Pain in the tops and bottoms of the feet may be caused by lumbar disorders, or it may be due to gout. 1. Lumbar diseases: the vertebral canal of lumbar spine has conduction bundles that innervate the sensation and movement of the tops and bottoms of the feet, if there is a disease in the lumbar region, it may lead to the compression of the nerves or excessive pulling and stimulation, which may cause the symptoms of pain in the tops and bottoms of the feet, such as lumbar intervertebral disc protrusion caused by lumbar degenerative lesions and vertebral body slippage caused by the decrease of the holding power of the vertebral body’s soft tissues. 2. Gout: abnormal uric acid metabolism of the body leads to hyperuricemia when gout occurs, can appear on the surface of the feet, toes small joints of uric acid crystal deposition, resulting in the dorsum of the feet, toes small joints of the area of the pain, swelling, and at the same time, may appear on the soles of the feet of the area of the involvement of pain. There may be other reasons for the pain on the top and bottom of the feet, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment under the guidance of the doctor.