Hi. I’m Dr. Larry Huppin. Today we’re going to talk about pain on top of the foot. This is one of the more common things that we treat in our clinic. There’s actually a lot of different causes of pain on top of the foot, but the most common one is a condition called dorsal compression syndrome. Dorsal just means top of the foot. So these patients present with pain in this area, can be sharp, sometimes achy, most of the times it’s worse with activity. This is usually caused by the foot collapsing more than it should. So, if you look at the.
Foot as an arch, whenever that arch goes down, it gets longer on the bottom but on top it get shorter. And all these bones get compressed together, that leads to pain. So when you look at treating this problem, our primary goal is to stop this from going down and decrease the pressure and compression in this area. You can do that in several ways. Make sure your shoes are stable. Number two use a decent arch support underneath the arch of your foot to stop it from going down. This is a fairly good overthecounter device.
If that’s not enough, you can get a custom orthotic. This will conform or at least they should conform much, much closer to the arch of your foot to better stop that foot from going down and do a better job at decompressing this area here. For women, you can even get a smaller device. This one is meant to actually fit into dress shoes and high heels. It bends a little bit to fit into a heel. You can find more information on this. You can find detail information on how you can.