Dorsal foot pain

Dorsal foot pain manifests as a bony enlargement on the top of the foot, that occurs as a consequence of a biomechanical force leading to joint space narrowing and osteoarthritic changes. The body lays down extra bone as a response to this stress, eventually creating a bump.

It commonly occurs at the first metatarsal cuneiform joint, although it can occur at other joints on top of the foot. You will feel an acute or chronic pain on the top of the foot, which can occur in the mornings and as the day wears on.

Pronation, or high arches that are dropping, can lead to the joint space narrowing of the first and second metatarsal cuneiform spaces leading to the osteoarthritic adaptations.

The cause of the pronation is unique to the foot type and the person’s calf flexibility.

Treatment for dorsal foot pain

Treatment involves identifying the cause of the dropping arches. Anti-inflammatories may assist, although the biomechanics of the problem needs to be sorted out to reduce the stress on the joint.

Stretching calves, mobilising feet, insoles and orthotics may be necessary.

Foot mobilisation, a manipulative technique can reduce pain through improving the joint spaces and mobility of the foot.

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