What should you know about people with high arch feet?

A high arch, or pes cavus, leaves less of the middle of the foot in contact with the ground. This can concentrate load under the heel and forefoot and make the foot less adaptable on uneven surfaces. Arch pain, tightness, blisters or calluses may develop, and the ankle may feel prone to rolling. One high arch that appears or worsens over time deserves assessment because an underlying nerve or muscle problem can sometimes affect foot shape.

Choose shoes with a roomy toe area, stable soles and cushioning that does not press against the arch. Increase walking or running gradually, and check the skin for pressure points after activity. Custom orthotics may redistribute load when a foot assessment shows they are appropriate. Physiotherapy can address calf flexibility, ankle control, balance and strengthening. If heel pain is prominent, a clinician can also assess for plantar fasciitis rather than assuming every foot symptom comes from the arch shape.

Book an assessment if pain persists, walking becomes limited, footwear repeatedly causes sores, or the ankle gives way. Seek prompt care for a rapidly changing arch, new numbness or weakness, marked swelling, a wound that does not heal, or inability to bear weight after an injury.

Is my arch shape flexible or rigid? Could my symptoms reflect plantar fasciitis or another problem? Would an orthotic help redistribute pressure? Which balance and strengthening exercises fit my foot?