When patients have symptoms of pain on the top of the foot, it may be caused by physiological factors, and it may also be caused by diseases such as osteophytes and tenosynovitis of the foot. 1. Physiological factors: may be due to the patient to maintain a position for a long time, such as sedentary, walking for a long time, etc., caused by tissue fluid stagnation on the surface of the foot, resulting in swelling and pain on the surface of the foot. Or due to the patient’s strenuous exercise, the muscles of the dorsum of the foot are overstimulated, which in turn causes pain on the surface of the foot. 2. Osteomalacia of the foot: Osteomalacia of the foot causes deformation of the joints of the foot, and when the joints of the foot are subjected to abnormal loads, it will cause joint pain, which leads to pain on the top of the foot. 3. Tenosynovitis: When the tendons on the dorsum of the foot suffer from tenosynovitis, the tendons on the dorsum of the foot have pain in the traveled area, such as obvious pressure and pain, and the movement of the toes is limited and other symptoms, which leads to the top of the foot pain. When patients have symptoms of top of foot pain, it may also be caused by fasciitis, tendonitis and other diseases. It is recommended that patients seek timely medical attention to clarify the cause of the disease and follow the doctor’s instructions for standardized treatment.