How effective is custom orthotics for high-arched feet?

A high arch can place more load under the heel and the ball of the foot, while making the foot less able to absorb impact. An orthotic is shaped to support the arch and spread load across a broader area. It may reduce rubbing, aching or fatigue during walking and exercise, but it does not change the bone structure of the foot. If the arch developed recently, is worsening, or occurs with weakness or numbness, the underlying cause needs assessment rather than relying on an insert alone.

Arrange an assessment with a podiatrist, orthotist or clinician who can examine your walking pattern, footwear and pressure points. A custom device should sit securely in a suitable shoe and may need gradual introduction so your feet can adapt. Wear supportive shoes with enough depth and avoid continuing with an insert that causes new pressure, blisters or increasing pain. Follow the prescribed strengthening or stretching plan if one is provided. Read more about [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/).

Seek prompt medical advice for a high arch with new weakness, loss of balance, marked numbness, an open sore, or pain after an injury. Arrange a review if pain persists despite changing footwear and activity, or if the orthotic repeatedly causes rubbing. A clinician can check for nerve, tendon, joint or skin problems that require a different treatment.

Ask what is driving the high arch, which pressure areas the device should relieve, how to introduce it, and when its fit should be reassessed. You can also ask which exercises and shoe features complement the orthotic.