Understanding High Arch Feet: Common Problems and Treatment Options

High arch feet, also known as cavus feet, can present unique challenges to those who have them. Unlike flat feet, where the arches are lowered, individuals with high arches have an exaggerated curve on the inside of the foot. This foot structure can lead to a variety of problems, causing discomfort and limiting mobility. In this blog post, we'll explore some common issues associated with high arches and discuss various treatment options to alleviate these problems.

Common Problems with High Arch Feet

1. Increased Pressure on the Ball and Heel
   High arches tend to shift weight away from the midfoot, putting extra pressure on the balls of the feet and the heels. This can lead to conditions such as metatarsalgia (pain in the ball of the foot) and plantar fasciitis (inflammation of the tissue that connects the heel to the toes).

2. Foot and Ankle Instability
   The rigid structure of high arched feet can affect balance and stability. This instability may increase the risk of ankle sprains and falls, particularly during athletic activities or uneven terrain navigation.

3. Pain and Discomfort
   Individuals with high arches often experience pain in various areas, including the arch itself, the balls of the feet, and even the knees, hips, and lower back, due to altered gait mechanics. This can lead to a cycle of pain that makes walking and standing difficult.

4. Calluses and Corns
   High pressure points on the foot can result in the development of thick calluses and corns. These hard skin formations are often painful and can lead to further discomfort when wearing shoes.

5. Biomechanical Issues
   High arches can contribute to overpronation or supination (underpronation), which may lead to repetitive strain injuries in the knees, hips, and back as the body compensates for the poor alignment.

Treatment Options

While high arches can present challenges, various treatments can help manage and alleviate symptoms, allowing individuals to lead active, healthy lives.

1. Proper Footwear
   Investing in supportive shoes with cushioning and stability is crucial. Look for shoes with a wide toe box and adequate arch support, as they can help alleviate pain and provide better weight distribution. Specialized footwear or brands catering to high arches may also be a good option.

2. Orthotic Inserts
   Custom orthotics prescribed by a podiatrist can provide tailored arch support and offload pressure points in the foot. These inserts can help correct alignment issues and improve overall foot mechanics.

3. Stretching and Strengthening Exercises
   Regularly practicing specific stretches can help alleviate tightness in the Achilles tendon and calf muscles, reducing foot pain. Strengthening exercises focused on the intrinsic muscles of the foot can improve stability and support.

4. Physical Therapy
   A physical therapist can create a personalized treatment plan addressing gait mechanics and strengthening muscles around the foot and ankle. This can improve stability, balance, and overall mobility.

5. Foot Pads and Cushions
   Using gel pads or cushioned inserts can provide additional relief in pressure-prone areas, such as under the ball of the foot or the heel. These can be particularly beneficial for those who spend long hours on their feet.

6. Pain Management Strategies
   Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage inflammation and discomfort, especially after physical activity. Cold packs can also be effective for reducing swelling and alleviating pain after long periods of standing or walking.

7. Surgical Options
   In severe cases where conservative treatments fail, surgical solutions such as tendon release or foot reconstruction may be considered to correct alignment and relieve pain. Surgery is typically seen as a last resort, chosen after exhausting all other options.

If you or a loved one is experiencing pain from high arches, schedule an appointment with Dr. Gireesh Reddy or Dr. Sirisha Pokala with Restore Foot & Ankle Specialists by calling (469) 573-3427 or by booking an appointment online.