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Innovative Foot & Ankle

Footnotes / Blog

Sunday, April 22nd, 2018 Elizabeth Anthony

What Are Pes Cavus (High Arches)?

Pes Cavus, or high arches, is a foot condition where the arch of the foot is excessively raised. This results in the sole of the foot appearing hollow when bearing weight, with the foot displaying a pronounced “high instep.” While some individuals with high arches experience no pain or discomfort, others may develop various foot issues that require treatment from a podiatrist.

Symptoms of Pes Cavus

Pes Cavus can cause a range of symptoms, some of which can significantly impact daily life. These may include:

  • Heel pain
  • Plantar fasciitis
  • Bursitis
  • Stress fractures
  • Ball of foot pain
  • Calluses
  • Neuroma
  • Inflammation of joint capsules
  • Toe pain
  • Hammertoes
  • Bunions

Causes of Pes Cavus

Genetics is the primary factor in the development of high arches. Often, individuals with this condition have family members with similar foot types, suggesting a hereditary component. However, in some cases, Pes Cavus is caused by certain neuromuscular or orthopedic disorders, which can lead to the development of a rigid high arch. Conditions associated with this include:

  • Stroke
  • Traumatic brain injury
  • Charcot-Marie-Tooth disease
  • Friedreich’s Ataxia

Treatment Options

Treatment for Pes Cavus depends on the severity of the symptoms and their impact on daily activities. Most cases can be managed with conservative treatments, including:

  • Properly fitted shoes that provide adequate support.
  • Custom orthotic shoe inserts to help distribute pressure more evenly across the foot.
  • Padding to offload pressure points and reduce discomfort.

For more severe cases where conservative treatments are ineffective, surgical intervention may be necessary. Surgical options can include:

  • Soft tissue releases to correct tight tendons.
  • Fusions to stabilize joints.
  • Osteotomies, which involve cutting and realigning bones to improve foot structure.

When to See a Podiatrist

If high arches are causing foot pain or discomfort that interferes with your ability to walk or perform daily activities, it’s essential to consult a podiatrist. The doctors at Innovative Foot and Ankle specialize in diagnosing and treating conditions like Pes Cavus. With four office locations throughout Northern New Jersey, we can provide personalized care and treatment to help alleviate pain and improve your foot function.