The pain in the middle of the top of the foot refers to the dorsum of the foot, which may be caused by trauma, fasciitis or osteophytes, and it is recommended to go to the hospital in time for examination and diagnosis, and timely treatment to avoid delaying the condition. 1. Trauma: when the foot is hit, collision, blow or walking unevenly leading to soft tissue injury, it will lead to localized pain symptoms. 2. Fasciitis: Fasciitis is mainly due to long-term muscle fatigue, or cold wind stimulation, trauma and immune factors, etc. caused by inflammation of the muscle fascia stimulation and thus discomfort such as pain, swelling and other manifestations. 3. Osteomalacia: Osteomalacia is the result of joint overstrain, joint trauma or overweight, leading to joint pain and motor dysfunction in some patients. Dorsal foot pain can also be seen in other causes, such as fractures and bone tumors, etc. It is recommended to go to the hospital in a timely manner to clarify the cause of the disease and follow the doctor’s instructions for treatment.