Painful dorsal foot compression is commonly caused by the following factors: first, trauma, such as soft tissue contusions and dorsal foot fractures, which can cause significant pain on compression and localized depressed edema, with a clear history of trauma and radiographs to confirm the presence of fractures. Second, gouty attacks, gout crystals deposited locally, can cause severe pain symptoms when pressing the dorsal foot, and the patient is also unable to walk or exercise with weight, the significant increase in serum uric acid also verifies the gouty attacks. Third, internal diseases, such as severe heart failure and renal insufficiency, can lead to significant edema in the lower extremities, especially the dorsum of the foot, and edema increases the interstitial pressure of tissues, which can also induce painful symptoms when pressed.