Pain in the medial bone of the foot follows the anatomy from distal to proximal possible pathologies. Like gouty arthritis that occurs at the first metatarsophalangeal joint, or bunions due to bunion deformity. These disorders tend to occur on the medial side of the foot at the first metatarsal and first metatarsophalangeal joints, and can be diagnosed with renal function tests and orthopantomograms of the foot. It can also be seen in paravalvular syndrome, mostly due to deformity of the navicular bone, which causes aseptic inflammation due to friction between the protruding navicular bone and the upper surface of the shoe. Pain in the navicular bone can also be seen as a result of abnormal attachment of the tibialis posterior muscle due to deformity, and these patients may have a significant medial navicular bone protrusion, which may also be evident on plain radiographs. Trauma should also be considered, as this type of pain is most easily diagnosed if there has been a history of trauma to the medial aspect of the foot, most of which is followed by a painful response after violence.