The Top of My Foot Hurts When I Put Pressure On It: Causes and Remedies


Foot pain can be both uncomfortable and disruptive to your daily activities. If you’re experiencing pain on the top of your foot when you put pressure on it, it’s essential to identify the underlying cause to effectively manage and alleviate the discomfort. In this article, we will explore some of the common causes of top-of-foot pain, potential remedies, and when to seek medical attention.

Common Causes of Top-of-Foot Pain:

Metatarsalgia is a condition characterized by pain and inflammation in the metatarsal region, which is the area at the top of your foot just before the toes. This condition can result from overuse, ill-fitting footwear, or excessive pressure on the metatarsal bones.

Stress fractures are tiny cracks in the bones and can occur in the metatarsal bones on the top of the foot due to repetitive strain or overuse. The pain is often aggravated by weight-bearing activities.

Tendonitis involves inflammation of the tendons that run along the top of the foot. It can be caused by excessive running, jumping, or other activities that put strain on the tendons.

Extensor tendonitis is a specific type of tendonitis that affects the tendons responsible for dorsiflexing the foot (lifting the foot upwards). Overuse or trauma can lead to inflammation and pain in these tendons.

Gout is a form of arthritis that can cause sudden and severe pain in the joints. It may affect the metatarsophalangeal joint at the base of the big toe and spread to the top of the foot, causing intense discomfort.

Arthritis, such as osteoarthritis or rheumatoid arthritis, can affect the joints of the foot, leading to pain on the top of the foot, especially when walking or bearing weight.

Wearing tight, ill-fitting, or high-heeled shoes can put pressure on the top of the foot and lead to discomfort or pain.

Trauma or injury to the foot, such as a contusion or sprain, can cause pain on the top of the foot.

Remedies and Home Care:

The appropriate remedy for top-of-foot pain depends on the underlying cause. Here are some general home care tips to help alleviate discomfort:

Rest: If you suspect that overuse or repetitive strain is the cause, rest is essential. Avoid activities that worsen the pain and give your foot time to heal.

Ice: Applying ice to the affected area can help reduce inflammation and pain. Use an ice pack wrapped in a thin cloth for 15-20 minutes several times a day.

Elevation: Elevating your foot above heart level can reduce swelling and help with pain relief.

Supportive Footwear: Opt for well-fitting, supportive shoes with cushioned insoles. Avoid high heels or shoes with inadequate arch support.

Orthotics: Consider using orthotic inserts or arch supports to help distribute pressure evenly across your foot.

Over-the-Counter Pain Relievers: Non-prescription pain relievers like ibuprofen or acetaminophen can provide temporary relief from pain and inflammation. Follow the recommended dosage and consult a healthcare provider if needed.

Compression Bandage: Using a compression bandage can help reduce swelling and provide support to the affected area.

Gentle Stretching and Strengthening Exercises: Specific exercises can help improve the strength and flexibility of the foot and alleviate pain. Consult with a physical therapist for guidance.

When to Seek Medical Attention:

While home care may provide relief for many cases of top-of-foot pain, it’s important to consult a healthcare provider if:

The pain persists or worsens despite rest and home care.

You suspect a fracture or significant injury to the foot.

You have difficulty walking or bearing weight on the affected foot.

There is swelling, redness, or warmth in the painful area.

You have a history of gout, arthritis, or other medical conditions.

The pain is associated with numbness, tingling, or loss of sensation in the foot.

Medical Evaluation and Treatment:

A healthcare provider will perform a physical examination and may order diagnostic tests, such as X-rays or MRIs, to determine the cause of your foot pain. Treatment options can vary based on the diagnosis but may include:

Immobilization: In cases of stress fractures or significant injuries, immobilization with a cast or walking boot may be necessary.

Physical Therapy: A physical therapist can help with rehabilitation exercises and techniques to improve foot function and reduce pain.

Medications: In some cases, pain relievers, anti-inflammatory drugs, or corticosteroid injections may be prescribed.

Orthopedic Devices: Custom orthotic inserts, braces, or supportive footwear may be recommended to alleviate pressure and provide support.

Surgery: Surgical intervention may be necessary for severe cases, such as persistent stress fractures or certain tendon injuries.


Pain on the top of your foot when you put pressure on it can be caused by various factors, including overuse, injuries, or medical conditions. Identifying the underlying cause is crucial for effective management. While home care and remedies may alleviate pain in many cases, it’s important to seek medical attention if the pain persists, worsens, or is associated with concerning symptoms. A healthcare provider can provide a proper diagnosis and treatment plan to help alleviate your foot pain and restore your mobility.

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