High arch pes cavus: symptoms and care

Some people have high arches without pain. Others develop calluses, ankle instability, toe changes, or discomfort because the foot absorbs and distributes force differently. The arch may be flexible or relatively stiff. One foot can also be more affected than the other. A clinician may examine your shoes, walking pattern, muscle strength, sensation, and areas of tenderness to understand the pattern rather than judging the arch height alone.

Wear shoes that cushion the sole, hold the heel securely, and leave space around the toes. Check your feet regularly for pressure marks or skin breakdown, especially if sensation is reduced. Pacing high-impact activity can help while symptoms settle. [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/) may spread load more evenly, while [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can address calf flexibility, balance, strength, and movement control. Do not force stretches into sharp pain.

Book an assessment for persistent pain, repeated ankle sprains, increasing stiffness, difficulty finding shoes, or a noticeable change in the arch or toes. Seek urgent care after an injury if you cannot walk, or when severe swelling, bruising, numbness, weakness, a hot red foot, or an open wound develops. New or progressive weakness deserves prompt review.

Ask whether your pes cavus is flexible, what is driving your symptoms, and how footwear or an orthotic should be fitted. Ask which exercises are safe and whether changes in sensation or strength require further evaluation.