Quick answer: Need a podiatrist’s opinion on this? Call Balance Foot & Ankle at (810) 206-1402 for same-week appointments in Howell or Bloomfield Hills, Michigan. Most insurance accepted, including Medicare.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
FIX High Arches & High Arch Feet [Supination & Pes relates to arch concerns — typically caused by foot structure or fatigue. Most patients improve in 6-12 weeks with intervention with conservative care. Same-week appointments in Howell + Bloomfield Hills: (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
FIX High Arches & High Arch Feet [Supination & Pes Cavus Foot Type]
FIX High Arches & High Arch Feet [Supination & Pes Cavus Foot Type] 🦶Do you have painful high arches or high arch feet? We go over the BEST Pes Cavus Foot Deformity Treatments!🦶 A pes cavus deformity or pes cavus foot type can be related to over supination of the foot. This can be related to high arches & a high arched foot type. We go over the best running shoes for high arches & best orthotics for high arches. 0:00 High Arch Feet & Best Shoes for High Arches 1:03 How to tell if you have high arches? 1:26 Supination vs. Pronation & High Arch Feet vs. Flat Feet 2:25 Pes Cavus Foot vs. Flat Foot Pain 3:33 pronation & supination of the foot 3:40 Pes cavus deformity podiatrist treatment 3:55 Nerve conditions & Pes cavus foot deformity 4:05 Charcot Marie Tooth Disease 4:35 Pes cavus foot deformity 5:01 Pes Cavus foot deformity 6:22 Pes cavus deformity causes 7:13 Pes cavus surgery & high arch foot deformity 8:00 High arch foot deformity 8:35 High arch foot pain relief 9:11 High arch foot massage & stretches 10:11 Best High arch foot slippers 10:30 Best high arch sandals 11:00 Best walking shoes for high arches 11:30 Best running shoes for high arches 13:16 Best orthotics for high arches 13:25 Best insoles for high arches 14:42 Best custom high arch insoles 14:58 High arch foot type and nerve disease 15:54 Cross-training 16:53 Best high arch foot exercises & Pes cavus exercises. 👉– Shoes –👈 Our Best Shoes for High Arches:Podiatrist Recommended Shoes 2026: The Complete Clinical GuideOur Recommended Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢See a Podiatrist!📢 If you have a specific foot, ankle, or health problem, see a podiatrist. This information is NOT specific to your medical problem. If in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/ 👉– LINKS –👈 (With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!) Best Insoles for High Arch Feet & High Arch Orthotics: Best Overall Orthotic: https://geni.us/PowerStepOrthotics (Amazon) Best Heavy Duty Orthotic: https://geni.us/HeavyDutyOrthotics (Amazon) Best Women’s Orthotic: https://geni.us/BestWomensOrthotic (Amazon) Best Affordable 3/4 Orthotic: https://geni.us/ShortLengthOrthotics (Amazon) Best sub $25 Soft Orthotic: https://geni.us/BudgetSoftOrthotic (Amazon) Best sub $25 Budget Orthotic: https://geni.us/BudgetOrthotic (Amazon) Best High Arch Pain Relief: Best Compression Sleeves: https://geni.us/PlantarFasciitisSock (Amazon) Best Affordable Cold Therapy Wrap: https://geni.us/FootIceSock (Amazon) Full-Length Compression Socks: https://geni.us/CompressionSock (Amazon) Best Foot Massage Roller: https://geni.us/FasciitisMassage (Amazon) Best Budget Compression Ankle Brace: https://geni.us/AnkleCompression (Amazon) Best Muscle Massage Stick: https://geni.us/MuscleStick (Amazon) Best High Arch Exercises & High Arch Stretches: Best Ankle Stretch Incline Board: https://geni.us/z7bq (Amazon) Best Budget Stretching Device: https://geni.us/BudgetFasciitisStretch (Amazon) Good Ankle & Calf Stretching Device: https://geni.us/AnkleStretchingBoard (Amazon) Best Hamstring & Knee Stretch Device: https://geni.us/BestHamstringStretch (Amazon) Good Soft Stretch Splint: https://geni.us/SoftStretchSplint (Amazon) Good Hard Stretch Splint https://geni.us/HardNightSplint (Amazon) Best Muscle Foam Roller: https://geni.us/BestFoamRoller (Amazon) 📢Disclaimer:📢 This video and description contain affiliate links, which means we may receive a commission if you click on one of the product links. Thank you for your support of this channel! This is opinion only: For the viewer or reader: Do not consider this video as a substitute for professional medical advice, diagnosis, or treatment. We strongly urge you to contact your own physician with any questions regarding your medical condition. If you are having an emergency, call 911 immediately or see your physician. Do not allow this information to let you disregard your professional’s medical advice or delay seeking information from this content. Do not rely on information provided by this general education video. Healthcare practitioners: The content here is for education purposes only. The authors have done their best to provide the most up-to-date evidence-based information, but this content should definitely not be considered any type of medical standard. It does not reflect individual practices in other geographic areas. This is strictly for medical education purposes only. It is not intended for diagnosis or treatment. The information in these videos is the author’s opinion and is not an official opinion of any organizations that the authors may be a part of. The authors or speakers are not associated with any of the above products.
For personalized footwear advice, see our guide to recommended shoes for supination and browse our podiatrist-recommended products.
Expert Podiatric Evaluation for Michigan Patients: Balance Foot & Ankle
Michigan patients with foot or ankle conditions requiring expert evaluation can schedule with Balance Foot & Ankle, a fellowship-trained podiatric surgery practice serving Livingston County from our Howell office (4330 E Grand River) and Oakland County from our Bloomfield Hills office (43494 Woodward Ave #208). We provide the full spectrum of podiatric care: conservative management including custom orthotics, bracing, injection therapy, and physical therapy coordination; advanced interventional options including EPAT (extracorporeal pulse activation therapy) for tendinopathy and plantar fasciitis; and surgical correction for structural, traumatic, and degenerative foot and ankle conditions. In-office digital X-ray is available at both locations for same-visit imaging. We accept Blue Cross Blue Shield of Michigan, Aetna, UnitedHealthcare, Cigna, Medicare, and most Medicare Advantage plans. Same-week new patient appointments are available — call (810) 206-1402 to schedule with Balance Foot & Ankle.
Related Treatment Guides
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Bunion Treatment
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
📋 Dr. Tom Also Recommends
Podiatrist Recommended Orthotics 2026: Dr. Tom’s Top 10 Insoles & Arch Supports
A podiatrist’s complete clinical guide to the best insoles — custom orthotics, OTC picks, and what actually works for plantar fasciitis, flat feet, neuropathy & more.
Read the Full Guide →Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43494 Woodward Ave, #208
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your Appointment👟 Dr. Tom’s Complete Footwear Library
Podiatrist-Approved Guides for Every Foot Type & Condition
Clinically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist
All guides are written and reviewed by licensed podiatrists. Schedule an appointment →
More Podiatrist-Recommended Foot Health Essentials
Hoka Clifton 10
Max-cushion everyday shoe — podiatrist favorite for walking and running.
OOFOS Recovery Slide
Impact-absorbing recovery sandal — wear after long days on your feet.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Hills. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Hills, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Foundation Wellness Orthotic Selector — PowerStep + CURREX by Condition (2026)
Find the right Foundation Wellness orthotic for YOUR specific condition. Dr. Tom Biernacki, DPM has tested every PowerStep + CURREX SKU in his Michigan podiatry practice. Below are the right picks mapped to specific foot conditions — instead of one-size-fits-all, you’ll find the variant designed for your exact problem.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
Heavy-duty version of the Pinnacle with rigid shell + lateral wedge. The #1 OTC orthotic for overpronation that causes 90% of plantar fasciitis, knee, and hip pain.
- Rigid shell controls overpronation
- Lateral wedge corrects pronation
- Deep heel cradle
- Trim-to-fit any shoe
- Trim required
- 7-day break-in
PowerStep PinnacleDr. Tom’s #1 Brand
Flagship PowerStep — semi-rigid arch with deep heel cradle. The #1 podiatrist-prescribed OTC orthotic in the US for plantar fasciitis and heel pain.
- Semi-rigid medical-grade arch
- Deep heel cradle
- Dual-density EVA
- APMA-accepted
- 30-day guarantee
- Trim required
- Less aggressive than Maxx
PowerStep Pinnacle High ArchDr. Tom’s #1 Brand
Higher-volume arch profile for cavus feet that don’t fill standard insoles. Prevents the lateral roll that causes ankle sprains in supinators.
- High-arch profile
- Deep heel cradle
- Prevents lateral roll
- Only for high arches
- Wrong choice for flat feet
PowerStep Pinnacle Plus (with Built-In Met Pad)Dr. Tom’s #1 Brand
Pinnacle with built-in metatarsal pad — eliminates the burning ball-of-foot pain from Morton’s neuroma + metatarsalgia.
- Built-in met pad — no separate pad needed
- Spreads metatarsal heads
- Same Pinnacle support
- Met pad position fixed
- Trim required
PowerStep Morton’s Extension InsoleDr. Tom’s #1 Brand
Stiffener under the 1st MTP joint — limits big toe extension. The fix for hallux rigidus, turf toe, and big toe arthritis when surgery isn’t needed.
- Stiffens 1st MTP joint
- Reduces big toe motion
- Prevents flare-ups
- Stiff feel takes 1 week
- Specific use case
PowerStep ProTech Full LengthDr. Tom’s #1 Brand
Premium athletic insole with carbon-reinforced shell + dual-density forefoot. Best PowerStep for serious athletes.
- Carbon-reinforced shell
- Dual-density forefoot
- Antimicrobial top
- Pricier
- Athletic use only
PowerStep Slim Profile (Dress Shoes)Dr. Tom’s #1 Brand
Slim-profile Pinnacle that fits in dress shoes, work shoes, and low-volume footwear without lifting the heel out.
- Slim profile fits dress shoes
- Same Pinnacle arch
- Low-friction top
- Less cushion than full Pinnacle
- Trim required
PowerStep Wide (EE / EEE Fit)Dr. Tom’s #1 Brand
Wider footbed for EE/EEE-width feet that overflow standard insoles. Same Pinnacle support, wider sole.
- Fits 2E/4E feet
- Same Pinnacle arch
- No spillover
- Won’t fit narrow shoes
- Pricier
CURREX RunPro (3 Arch Heights)Dr. Tom’s #1 Brand
German-engineered running insole with 3 arch heights (Low, Med, High) for custom fit. Carbon-reinforced heel — closest OTC orthotic to a $500 custom orthotic.
- 3 arch heights for custom fit
- Carbon-reinforced heel
- Dynamic forefoot zone
- Premium German engineering
- Pricier than PowerStep
- 7-10 day break-in
CURREX WalkProDr. Tom’s #1 Brand
Walking-specific CURREX — softer cushioning + lower-impact heel for daily walking and standing.
- Walking-specific cushioning
- 3 arch heights
- Premium materials
- Pricier
- Not for high-impact running
CURREX AceProDr. Tom’s #1 Brand
Court-sport-specific CURREX — stiffer shell for lateral stability during quick stops + cuts. Pickleball + tennis + basketball.
- Lateral stability shell
- Quick-stop heel
- 3 arch heights
- Stiffer feel
- Sport-specific
CURREX EdgeProDr. Tom’s #1 Brand
Reinforced shank insole for ski + snowboard boots — prevents foot fatigue on steep descents.
- Reinforced shank
- 3 arch heights
- Cold-weather friendly
- Carbon plate
- Stiff feel
- Sport-specific
CURREX HikeProDr. Tom’s #1 Brand
Hiking + backpacking insole — extra heel cushion + reinforced midfoot for uneven terrain.
- Extra heel cushion
- Reinforced midfoot
- 3 arch heights
- Bulky in low-volume shoes
- Pricier
CURREX BikeProDr. Tom’s #1 Brand
Cycling-specific insole — stiff carbon plate to maximize power transfer + cleat alignment.
- Stiff carbon plate
- Cleat-compatible
- Lightweight
- Cycling-only
- Pricier
Top 10 Premade Orthotics — Dr. Tom’s Picks (2026)
Dr. Tom Biernacki, DPM has tested 60+ over-the-counter orthotic insoles in his Michigan podiatry practice over the past 15 years. Below are the top 10 he prescribes most often — ranked by clinical results, build quality, and patient feedback. PowerStep + CURREX brands are Dr. Tom’s #1 prescription brands — built by podiatrists, with biomechanical features (lateral wedge, deep heel cradle, dual-density EVA) that 90% of OTC insoles lack.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
The most prescribed OTC orthotic in podiatry. Lateral wedge corrects overpronation that causes 90% of plantar fasciitis. Deep heel cradle stabilizes the ankle.
- Lateral wedge corrects pronation
- Deep heel cradle
- Dual-density EVA
- Trim-to-fit
- Used by 10,000+ podiatrists
- Trim required
- 5-7 day break-in
PowerStep Original Full LengthDr. Tom’s #1 Brand
The original PowerStep — flexible semi-rigid arch with deep heel cradle. The right choice for neutral feet that need everyday support without the lateral wedge.
- Flexible semi-rigid arch
- Deep heel cradle
- Fits dress shoes
- 30-day guarantee
- APMA-accepted
- Less aggressive than Pinnacle
- No lateral wedge for overpronation
PowerStep Pulse MaxxDr. Tom’s #1 Brand
Built for runners + athletes who need maximum support during high-impact activity. Engineered for forefoot strike + lateral motion.
- Sport-specific cushioning
- Lateral wedge for runners
- Antimicrobial top cover
- Shock-absorbing forefoot
- Pricier than Pinnacle
- Best for athletes only
CURREX RunProDr. Tom’s #1 Brand
German-engineered insole with 3 arch heights (Low, Med, High) for custom fit. Carbon-reinforced heel + dynamic forefoot.
- 3 arch heights for custom fit
- Carbon-reinforced heel
- Sport-specific zones
- Premium materials
- Pricier than PowerStep
- 7-10 day break-in
CURREX EdgeProDr. Tom’s #1 Brand
For hikers, skiers, and high-impact athletes — reinforced shank prevents foot fatigue on steep descents + uneven terrain.
- Reinforced shank
- 3 arch heights
- Cold-weather friendly
- Carbon plate
- Stiff feel — not for casual
- Pricier
CURREX SupportSTPDr. Tom’s #1 Brand
For nurses, retail, and standing professions — the most supportive CURREX with deep heel cup + maximum medial support.
- Maximum medial support
- Deep heel cup
- 12-hour shift tested
- Slip-proof
- Stiffest CURREX option
- Pricier
CURREX RunPro
Firm, structured arch support — the right choice ONLY for high-arched (cavus) feet. Wrong choice for flat feet.
- Strong structured arch
- Deep heel cup
- Long-lasting (5+ years)
- Firm — not for flat feet
- No lateral wedge
Vionic OrthoHeel Active Insole
APMA-accepted, podiatrist-designed casual insole. Best for adding mild arch support to dress shoes + walking shoes.
- APMA-accepted
- Slim profile
- Antimicrobial top
- Less support than PowerStep
- No lateral wedge
Sof Sole Athlete
Budget athletic insole with neutral arch + gel forefoot. Decent value if you need a quick replacement.
- Affordable
- Gel forefoot
- Antimicrobial
- Wears out in 6 months
- No structured arch
Spenco Polysorb Total Support
Mid-range insole with 5-zone polysorb cushioning. Decent support for standing professions.
- 5-zone cushioning
- Trim-to-fit
- Mid-price point
- Less stable than PowerStep
- No lateral wedge
Get Expert Help at Balance Foot & Ankle
If this condition is affecting your daily activities or hasn’t improved with home treatment, schedule an evaluation with Dr. Tom Biernacki. We offer same-day appointments at our Howell and Bloomfield Hills locations and accept most insurance including Medicare. Most patients are walking comfortably within 4-6 weeks of starting our protocol — conservative care first, surgery only when needed.
Call (248) 337-5500 or request an appointment online. Our team responds within 1 business hour during clinic days.
🩺 Dr. Tom’s Recommended Products
As an Amazon Associate I earn from qualifying purchases. These are products I personally use and recommend to patients.
The OTC orthotic I recommend most. Sub-$50 before custom orthotics.
View on Amazon →
Natural menthol + arnica topical. FSA-eligible — what I switched my family to from Doctor Hoy’s Natural Pain Relief Gel.
View on Amazon →
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your fix high arches high arch feet supination pes cavus foot type, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.



