Tendonitis refers to the inflammation or irritation of a tendon, the thick, fibrous cords connecting muscles to bones. While this condition can develop in various parts of the body, when it affects the top of the foot, it often involves the extensor tendons, which are responsible for lifting the toes and the front of the foot.
The Primary Sensation
The most common sensation experienced with tendonitis on the top of the foot is pain. This pain can manifest as a dull ache or a throbbing feeling, often localized to the midpoint of the top of the foot or spreading along the affected tendon. Some individuals describe a sharp, shooting pain, especially when moving the foot or toes, such as pointing the toes downward or pushing off the ground. A burning sensation can also be present, potentially due to irritation of peripheral nerves in the foot. Stiffness or restricted movement in the ankle and foot often accompanies these painful sensations, making normal activities difficult.
Other Accompanying Signs
Beyond pain, tendonitis on the top of the foot often presents with observable physical signs. Swelling is a common indicator, appearing as localized puffiness or a noticeable lump along the affected tendon. The area may also exhibit tenderness when directly pressed, indicating inflammation of the underlying tendon. The skin over the affected region might feel warmer than the surrounding skin and may show slight discoloration or redness. In some instances, a creaking, crunching, or grating sensation, known as crepitus, can be felt or heard when moving the foot or ankle.
When Symptoms Are Most Noticeable
Symptoms of tendonitis on the top of the foot become more pronounced under specific circumstances. Pain typically increases during or after physical activities involving the foot, such as walking, running, or prolonged standing. Many experience heightened pain and stiffness first thing in the morning or after periods of rest, which may gradually improve with light movement. Pain might also flare up after extended periods of inactivity, like sitting or lying down. Symptoms usually lessen with rest, application of ice, or elevation of the foot, and their onset is frequently gradual, building up over time with continued use of the irritated tendon.
When to Consult a Doctor
Consult a doctor if pain on the top of your foot persists despite rest or self-care measures, or if increasing pain or swelling warrants medical evaluation. If you experience an inability to bear weight on the affected foot, or a sudden onset of severe pain, consult a healthcare provider promptly. Signs of infection, such as fever, spreading redness, or pus, necessitate immediate medical attention. Professional guidance is also recommended if the pain significantly interferes with your daily activities. This information serves educational purposes only and should not replace professional medical diagnosis or treatment.