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Why Does the Top of My Foot Hurt When I Sprained My Ankle?

Published in Ankle Sprain Pain 3 mins read

The pain on the top of your foot after an ankle sprain can be due to several reasons, including a condition called sinus tarsi syndrome.

Understanding the Connection

An ankle sprain involves the stretching or tearing of ligaments around the ankle joint. This injury can cause pain not only in the ankle but also in surrounding areas, like the top of your foot.

Possible Causes of Top of Foot Pain After Ankle Sprain

Here are some potential reasons for the pain:

  • Referred Pain: The pain might originate from the ankle injury itself, radiating to the top of your foot. Nerves in the ankle can transmit pain signals that are perceived in adjacent areas.
  • Sinus Tarsi Syndrome: According to the provided reference, sinus tarsi syndrome is a common cause of pain felt at the top of your foot and the outer side of the ankle after a sprain. This condition occurs in the sinus tarsi, a small space between the heel bone (calcaneus) and the ankle bone (talus). Ankle sprains and prolonged instability can cause inflammation and pain in this area.
  • Strain on Foot Muscles: When you sprain your ankle, you may compensate by altering your gait, placing increased stress on the muscles and ligaments in your foot, which can result in pain on the top of the foot.
  • Bone Bruising: Trauma from the sprain can sometimes cause bone bruising in the foot, leading to pain.
  • Tendonitis: The tendons that run across the top of your foot could become inflamed due to the injury or altered biomechanics after the sprain.

Sinus Tarsi Syndrome Explained

Sinus Tarsi Syndrome is particularly relevant to your question. Here's a breakdown:

Feature Description
Location Pain felt at the top of the foot and outer side of the ankle.
Cause Typically follows an ankle sprain or prolonged ankle instability.
Mechanism Inflammation within the sinus tarsi (a space between the calcaneus and talus bones).
Contributing Factors Damage to ligaments, soft tissues, or nerve endings within the sinus tarsi during the sprain or due to chronic instability.

What To Do

If you are experiencing pain on the top of your foot after an ankle sprain, it is important to:

  1. Rest: Avoid activities that aggravate the pain.
  2. Ice: Apply ice packs to the affected area for 15-20 minutes at a time, several times a day.
  3. Compression: Use a compression bandage to help reduce swelling.
  4. Elevation: Keep your foot elevated to minimize swelling.
  5. Consult a Doctor: See a healthcare professional for proper diagnosis and treatment. They can determine the exact cause of your pain and recommend appropriate interventions, such as physical therapy or medication.

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