The pain in the middle of the back of the foot may be caused by the tightness of the shoes and the continuous local pressure, or it may be caused by the presence of gout or bone lesions that cause pain. If it is considered gout, you can improve the uric acid test. If it is considered to be a bone lesion, it can be determined by X-ray examination. According to the results of the examination, then do the corresponding treatment. If the pain is caused by continuous pressure from too tight shoes, it can be relieved by wearing looser shoes. If it is caused by gout, you can take oral painkillers, such as meloxicam tablets to relieve pain, local magnesium sulfate can be applied topically, in addition to giving treatment to reduce uric acid, such as the use of febuxostat, pay attention to rest to help relieve pain.