High Arches: Everything You Need to Know

If you've got high arches, you're not alone. This relatively common foot condition can cause all sorts of problems – from difficulty finding comfortable shoes to persistent pain in the balls of your feet. But don't worry, there's plenty you can do to manage it. In this guide, we'll dive into the causes and symptoms of high arches, explore the various treatment options available, and uncover strategies for preventing complications down the line. By the time you're done, you'll be on your way to taking better care of your feet and regaining control over this often-misunderstood condition.

Understanding High Arches

Your feet have a natural arch that runs along the bottom of your foot, and high arches, also known as pes cavus, occur when this arch is unusually elevated. This condition is often genetic, but it can also develop due to underlying neurological or muscular issues. If you have high arches, you may notice that your feet appear to have a very pronounced curve, and this can lead to a range of problems, including increased pressure on the balls of your feet, ankle instability, and difficulty finding properly fitting shoes.

While high arches can be a source of discomfort, there are ways to manage the condition. Proper footwear with good arch support and cushioning can help alleviate some of the strain on your feet. Additionally, exercises that strengthen the muscles in your feet and ankles can improve stability and reduce the risk of injury.

If you're experiencing significant pain or discomfort, it's a good idea to consult with a podiatrist or other healthcare professional to develop a personalized treatment plan.

Causes of High Arches

High arches can stem from a variety of causes, including genetic factors, neurological disorders, and muscular imbalances. Often, the condition is inherited, with individuals inheriting a genetic predisposition for a more pronounced arch. Additionally, neurological conditions like Charcot-Marie-Tooth disease or muscular issues like muscular dystrophy can contribute to the development of high arches over time.

You may also develop high arches due to certain injuries or repetitive stress on the feet. For example, damage to the posterior tibial tendon, which supports the arch, can lead to a higher arch. Similarly, activities that place excessive strain on the feet, such as running or dancing, can gradually increase arch height. In some cases, high arches are associated with certain foot deformities, like flexible flatfoot or cavus foot.

Regardless of the underlying cause, understanding the root of your high arches is essential for proper treatment and management. Consulting a podiatrist can help you identify the specific factors contributing to your condition and develop an effective plan to address it.

Symptoms of High Arches

With a better understanding of the potential causes behind your high arches, let's explore the common symptoms you may experience. One of the most noticeable signs is the visible high arch of your foot, which can make it difficult to find comfortable shoes.

You may also notice pain or discomfort in the ball of your foot, especially when walking or standing for extended periods. Additionally, you might experience stiffness and reduced flexibility in your ankles and feet, making it challenging to perform certain activities or wear certain types of footwear.

Some people with high arches also report experiencing heel pain, which can be exacerbated by activities that place significant stress on the feet. Numbness or tingling in the toes or the sole of the foot can also be a common symptom, as the high arch can put pressure on the nerves.

If you're experiencing any of these symptoms, it's important to consult with a healthcare professional to determine the best course of treatment.

Diagnosing High Arches

Diagnosing high arches typically starts with a thorough examination by a healthcare professional, who'll assess the structure and flexibility of your feet. They'll likely observe your feet while standing, walking, or even running to evaluate your arch height and flexibility. Your doctor may also order X-rays or other imaging tests to get a clearer picture of the bone structure in your feet.

To diagnose high arches, your healthcare provider will look for several key signs, like an unusually high arch, limited flexibility in your feet and ankles, and excess pronation (rolling inward) of your feet when walking or running. They may also check for other symptoms associated with high arches, such as pain, stiffness, or calluses on the bottoms of your feet.

Once the diagnosis is confirmed, your doctor can work with you to develop an appropriate treatment plan, which may include specialized footwear, custom orthotics, or physical therapy exercises to address any underlying issues and provide relief.

Treatment Options for High Arches

If you've been diagnosed with high arches, your healthcare provider can work with you to tailor a treatment plan that addresses your specific needs and concerns. The goal of treatment is to reduce pain, improve function, and prevent further complications.

One common treatment option is custom orthotics. These are specialized inserts that fit inside your shoes, providing arch support and cushioning. Orthotics can help redistribute pressure and alleviate pain in your feet, heels, and lower limbs.

Another option is physical therapy. A physical therapist can teach you exercises to strengthen the muscles and tendons that support your arches. They may also recommend stretching techniques to increase flexibility and improve range of motion.

In some cases, your doctor may suggest over-the-counter arch supports or braces. These can provide temporary relief but may not address the underlying causes of your high arches.

If conservative treatments don't provide sufficient relief, your doctor may recommend surgery as a last resort. Surgical procedures aim to restructure the foot and improve arch function.

Preventing High Arch Issues

Proactively addressing high arch issues can help you maintain foot health and prevent further complications. Incorporating targeted exercises, properly fitted footwear, and customized orthotic devices can go a long way in managing the challenges posed by high arches.

Regular foot strengthening exercises, such as picking up marbles or a towel with your toes, can help improve stability and support. Additionally, stretching the Achilles tendon and plantar fascia can alleviate tension and discomfort.

Choosing shoes with ample arch support, cushioning, and a flexible yet sturdy sole is crucial. Custom orthotics may also be necessary to redistribute weight and provide the necessary support for your unique foot structure.

Proactively taking these steps can help you avoid common high arch-related issues, including plantar fasciitis, metatarsalgia, and ankle instability. By addressing the root causes and implementing preventative measures, you can maintain your mobility and enjoy an active lifestyle without the constant struggle of high arch-related pain and discomfort.

Managing Daily Life With High Arches

Living with high arches requires a few adjustments to your daily routine, but they're well worth the effort to maintain comfort and prevent further issues. Start by choosing shoes with ample arch and heel support. Avoid flat, unsupportive footwear, which can exacerbate discomfort.

When standing or walking for long periods, take regular breaks to stretch and give your feet a rest.

During exercise, opt for low-impact activities like swimming or cycling that don't place excessive strain on your arches. Strength training exercises that target the foot and ankle muscles can also help stabilize your arches.

Throughout the day, try incorporating foot massages and using arch supports or custom orthotics to alleviate pressure.

Managing high arches may take some trial and error, but by making a few lifestyle adjustments, you can navigate your daily activities with greater ease and comfort. Persistent pain or discomfort, however, may warrant a consultation with a podiatrist to explore additional treatment options.

Frequently Asked Questions

Can High Arches Cause Knee or Back Pain?

Yes, high arches can contribute to knee or back pain. The way your feet strike the ground changes with high arches, which can put more stress on your joints and muscles. Addressing high arches may help alleviate associated discomfort.

Are High Arches Genetic or Acquired?

Are your high arches genetic or acquired? The truth is, they're usually inherited, though certain activities or conditions can contribute to their development over time. Your foot structure is largely predetermined by your genes.

Can High Arches Be Corrected With Surgery?

Can high arches be corrected with surgery? Yes, surgery can help correct high arches, but it's typically a last resort. You'll first want to try non-surgical options like supportive shoes, orthotics, and exercises to manage your condition before considering surgical intervention.

How Do High Arches Affect Running and Sports?

Running and sports can be challenging with high arches. The lack of foot flexibility and shock absorption can lead to pain in your feet, ankles, and knees. Using proper footwear and orthotics can help minimize the impact on your joints.

Can High Arches Lead to Other Foot Problems?

High arches can indeed lead to other foot problems. They may cause excessive strain on the feet, leading to issues like plantar fasciitis, Achilles tendinitis, and even bunions. It's essential to address high arches proactively to prevent these complications.


Dealing with high arches can be challenging, but you don't have to face it alone. By understanding the causes, symptoms, and treatment options, you can take steps to manage this condition and minimize its impact on your daily life.

Remember, with the right care and support, you can overcome the obstacles posed by high arches and maintain healthy, comfortable feet.