The most common causes of rope skipping instep pain are excessive exercise, soft tissue injury, peripheral neuritis, osteophytes, instep fasciitis, etc. If the symptoms persist, it is recommended to seek medical treatment in time. 1. Excessive exercise: If the patient jumps rope for too long or with too much intensity, it is easy to cause the accumulation of lactic acid in the muscles of the foot, which in turn produces dorsal pain when jumping rope, which is usually relieved after resting. 2. Soft tissue injury: if the patient suffers from trauma or foot muscle, ligament strain, or serious fracture, can cause pain in the instep when jumping rope. 3. Peripheral neuritis: peripheral nerve damage due to a variety of reasons, there can be pain in the back of the foot as well as numbness, the patient jumping rope may aggravate this symptom, causing dorsal pain. 4. Osteomalacia: Osteomalacia irritates the surrounding soft tissues, which can cause pain at the dorsum of the foot, and when jumping rope, it can aggravate the contact between the soft tissues and the bone spurs, which will make the patient’s pain intensify. 5. Dorsal fasciitis: due to the repeated friction of the dorsal fascia, the patient may have an inflammatory reaction, and jumping rope will also aggravate this inflammatory reaction, and pain at the dorsum of the foot. The causes of rope skipping dorsal pain are more reasons, may also be related to osteoarthritis, tendon sheath cysts and other diseases, if the symptoms continue to be unrelieved, it is recommended to go to the hospital in a timely manner by the doctor to find out the cause of the disease, for targeted treatment.