Top of Foot Pain Running


Runners are particularly prone to a condition known as top of foot pain. While the causes of this type of pain can vary, it can have serious implications for runners if it is not understood and managed. In order to properly understand the causes of this type of pain, it is essential to examine the biology and biomechanics of the foot. Through this process, one can gain a more comprehensive understanding of why this type of pain is so prevalent in runners, and how it can best be managed.

Extensor Tendonitis/Tendinopathy

If you’re experiencing pain, swelling, stiffness on the top of your foot, you might beExtensor Tendons in the Foot dealing with extensor tendonitis.  It can be caused by overuse, footwear issues and training surfaces & techniques. Treatment strategies include rest, activity modification, cold therapy & compression, proper footwear selection and rehabilitation exercises for stretching & strengthening to prevent recurrence.  More information on Extensor Tendonitis in foot.


Lisfranc Injury

A Lisfranc injury refers to a rare injury to a joint in the center region commonly known as

Lisfranc foot injury
Lisfranc foot injury

the midfoot. Typically a Lisfranc injury occurs when there is a severe twisting force on the joints connecting the forefoot and midfoot. The forefoot is stuck in place and the force occurs through the athlete’s entire body when all their weight twists around the fixed forefoot.  More information in Lisfranc injury.

Midtarsal Joint Sprain

A tarsal sprain is an injury to one of the ligaments in the midtarsal joint, a complex of Midtarsal Joint Sprainbones and ligaments near the ankle. It is a common, painful condition that can result from excessive stretching, tearing, and twisting of the midtarsal joint. If left untreated, a tarsal sprain can cause long-term complications and significantly impair mobility. Understanding the cause, symptoms, and treatments for tarsal sprains is essential for those who suffer from this condition.  More information on Midtarsal Joint sprain.

Navicular Stress Fracture

A Navicular Stress Fracture is a type of injury commonly seen in runners and is a fractureNavicular Stress Fracture in the navicular bone, which is located in the mid-foot.  It’s caused by the bone becoming subjected to repeated trauma, or strain. Navicular Stress Fractures can range from mild to severe, and can cause significant pain and discomfort in the affected area. Depending on the severity of the fracture, treatment may involve rest, activity modification, physical therapy, and occasionally surgery. More information on Navicular Stress Fracture.

Mortons Neuroma

Morton’s neuroma is a condition defined as the enlargement of tissue around a nerve inMortons Neuroma the ball of your foot, usually between the second and third or third and fourth toes.  It is caused by the nerve becoming irritated or damaged and inflamed due to ‘mechanical stress’, which is often triggered by things such as too narrow a running shoe, overtraining, tight calves, flat feet, bunions, claw foot, or high arches.  More information on Mortins Neuroma.