What is dorsal interosseous compression syndrome?

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Running isn’t actually a pain free exercise and up to 75% of runners may get an overuse injury each year. More frequently that not that overuse injury is not really sufficient to stop them training and they typically simply have to back off a little and make use of some modest interventions to let it get better. Occasionally the overuse injury is significant enough that this forces the runner to quit on the running. There are various injuries that may affect runners, impacting many different areas of the lower limb. Among the more common injuries is what has become called non-technically as “top of foot pain” or ToFP. Clinically this is known as dorsal interosseous compression syndrome. This is an overuse injury that causes pain on top of the foot, usually about the highest point of the arch of the foot. This typically happens in barefoot runners and also runners who usually forefoot strike rather than heel strike first when they are running. Running using this method will probably try and drive the front foot upwards on the rearfoot causing the jamming of the bones of the top of the foot, leading to the pain in that location.
 
Initially this is top of foot pain treated with ice to handle the inflammation and maybe anti-inflammatory medicines to settle it down. Most runners will need to scale back on their weekly distances run to also help settle it down. The ultimate way to take care of this is to work with more of a heel strike when running and make use of foot supports to maintain the rearfoot up so the jamming in the midfoot does not occur. Even though the alteration of running technique might be a good way to help this, it’s difficult to perform, which is usually avoided to start with to try and take care of the problem without doing that. If the other strategies fail to work, then a change in the running method is probably advised.