Differential Diagnosis for Dorsal Foot Pain
Single Most Likely Diagnosis
- Tendinitis or Tenosynovitis of the Extensor Tendons: This condition is the most common cause of dorsal foot pain due to overuse or repetitive strain on the extensor tendons, which are located on the top of the foot.
Other Likely Diagnoses
- Stress Fracture: A stress fracture in one of the metatarsal bones can cause pain on the dorsal aspect of the foot, especially with weight-bearing activities.
- Morton's Neuroma: Although typically associated with pain between the toes, Morton's neuroma can sometimes cause pain that radiates to the dorsal foot.
- Gout or Pseudogout: These conditions can cause acute, severe pain in the foot, including the dorsal aspect, due to crystal deposition in the joints.
- Osteoarthritis: Degenerative changes in the joints of the foot can lead to pain on the dorsal aspect, especially with activity.
Do Not Miss Diagnoses
- Deep Vein Thrombosis (DVT): Although less common, DVT can cause pain in the foot, including the dorsal aspect, and is a potentially life-threatening condition if not promptly diagnosed and treated.
- Compartment Syndrome: This is a serious condition that can cause severe pain, especially with activity, and requires urgent medical attention to prevent long-term damage.
- Infection (Cellulitis or Abscess): Infections in the foot can cause significant pain and require prompt antibiotic treatment to prevent serious complications.
Rare Diagnoses
- Erythromelalgia: A rare condition characterized by burning pain, heat, and redness in the feet, which can include the dorsal aspect.
- Complex Regional Pain Syndrome (CRPS): A chronic pain condition that can cause severe, burning pain in the foot, including the dorsal aspect, often following an injury.
- Tarsal Tunnel Syndrome: Similar to carpal tunnel syndrome but affecting the nerves in the foot, which can cause pain, numbness, and tingling on the dorsal aspect of the foot.
- Bone Tumors: Although rare, bone tumors (benign or malignant) can cause pain in the foot, including the dorsal aspect, and should be considered in the differential diagnosis, especially with persistent or worsening pain.