There are many different causes of pain on the top of the foot with there being several key ones. ‘Top of foot pain’ is becoming very common in barefoot runners and those who forefoot strike rather than heel stroke when running. The other key one is an osteoarthritis that is more common in older patients. The treatment of these two types of problems is relatively straight forward and involves the use of foot orthotics with specific features that support the back part of the arch so the forefoot and drop down. This is easier said than done and as noted, this can be a challenge in those who do not use running shoes. More often than not if this is to be managed properly compromises need to be reached.
Other more obvious causes of pain on top of the foot include shoes that are too tight, prominent bones, and things like pinched nerves. Often padding under the tongue of the shoe to relieve the pressure is all that is needed.