Running is not always a pain free sport and as much as 75% of runners could possibly get an injury each year. More frequently that not that exercise related injury is not really enough to prevent them exercising and they generally simply have to back off somewhat and use some minimal treatments to let it get better. Sometimes the overuse injury is serious enough that this makes the runner to give up on the running. There are many different injuries that may happen to runners, impacting on numerous areas of the lower limb. One of the most 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 exercise related injury that causes pain on the top of the foot, typically around the highest point of the arch of the foot. This generally occurs in barefoot runners as well as runners who have a tendency to forefoot strike as opposed to heel strike first when they are running. Running in this way is likely to try and force the front foot upwards on the rearfoot producing the jamming of the bones of the dorsum of the foot, causing the pain in that location.
At first it is managed with ice to deal with the inflammation and maybe anti-inflammatory drugs to settle it down. The majority of runners will have to reduce their weekly distances run to also help settle it down. The easiest method to take care of this is to use more of a heel strike when running and make use of foot supports to maintain the arch up so the jamming in the midfoot does not happen. Even though the alteration of running technique could very well be a good way to help this, it is not easy to perform, which is frequently avoided originally to try and address the problem without doing that. If the other approaches do not work, then a change in the running technique is most likely indicated.