If the top or side of the foot hurts, swells, or bruises, you can apply ice for 10-15 minutes several times a day. Note that the top of the foot can easily bruise because there are many blood vessels on top of the small bones. A badly bruised foot does not necessarily mean the foot is broken. Make sure you elevate the foot so the swelling will come down.
If you cannot step without pain, or cannot flex (as in walking, putting the toes down while lifting the heel), you might have broken a small bone. Note, however, that E.R.'s do not normally cast a foot that has a broken small bone on top. They will cast a serious break.
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