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Pain on Top of Foot – What you Need to Know

Numbness and Pain on Top of Foot – What you Need to Know

Pain on Top of Foot

Pain on Top of Foot

When pain on the foot occurs, it usually causes walking to be painfully unbearable and is often a great frustration for a lot of people. This pain is very common especially for people who do heavy duties. Most of them would say it’s annoying at times even though they try to neglect the pain. The very first step to successful treatment and to be able to get back to your normal routine is to get to know the underlying cause of foot pain. The feet are considered to be a delicate structure, but they carry the whole weight of the body as well as keep it balanced constantly. Professional consultation if you have a stress fracture in foot.

What is Pain on Top of Foot?

Pain on top of foot is a general term that is utilized by patients to describe the pain or numbness felt on the top surface of the foot. This is also a common injury among sports-minded people especially the runners. Usually, it is a sharp pain that is felt around the second metatarsal which can be found in line with the second toe or can be around either on the third or fourth metatarsal. This could be the result of a stress fracture in foot

Causes of Numbness and Pain on Top of Foot

The primary cause of pain on top of foot is excessive pronation or in other words, the turning inward of the foot. Though there are some pronations that occur naturally and needed as it aids the foot to be able to adapt to uneven ground conditions. Over pronation happens when the arch flattens and collapses while on the other hand the soft tissues stretch. Due to this, the joints will become too flexible and loose risking stress fracture in foot, when in fact they should be stable all the time.

Other causes include tendonitis, stress fracture, plantar fasciitis, neuroma, tarsal tunnel syndrome and arthritis. Tendonitis happens when the tendons become inflamed for a variety of reasons. Stress fracture when a fracture of a bone is due to repeated mechanical stress. Plantar fasciitis is a painful inflammatory process of the plantar fascia while Neuroma is a tumor or growth of the nerve tissues. Tarsal tunnel syndrome is a type of nerve entrapment and treatment of this usually starts with identifying the underlying cause which can be swollen feet and ankles. Lastly, Arthritis is a painful stiffness and inflammation of the joints.

Treatment Options for Pain on Top of Foot

Pain on Top of Foot

Pain on Top of Foot

Basically, there are a number of things that you can do in order to treat the pain on top of foot. Your very first step should be consulting a foot specialist or a podiatrist. Remember that treatment should always be based on the cause, as well as the severity of the pain. Most food doctors would often make use of the RICE method in order to relieve the pain. RICE stands for Rest, Ice which is applied for about 20 minutes on the affected area, Compression and Elevation.

Other treatment options may include over-the-counter medicines such as aspirin, Tylenol, naproxen and ibuprofen to lower pain and discomfort, shoe inserts, switching foot wear, limiting daily activities, make use of strapping or paddings and for more serious cases, for example a stress fracture in foot, may require going undergoing surgery.

Common Exercises for Pain on Top of Foot

You can do a variety of exercise to relieve from numbness in feet and pain on top of foot and trade your days of running for cycling, swimming and yoga. A thorough calf stretching regimen is also recommended to reduce its effects of flattening the foot. Also, keep up the circulation in your feet by stretching them out for a few times every day. No exercise should be taken without professional consultation if you have a stress fracture in foot.

How to Prevent Pain on Top of Foot

You can be able to lessen your chances of occurring pain on top of foot by implementing a little change into your training program. Start by avoiding doing the same exercise every day and instead incorporate a much lower intensity cross-training exercises in order to lessen the impact stress done to the feet.

It is also important to take into consideration your foot type; if ever you over pronate, make sure to use proper footwear. When thinking of increasing the load or tempo of a certain training plan, do it much slowly as well as maintain the sessions short in duration. Lastly, cut down on the sizes of your heels. If the heels are too high, though the style is great, your feet will just suffer from heel pain and numbness in feet afterward.

Pain on Top of Foot Surgery

Pain on top of foot can also be managed by going through surgery like in cases of severe tendonitis and stress fractures. Furthermore, rest assured that there are supportive techniques like splinting and casting after surgery is done. However, the most vital thing to do before anything else is to consult a doctor and obtain an accurate diagnosis.

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Numbness, Stress Fracture and Pain on Top of Foot – What you Need to Know

written by: honeycamille

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Pain on Top of Foot

Pain on Top of Foot

Pain in the top of foot

Pain in the top of foot

The feet are very vital components of the human body without which life would be very difficult. There are many conditions that affect the foot; some are extremely painful and debilitating while others are mild. When it comes to foot conditions, one of the most common symptoms is pain on top of foot.

What is pain on top of foot?

Pain on top of foot simply refers to the pain that one feels on the upper part of the foot. Usually when a person walks, the foot is curved upwards; this in fact is what allows the leg and consequently the entire body to move. It therefore follows that if there is pain on top of the foot, walking might be rendered difficult and painful.

The ease or difficulty with which one can walk will depend on the severity of the condition. As mentioned if the pain is felt on the upper side of the foot, this means that the problem can either affect the tendons, the bones or the surrounding nerves.

Causes of pain on top of foot

The next important issue to look into is the cause of this particular condition. Pain on top of foot is not caused by a single ailment, in fact there are a plethora of causes with one of the most common being tendonitis. Again tendonitis has quite a number of causes including tight calf muscles and overusing the tendons located on top of the foot. In addition to causing pain, tendonitis may also cause swollen feet and ankles.

Fractures are also responsible for pain on top of the foot. Fractures are caused by trauma to the bones located on the top side of the foot. This could be as a result of a heavy object falling on the foot or being hit by a solid object among others. Another common cause of this kind of pain is tarsal tunnel syndrome – a condition where the posterior tibial nerve becomes entrapped. Tarsal tunnel syndrome can also cause numbness and a tingling sensation. Other causes of pain on top of foot include arthritis, improper footwear, sports injuries, ingrown toe nail and Morton’s Neuroma (nerve thickening).

Treatment options for pain on top of foot

So how exactly can a person deal with this particular condition? In order to effectively treat pain on top of foot, one must first understand the root causes, most of which have been mentioned above. The first thing one can do before seeking medical attention is taking pain killers; this should however be done moderately.

Treatment options for pain on top of foot

Treatment options for pain on top of foot

Pain caused by fractures can be treated by resting the foot until it completely heals. Crutches might also be necessary when moving from one place to another. If the foot and ankle are swollen, an ice pack might prove effective in relieving pain. For tarsal tunnel syndrome, a cortisone injection might be given so as to provide relief to the affected nerve and surrounding tissue.

Common exercises for pain on top of foot

Medication is not the only way of dealing with pain on top of foot; there are exercises that can also help bring healing. A common work out is the heel raise which can be done when seated or standing. The idea here is to raise the legs repeatedly so as to work out the calf muscles and consequently strengthen them.
Moderate aerobic exercises are also recommended in order to disperse pain. A few examples of such include: running on the treadmill, ascending a flight of stairs and jogging on the spot.

How to prevent pain on top of foot

Women can reduce their chances of suffering from pain on top of foot by significantly reducing the frequency with which they wear high-heel shoes. Doing so will also save them from chronic heel pain. Exercise is good but it should not be over-done as this can cause undue strain on the tendons.

Nails should be evenly trimmed to prevent the ingrown nail problem. When buying footwear, it is important to ensure that they fit comfortably and that they are used for the purpose they are meant for.

Pain on top of foot surgery

There are cases where surgery might be required in order to treat pain on top of foot. A good example is a case where one is suffering from tarsal tunnel syndrome. The aim of surgery here will be to locate and release the entrapped nerve.

Pain on top of foot surgery

Pain on top of foot surgery

Surgery may also be required if a tumor is the cause of the problem. Generally surgery is used as a last resort and in severe cases. One should therefore proceed with the same only if the doctor recommends it and not as a preference.

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Everything About Tarsal Tunnel Syndrome Relief

All about Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome also referred to postiterior tibial neuralgia is a condition associated with painful foot condition and neuropathy. It is caused by the compression of the tibial nerve during travelling through the tarsal . The tunnel is located along the inner leg in the medial malleolus.

Tarsal tunnel syndrome brings about numbness of the foot radiating up to the big toe extending to the first three toes. It is characterized by tingling, burning and electrical sensation on the base of foot and heel. Tarsal tunnel syndrome can lead to collection of fluid in foot while standing or walking making the condition worse, because the small muscles will lose nerve supply and create cramping feeling.

Causes of tarsal tunnel syndrome includes.

Tarsal tunnel syndrome can be caused by activities that exert pressure around the tarsal tunnel. Benign tumours, inflammation in the tendon sheath, bone spurs, nerve ganglion and swelling associated with sprained ankle, this causes tarsal tunnel syndrome as they tend to accumulate pressure in the tarsal tunnel. Flat feet that cause increased pressure around the tunnel region which can lead to compression of nerves.

Symptoms of tarsal tunnel syndrome include the following;

  • Feeling of pain and some tingling around and in the ankles and in some cases the toes,
  • Swelling of the foot,
  • Tingling, painful burning and numb sensation experience I the lower legs .The pain becomes worse and spreads rapidly in case of standing for a long period, pain becomes worse during activity and ceases while resting,
  • Feeling of electric shock sensations,
  • Pain that radiates up the leg and downwards to the heel arch and toes,
  • Feeling of cold and hot sensation in the foot,
  • Feeling like there is reduced paddling in the feet,
  • Pain while driving a car,
  • Experiencing pain in along posterior Tibial nerve,
  • Burning sensation from the foot radiating up to the knee.

Diagnosis of tarsal tunnel syndrome includes the following.

Physical examination that can be done by an expert like Podiatrist, Physician, Orthopedist, Neurologist Physiatrist, Physical therapist or Chiropractor. The experts first enquires about the history concerning the pain as the first step in assessing the tarsal tunnel syndrome.

X-ray can be done to confirm that the pain is not due to fractures in the bone.

MRI can be done to further rule out the pain caused due to nerve compressions.

Nerve conduction tests can be administered by Neurologists, it is carried out by placing electrodes along feet and leg nerves. Electrical impulses are the propagated along the electrodes to determine the intensity and speed at which they travel. The behavior of the impulses determines the presence or absence of tarsal tunnel syndrome.

Treatment of tarsal tunnel syndrome include the following:

  • Having rest,
  • Strengthening of tibias posterior, tibias anterior, short toe flexors and peroneus,
  • Taking anesthetic injections,
  • Using wrappings, hot wax baths and orthotics,
  • Medication can include anti inflammatory like Anaprox Lyrica, Ultracet, Lidocaine and Neurontin,
  • Tarsal tunnel surgery can be carried out to release pressure from the tarsal tunnel region. It involves an incision into the tibial nerve that end up correcting cysts or any problems in the tibial tunnel.

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What is Tarsal Tunnel Syndrome

What is Tarsal Tunnel Syndrome?


The actual Tarsal syndrome is formed through the tarsal bone fragments the Talus as well as Calcaneus beneath, and the actual flex or retinaculum (thick music group of fascia) outrageous, located inside (medial aspect) from the ankle. In this tunnel, run a number of important anxiety and arteries.

Tarsal Tunnel - Pinched Nerve

Tarsal Tunnel – Pinched Nerve

In instances of tarsal canal syndrome, the actual posterior tibial neural is compacted (entrapped), leading to symptoms radiating together its program, the medial element and sole from the foot.
In the majority of cases tarsal canal syndrome may occur due to no damage, but simply gradually worsen until remedy is searched for. In these types of cases, most of them are because of overpronation in the foot. This really is where the actual foot comes inwards as well as flattens once we walk or even run.
Inside a few instances, tarsal canal syndrome outcomes from a good inversion damage – twisting from the ankle so the sole from the foot encounters inwards. This is actually the most common type of ankle damage.

Tarsal Canal syndrome signs and symptoms include:

  • Discomfort (often referred to as burning) radiating to the arch from the foot, back heel and occasionally the feet.
  • Hooks and fine needles or numbness might be felt within the sole from the foot.
  • Discomfort when operating.
  • Discomfort when position for a long time.
  • Discomfort is happy by relaxation.
  • Pain is usually worst through the night.
  • Tapping the actual nerve (just at the rear of the medial malleolus) might reproduce discomfort. This is called Tinel’s Check.
  • The region under the actual medial malleolus might be tender to the touch.

Occasionally the actual symptoms associated with tarsal canal syndrome might mimic individuals of plantar fasciitis. Nevertheless the presence associated with neural symptoms for example tingling or even numbness (especially upon tinel’s test), along with the location associated with tenderness upon palpation, should assistance to distinguish between your two problems.

Many individuals with tarsal canal syndrome might have compression associated with nerves somewhere else. An example will be a patient that has a pinched nerve within the low back together with tarsal canal syndrome. This problem, where there’s compression a minimum of two areas, is called “double-crush” affliction.

Another issue is that lots of those who have tarsal canal syndrome might have peripheral neuropathy. This can be a condition where there’s damage towards the small nerves within the feet. Numbness as well as tingling are typical symptoms. One of the diseases related to peripheral neuropathy tend to be diabetes as well as hypothyroidism.

Remedies of tarsal canal syndrome

Remedy of tarsal canal syndrome at first begins along with rest, glaciers and anti-inflammatories. Further investigation ought to be undertaken to look for the cause from the injury. If overpronation is actually suspected like a cause after that arch assistance insoles or orthotics might be inserted to the shoes.

For all those involved within sports, particularly running, motion control athletic shoes are generally advised. In addition to this, stretching from the calf muscles might be effective because tightness of those muscles actually boosts the speed associated with pronation.
In the event that conservative remedy fails, then surgery is definitely an option. This is actually a decompression. Soft cells is removed and also the overlying flexor retinaculum released to permit more space for that nerve, reducing the actual pressure onto it.

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Tarsal Tunnel Syndrome and Pain in Top of the Foot

Tarsal Tunnel Syndrome and Pain in Top of the Foot

Tarsal tunnel is a space between bones and tough fibrous tissue in a human foot. Within this space, a posterior tibial nerve passes through from the back of the leg through the inner section of the ankle to the tunnel. Due to bones of the foot and tough surrounding fibrous tissues, the tibial nerve becomes pinched by the bones in the tunnel thus sending some sensory information to the brain resulting to a condition known as tarsal tunnel syndrome. Tarsal tunnel syndrome therefore results when the tibial nerve becomes extremely compressed by the bones within the tunnel. Nerve compression is as a result of small room within the tunnel. The syndrome results to signs such as foot aching and heel numbness.

Causes of Tarsal Tunnel Syndrome

Top of Foot Pain

Top of Foot Pain

Up to date, the causes of tarsal tunnel are not yet established. Some of the possible causes of this syndrome have been associated with inflammation of the tissues surrounding tarsal tunnel. Once the tissues become inflamed, they swell thus increasing pressure in the tarsal tunnel compressing the nerve resulting to tarsal tunnel syndrome. Sometime, the surrounding muscles around the ankle area and
near the tarsal tunnel thicken following exercises such as running. Muscles and tendons thickening insert pressure to the tibial nerve thus result to tarsal syndrome.

Some doctors have suggested that tarsal tunnel syndrome could be caused by fractures of the foot, benign tumors and bone spurs which tend to insert pressure at the tunnel and onto the nerve.

Diagnosing Tarsal Tunnel Syndrome

Once a doctor suspects presence of tarsal tunnel syndrome, he or she conducts some quick physical diagnosis. After analyzing patient history through monitoring patients signs and symptoms, a tunnel test is performed for further diagnosis. This test involves tapping the skin zone of irritation which is directly above the tibia nerve. Presence of quick electrical pain indicates tarsal tunnel syndrome.
For further diagnosis, a doctor may opt for nerve impulse conduction test though the ankle. This is to determine how nerve impulses flow through the ankle. Slow impulse movement indicates presence of nerve compression.

Running and Top of Foot Pain

Top of foot pain is a complication that many individuals have been complaining of especially those who participates in running. Top of the foot contains many bones, nerves and ligament thus many factors contribute to pain in this area. Athletes tying shoes too tight and over using their feet tendons as they run on hard surface contributes to tendonitis a condition that causes pain near the toes and on top of the foot. Stretching muscles of the ankle during running increases pressure on the tarsal tunnel thus compressing the tibial nerve resulting in tarsal tunnel syndrome. This contributes to extreme pain on top of the foot.

Complications of Tarsal Tunnel Syndrome

Tarsal tunnel is associated with a number of complications. Mild repetitive nerve traction may result. This complication contributes to nerve damage every time there is nerve traction. Other complications are based on treatment. Surgery to solve this syndrome may be accompanied by excessive bleeding and the resulting wound if not properly taken care of could be infected with bacteria.
Chronic foot pain contributes to foot dysfunction. Sometime, permanent foot damage may occur especially if the condition is not immediately taken care. This may contribute to a functionless foot and ultimately affecting walking.

Common exercises for Tarsal Tunnel Syndrome

Preventive tarsal tunnel syndrome exercises facilitates in preventing nerve compression at the tunnel. This is by ensuring that the feet are strong through some exercises. This includes toe presses. Toe presses involve pressing the toes downward and standing on them. Others include toe spreading and toe lifting by spreading the toes wide and try to lift them one at a time while your feet remain flat on the floor.
For patients with tarsal tunnel syndrome, treatment exercises are very vital. This facilitates quick recovery and healing. During practice, it is important for patients to mind about their physical condition and thus starting exercises at a slowly pace with fewer repetitions every time. Foot and ankle stretching may facilitate quick recovery from this syndrome.

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