The pain on the top of both feet may be due to tissue injury, strain, gout and other reasons. 1. Tissue injury: when the top of the foot is squeezed, collided or wearing shoes that do not fit properly, etc., it may cause damage to the top of the foot, resulting in local tissue edema, leading to pain, redness and swelling. 2. Strain: When the exercise time is too long or the intensity is too high, it may lead to muscle and fascia strain on the top of the foot and accumulation of metabolic products such as lactic acid, which leads to pain on the top of the foot. 3. Gout: If you have recently consumed too much alcohol and purine-rich foods, it may lead to uric acid deposition on the top of the foot, causing gout attacks, which can lead to pain on the top of the foot. In addition, two foot surface pain may also be caused by peripheral neuritis, lumbar disc herniation and other reasons. If rest does not relieve the symptoms of top of foot pain, patients are advised to visit the hospital in time and receive treatment for the cause under the guidance of the doctor.