What can cause pain on the top of the foot?

Running is not always a pain free activity and as much as 75% of runners will get an injury each year. More frequently that not that injury is not enough to prevent them exercising and they generally just have to back away somewhat and make use of some minor interventions to let it get better. From time to time the exercise related injury is serious enough that it forces the runner to quit on the sport. There are several injuries which may affect runners, impacting many different areas of the lower limb. One of the more frequent injuries is what has become known non-technically as “top of foot pain” or ToFP. Clinically this is known as dorsal interosseous compression syndrome. This is an injury which causes pain on the top of the foot, commonly around the top point of the arch of the foot. This typically occurs in barefoot runners and runners who tend to forefoot strike rather than heel strike first when they are running. Running this way will probably try and push the forefoot upwards on the rearfoot causing the jamming of the bones of the top of the foot, causing the pain in that location.

Initially this %LINK2" is treated with ice to deal with the inflammation and perhaps anti-inflammatory medications to settle it down. Almost all runners will need to reduce their weekly distances run also to help settle it down. The ultimate way to take care of this is to work with more of a heel strike when running and make use of foot orthotics to maintain the arch up so the jamming in the midfoot does not happen. Even though the alteration of running technique could be an effective way to help this, it's not easy to undertake, and it is usually avoided to start with to try and address the issue without doing that. If the other methods are unsuccessful, then a change in the running technique is most likely indicated.

 

How to treat cuboid syndrome in the foot

Cuboid syndrome is a source of pain on the outside of the foot, assuming it actually exists. There may be some debate in regards to what cuboid syndrome exactly is with some doubting if it exists and also the reason for the symptoms is caused by a variety of other types of issues. There isn't much evidence for this, but there are several viewpoints.

Traditionally, in cuboid syndrome, the cuboid is presumed to be partially subluxed as a result of excessive traction from peroneus longus tendon when the foot is excessively overpronated. Because of this the cuboid just isn't sturdy as peroneus longus muscle fires and the lateral side of this cuboid is moved upwards. This subluxation is thought to be just what cuboid syndrome might be. The cuboid bone may also become subluxed after having a lateral ankle joint strain. Soreness on the outside of the foot is believed to occur in around 4% of all foot injuries in athletes.

Clinically, in a cuboid syndrome there's lateral foot discomfort on weightbearing over the cuboid area and there might be a generalised foot soreness, primarily over that lateral part of the foot. Pressing the cuboid bone further up may produce pain and that bone may feel constrained in mobility in comparison to the unaffected foot. There is no evidence that this subluxation can be viewed on x-ray, which is partly exactly why so many question this disorder even exists. This question can also be in line with the quite strong ligament framework around this bone and how could it probably sublux when the cuboid bone is really firmly locked in place.

There isn't any doubt that there's this kind of pain on the lateral side of the foot which does have a lot of characteristics in common, its just would they all be contributed to the entity that frequently gets labeled as cuboid syndrome. The different diagnosis for pain on the lateral side of the foot is often a long list, so the discomfort could be as a result of any one of these and not simply the cuboid syndrome as it has been identified. The list includes stress bone injuries, a peroneal tendinopathy, irritability with the sesamoid bone and others. Symptoms on the lateral side of the foot is also prevalent after having a fascia operative release for people having persistent heel pain. A number of these issues that might also cause soreness in this region might also get better to the therapies which are generally used to deal with cuboid syndrome.

The traditional approach to dealing with cuboid syndrome will be to modify activity amounts which means pain amounts usually are maintained tolerable. Should the pain is especially painful, then ice could be used or possibly pain relief prescription medication such as NSAID’s. Taping can also be often used to stabilise the foot. Foot orthotics with what is known as cuboid notch to support the region may also be commonly used. There is also a manipulation to thrust the cuboid upwards and sideways from the plantar surface that may be generally performed which can frequently provide dramatic outcomes, which explains why this is assumed by so many to be a subluxed cuboid. The true reason for the manipulation working very well is not understood.

The PediRoller for a Foot Massage

The foot is a common place to get pain as it is the part of the body that we bear weight on, so its subjected to a lot of force walking and running on it. On top of that we also put the foot into the unnatural environment of a shoe, which is probably not health or natural. When foot pain develops, there are so many different professions and treatment methods that can be consulted and used to treat the pain. Each different profession tend to put the emphasis on different treatment approaches. For example, Podiatrists may approach a problem differently to a physical therapist.

Massage is one of the many different physical therapy techniques that an be used to help with foot pain. Afterall, who does not feel better after a foot massage. There are a number of products on the market that are useful for helping with a massage or giving a massage like affect. One of these is a product developed by a Podiatrist called the PediRoller. To use this product, the instructions say to place it on the ground and roll the foot from heel to toes and back again over the roller. It is suggested that those with foot pain do this for 3 to 5 minutes daily or twice daily. The roller is useful for conditions like plantar fasciitis and heel pain as it can be used to stretch out the ligaments under the foot that are often damaged in those sorts of conditions. Another advantage of the PediRoller is that it can be placed in a freezer to make cold. Using it when frozen has the added advantage of getting the same affect as using ice. The cold from ice is particularly useful at reducing both inflammation and pain and can help almost any type of foot injury in the early stages.