Swelling and pain on the top of the foot may be caused by overwork, trauma, gout, etc. 1. Overwork: Standing for a long time, etc. can lead to poor venous return in the lower limbs, causing swelling and pain on the top of the feet. Symptoms can be relieved by avoiding over-exertion of the feet, soaking feet in warm water and elevating the lower limbs. 2. Trauma: the top of the foot is hit by heavy objects, extrusion, etc., which will cause soft tissue damage, swelling, pain and bleeding on the top of the foot. You can reduce the symptoms by disinfection, bandage, ice, rest, etc. In serious cases, you can use medicines such as blood circulation and pain relief capsule under doctor’s guidance for treatment. 3. Gout: Inattention to diet may lead to gout attacks, causing swelling and pain on the top of the foot. Patients need to pay attention to diet, avoid intake of high-purine food, such as animal offal, seafood, etc., to prevent gout attacks and relieve pain symptoms. Severe cases can be treated with medications such as febuxostat tablets and colchicine tablets as prescribed by the doctor. Swelling and pain on the top of the feet can also be caused by other causes including varicose veins, arterial embolism and diabetic complications, etc. If the symptoms cannot be relieved for a long time, it is recommended to consult a doctor as soon as possible and follow the doctor’s instructions for treatment.