Pes Cavus “High Arch” Condition

The cavus or high arched foot is usually a very rigid foot, with very little joint motion. Plantar callosities on the heel and first and fifth metatarsal heads are common. It is also common for Metatarsalgia to accompany pes cavus. This can be at the previous mentioned sites or the second, third, or fourth metatarsal heads. If calluses are developed, they can be very painful. The cavus foot can give rise to plantar fasciitis, metatarsalgia, lower back pain, hip pain, knee pain, inversion ankle sprains and other problems not listed here.

The cavus foot usually needs extra cushioning for shock absorption. With the cavus foot, the high instep can make fitting shoes very difficult. This makes the shoes very tight in the instep area. A custom orthotic to give proper weight distribution, and balance underlying biomechanical issues, treats this problem very well. Appropriate stretching exercises should also be done on a regular basis. Certain muscle groups that insert into the foot can work directly against the muscles in the foot. Ask your health care professional what will work best for you.