesday, and will hopefully get a solution….

  110. Kat July 23, 2013 at 12:33 am #

    Somehow I hurt my foot this evening! I was standing, kind of leaning to one side. (bad posture I know) Then when I shifted to stand straight there was a sharp pain in my left foot. Even after rotating my ankle several times it didn’t go away. Walking to my car was painful, I can’t walk without hurting. I could walk on the side of my foot ok but flat footed, no. It feels like the tendons are hurt, from the outer side and shoots to the toes.
    I normally wear sandals outdoors and I’m pretty physically active indoors. I’ve been massaging my foot, put some ice on it and the pain still shoots if I try to walk on it.
    What did I do? What happened? I don’t remember injuring myself. No sprain or anything. I have to stand all day at work tomorrow. =(

    • eastpennfoot July 23, 2013 at 9:05 am #

      Kat:
      It could be tendons, plantar fasciitis, or a fracture. No way to know without a thorough diagnosis by a podiatrist. Please seek medical attention.

  111. regina July 19, 2013 at 12:28 pm #

    i dropped a metal pan on my right big toe last month and it still hurts. I put ice on it and had it elevated but it still hurts and now the area where it hurts gets tender when i touch it with an object, such as my other big toe or when i wear closed toe shoes. I cant afford to go to the doctors because its to expensive so can you help me

    • eastpennfoot July 23, 2013 at 9:09 am #

      Regina: If you live in the Lehigh Valley, please call our office and we’ll discuss what we can do for you. Otherwise, the only thing we can tell you is that it sounds like your toe may be fractured. Left to heal on its own without proper treatment may result in further problems. Some free medical care may be available in your area, please call some doctors’ offices and ask.

  112. Nancy July 15, 2013 at 3:52 pm #

    The top inside bone from my big toe to my ankle hurts so bad that I can’t walk or even stand on them. This is both feet

    • eastpennfoot July 15, 2013 at 3:57 pm #

      Nancy: If you have that much pain, you need to see a local podiatrist immediately. If you live in the Lehigh Valley, we’ll be happy to see you.

  113. Ryan July 8, 2013 at 12:31 pm #

    I play basketball several times a week on a competitive level. I have had several severe ankle sprains over the years and still wear a brace on my left ankle. After playing last evening (with no moments of pain while playing), I left feeling fine and woke up with a pain in the top of my outer left foot, towards the top of the ankle. It hurts when I am walking and my foot creases as I prepare to pick it up to step forward with my left leg. It is not sensitive to the touch, but is sore when walking. Any thoughts?

    Thank you.

    • eastpennfoot July 8, 2013 at 12:42 pm #

      Ryan: From your description, it could be anything from a muscle sprain to a fracture. We highly suggest you get it checked out by a podiatrist immediately, as your foot may require immobiliztion

  114. J. June 30, 2013 at 8:25 pm #

    The tendons on the top of my foot leading to my toes swell, stick out and ache. It happens many times a year. I have injured this foot before, but is it the cause or is it ____?

    Also, I twisted myR ankle all the way in and all the way out stepping on a roll of tar paper and had 2 years of major problems after 3 months of being casted (remained swollen, sore and wore 2 different size boots). Now, the ankle keeps retwisting every time I step off an uneven step or even uneven ground. Any hope?

    My ankle guy was only interested in giving me insoles and PT did it’s best. North CA. Thanks.

    • eastpennfoot July 1, 2013 at 9:12 am #

      J:
      Sorry for your difficulties. The problem with the tendons and the ankle may be related, but you’d need more tests to determine this. When the structure of the foot gets out of balance (doesn’t matter which injury came first), it can lead to injuries in other parts of the foot, due to compensation of other body parts. This is very common in sports medicine and we call it the cascade effect. Physical therapy and insoles after your casting would have been the proper first course of treatment, but it’s odd that your ankle remained swollen after being casted. My suggestion would be to see a podiatric surgeon who can present you with some more options (he/she won’t necessarily prescribe surgery). Sometimes we need a new pair of eyes on our problem to have it resolved successfully. Good luck!

  115. brownsugar June 23, 2013 at 1:00 am #

    I work at this fast food place, you have to stand on your feet for 12hrs with one or two, five min break. I bought the right kind of shoes and my feet still hurt on top very very bad. What can I do to ease the pain.

    • eastpennfoot June 24, 2013 at 9:22 am #

      You can try icing your feet when you go home, and of course using over the counter pain medicine to relieve the pain. But aside from that basic advice, I wouldn’t be able to comment without taking a look at your feet and determining what the exact problem is. If you don’t live near one of our offices, please see a podiatrist in your area for an exam.

  116. Avon Massad May 15, 2013 at 10:59 am #

    I have pain in both feet at the top when I first wake up and start walking. After a while the pain subsides substantially but the tops of my feet always ache. I have to walk downstairs one step at a time when I first get up but am fine going up and down the rest of the day. What do you think?

    • eastpennfoot May 15, 2013 at 11:01 am #

      Avon: a persistent ache like that may indicate that you’ve fractured one or more metatarsal bones. It could also be a nerve condition. I highly suggest seeing a podiatrist immediately for an evaluation.

    • Kate July 26, 2013 at 11:01 am #

      That is crazy. I read your post and thought I had written it as it is exactly what I have, the podiatrist thinks it’s the nerve problem, I can’t believe I have so much pain in both Feet, and I have to do the same stair thing. They only thing he said I can do is try not wearing shoes that cover the top part of my feet, ice, advil and stretching exercises. So far no help, and I need to work out everyday, zoomba etc.

      • eastpennfoot July 26, 2013 at 11:09 am #

        Kate: We sympathize. Nerve issues in your feet are extraordinarily painful. Unfortunately, your podiatrist’s initial advice is correct. Stretching exercises (best administered by a physical therapist) and pain meds can be highly effective. If your pain persists however, you may need to see a podiatric surgeon to have the nerve repaired.

  117. Chris April 18, 2013 at 10:14 pm #

    The top left side of my left foot cracks constantly. It started about a month ago. My foot felt tight in that area, when I moved it around it released a painful, yet relieving crack. This happened again about a week later. Now, 2 weeks later it cracks almost every time I move it in a certain direction. I am almost obsessed with cracking it all the time.

    • eastpennfoot April 19, 2013 at 10:18 am #

      Chris: I highly recommend you see a podiatrist for an evaluation right away. That could become a very serious problem.

  118. Sarah April 15, 2013 at 9:54 pm #

    The top of my foot is killing me. There’s a small bump at the top of my foot and the area between my big toe and second toe is numb. It’s a burning pain and I’ve had it for three days now. I don’t want to go to the doctor if this is something that isn’t a big deal and will go away on its own

    • eastpennfoot April 16, 2013 at 8:33 am #

      Sarah: You should seek a diagnosis from a podiatrist immediately. Numbness and burning pain in that area are consistent with Morton’s Neuroma, a nerve condition, and if so, it will not go away on its own. We’ll be happy to see you immediately if you live in the Lehigh Valley

  119. Kebi March 14, 2013 at 10:55 pm #

    The top of my foot has had pain for about the past year on and off. It’s like right about the arch, like, I kind of feel like theres a bump or bone or bruise sticking out and pushing really hard. My other foot doesn’t have as large as a bump. I’m not really sure what to do about it.

    • eastpennfoot March 15, 2013 at 9:16 am #

      Kebi: Please see your podiatrist as soon as possible to diagnose. If you’re in the Lehigh Valley, please call our office to make an appointment

    • Mary April 18, 2013 at 5:50 pm #

      Have you ever found out what is wrong with your feet? I have the same problem. There’s a knot in my arch and a hard bump directly above it on the top of my foot. I have no insurance so I cannot find out whats wrong I do okay if I don’t have to walk but my feet hurt every day. I take an anti-inflammatory and stay off my feet but still no relief.

  120. Chaise January 22, 2013 at 9:09 am #

    The pain in my foot is excruciating at the top, almost where my foot and leg meet, it looks to be a tad swollen compared to the other foot. Is it because basically walked two miles in my converse?

  121. JoJo December 4, 2012 at 4:56 pm #

    i got that pain right now, I am limping, it was swollen for 2 days but that went down by itself, taking Aleve helps a little.

    • eastpennfoot December 5, 2012 at 10:17 am #

      JoJo: We certainly hope that you’re seeking medical treatment. If you live in the Lehigh Valley, please call our office today. If you live elsewhere, please see a podiatrist as soon as possible.

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