Running is not actually a pain free exercise and as much as 75% of runners could possibly get an injury each year. More often that not this overuse injury is not really sufficient to stop them training and they generally just need to back off a little and use some minimal interventions to let it get better. At times the overuse injury is serious enough that this makes the runner to quit on the running. There are many injuries which could affect athletes, impacting numerous areas of the lower limb. Among the more prevalent injuries is what has become called non-technically as “top of foot pain” or ToFP. Clinically this is what's called dorsal interosseous compression syndrome. This is an exercise related injury that produces pain on the top of the foot, typically about the top point of the arch of the foot. This generally happens in barefoot runners as well as runners who are more likely to forefoot strike rather than rearfoot strike initially whenever they are running. Running using this method is likely to try and drive the forefoot upwards on the rearfoot which causes the jamming of the bones of the dorsum of the foot, producing the pain in that area.

At first this top of foot pain is treated with ice to handle the inflammation and maybe anti-inflammatory medications to settle it down. Almost all runners will need to reduce their weekly mileage also to help settle it down. The easiest method to take care of this is to work with more of a heel strike when running and make use of foot supports to help keep the arch up so the jamming in the midfoot does not occur. While the alteration of running form might well be a good way to help this, it's difficult to perform, and it is often avoided initially to try and treat the problem without doing that. In the event the other methods are unsuccessful, then a change in the running technique is most likely indicated.