High Arch
High Arch
(Pes Cavus)
Description
Similar to flat feet, having structurally high arches will not automatically predispose you to problems. However, many people with high arches don’t pronate enough to effectively absorb shock and experience problems associated with excessive pressure being carried on the heel, lateral side (outside) and ball of the foot.
Symptoms
  • Heel, lateral foot, ball of foot, ankle and medial knee pain.
  • Heavy callusing on the lateral (outside) ball of the foot.
  • In physically active individuals like runners, stress fractures to the smaller metatarsal bones (long bones in the forefoot).
Pedorthic Management
  • Custom orthotics or over-the-counter insoles to assist in redistributing pressure, provide cushioning and to maintain proper alignment of the bones in the feet.
  • Supportive footwear that is torsionally stable (can’t be folded or twisted easily).
  • Under-pronators typically do well in the neutral or cushioned category of footwear that feature semi or curved shaped lasts (soles).
Other Treatments
  • Physical therapy modalities include stretching programs targeting the calf muscles as well as other therapies targeting the affected area(s).