High Foot Arches

Support and Balance for Elevated Arches
Understanding and Managing High Foot Arches (Pes Cavus)
A high arch, or pes cavus, occurs when the arch along the bottom of the foot is abnormally raised. This condition is less common than flat feet and is often inherited. While some people with high arches experience no issues, others may develop pain, instability, or calluses due to uneven weight distribution. Identifying and addressing the cause of high arches can help prevent long-term discomfort and joint strain.
Causes
High arches are most often genetic, meaning they run in families and develop naturally over time. However, in some cases, they may signal an underlying neurological condition that affects muscle tone or structure.
Common causes include:
- Inherited foot structure
- Neuromuscular disorders such as muscular dystrophy or Charcot-Marie-Tooth disease
- Nerve or muscle imbalances that alter the shape and support of the foot
A podiatrist can determine whether your high arches are structural or neurological in nature.
Symptoms
People with high arches may notice:
- A visibly raised arch that does not flatten when standing
- Clawed or curled toes
- Pressure points under the ball or heel of the foot
- Calluses or corns near the base of the toes
- Foot stiffness or reduced flexibility
- Difficulty finding comfortable, well-fitting shoes
If left untreated, high arches can contribute to ankle instability, frequent sprains, or pain in the knees and lower back.
Treatment Options
Treatment depends on the severity of the arch and any related symptoms. Most cases can be managed with non-surgical methods that improve support and balance.
Conservative Care:
- Custom orthotics to evenly distribute weight and reduce pressure
- Supportive or corrective footwear with extra cushioning
- Stretching and strengthening exercises to improve flexibility
- Padding or shoe modifications to relieve hotspots and friction
Medical Evaluation:
If pain persists or a neurological cause is suspected, your physician may recommend imaging or nerve testing to rule out underlying conditions.
When to See a Doctor
If you experience persistent arch pain, instability, or frequent sprains, schedule a podiatric evaluation. Early intervention can reduce strain, prevent deformities, and ensure long-term comfort and stability.
Find the support your feet deserve—contact our office today for a personalized assessment and custom treatment plan for high arches.
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Talk With Foot and Ankle Specialist Today!
Ready to take the first step towards healthier, pain-free feet? Contact us to schedule an appointment or to learn more about our foot and ankle services. Our dedicated podiatric team is here to provide personalized care and answer any questions you may have about your lower extremity concerns. Reach out today and let us help you achieve optimal foot health and mobility for an active lifestyle.

