Definition
A high-arched foot is characterized by a pronounced elevation of the longitudinal arch, both when weight is applied and when it is not. While having a high arch itself is not necessarily problematic, it often leads to other issues that may require treatment. For example, a high-arched foot puts excessive pressure on the ball of the foot, which can result in thick, uncomfortable calluses. This foot type is also prone to developing hammertoes, which can create difficulties with certain types of footwear. Additionally, high-arched feet are poor shock absorbers, often leading to discomfort and bursitis in the heel.
Causes
High-arched feet can be caused by three main factors: congenital development (present from birth), trauma or injury (often involving nerve damage), and certain neurological conditions. A thorough evaluation of a high-arched foot is essential to determine its underlying cause, which helps in selecting the most effective treatment. It’s important to note that not all high-arched feet require treatment; if there are no symptoms or progressive soft tissue changes, clinical intervention may not be necessary.
Treatment
Treatment for a high-arched foot focuses on supporting the elevated arch, providing shock absorption where needed, and improving the functional mechanics of the foot and ankle. Orthotics prescribed by a foot specialist are typically the most effective solution for these objectives. Most individuals with high arches respond well to orthotic devices, often experiencing improvement in a relatively short time. In rare cases where the condition is severe and resistant to other treatments, surgery may be considered.
