High Arch (Pes Cavus)

A high arch (pes cavus) is a condition where the foot arch is abnormally high or “hollow.” This is a relatively rare condition that can affect people of all ages and can occur in one or both feet. The excessively high arch causes the body weight to be unevenly distributed across the foot, with most of the weight resting on the ball of the foot and the heel. This imbalance can lead to various symptoms and complications, including pain and instability. The most noticeable feature of a high arch foot is the clearly elevated arch.

What Symptoms Are Associated with High Arches?

People with high arches often experience various symptoms due to the uneven pressure distribution on the foot. The most common symptom is pain, particularly under the heel and the forefoot. Other issues may include tight Achilles tendons, irritation and inflammation of the plantar fascia (plantar fasciitis), heel spurs, and shin splints. The heel may tilt inward, and the forefoot can also collapse inward, a phenomenon known as pronation. Individuals with high arches may also develop curled toes and a tight sensation in the Achilles tendon. Excessive pressure on the heel and forefoot can lead to significant discomfort and complications.

What Causes High Arches?

The cause of high arches can vary and is not always easy to determine. Often, a high arch is a symptom of a neurological condition. In such cases, the condition tends to worsen gradually as the underlying disorder progresses. If the high arch is not related to a neurological issue, the foot arch typically remains stable, and the condition does not worsen further. Additionally, a high arch may be the result of a genetic abnormality in the foot structure. In children who walk on their toes, a high arch can develop later. The condition may also be linked to tight ligaments under the foot, which often leads to inflammation and pain.

How Do We Treat High Arches?

A high arch can cause excessive pressure on the outer edge of the foot. We conduct a foot examination and analyze the gait pattern using video and pressure measurements. A 3D scan creates a precise imprint of the foot for a custom insole that better distributes pressure. Supporting the outer foot reduces strain and potential pain.

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