Pain on the top of the foot may be caused by trauma, dorsalis pedis fasciitis, arthritis, diabetic foot, and so on. 1. Foot trauma: If the foot has been subjected to crush injury, smashing, contusion, sprain, etc., it may cause internal tendon sheath damage or congestion and swelling, which may lead to pain on the dorsum of the foot. 2. Fasciitis: it is usually caused by long time walking or degenerative diseases, and mostly manifested as pain in the back of the foot after activities. 3. Arthritis: common osteoarthritis, gouty arthritis, rheumatoid arthritis, etc. If it occurs at the metatarsal and phalangeal joints of the dorsum of the foot, it will cause pain on the top of the foot. 4. Diabetic foot: Diabetes can lead to peripheral nerve lesions in the feet, which may manifest as pain and tingling on the back of the feet. There are many reasons for pain on the back of the foot, and there may also be gout. If there is no relief for a long time, it is recommended to consult a doctor in time to clarify the cause.