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High Arch Feet: Causes, Supination & Treatment | DPM

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.

Video by Dr. Tom Biernacki, DPM — Michigan Foot Doctors
Watch: Dr. Tom Biernacki explains the topic in detail · Subscribe to Michigan Foot Doctors on YouTube

✅ 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] 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 Guide
Our 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.


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📋 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 →

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402

More Podiatrist-Recommended Foot Health Essentials

Hoka Clifton 10

Max-cushion everyday shoe — podiatrist favorite for walking and running.

PowerStep Pinnacle Insole

The podiatrist-recommended over-the-counter orthotic.

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.

General Foot Care - Balance Foot & Ankle

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.

Hoka Bondi 9 Dr. Tom’s Pick

Best for: Max cushion daily wear

Check Price on Amazon

PowerStep Pinnacle Dr. Tom’s Pick

Best for: General arch support

Check Price on Amazon

KT Tape Pro Synthetic Dr. Tom’s Pick

Best for: Multi-purpose taping

Check Price on Amazon

Footnanny Heel Cream Dr. Tom’s Pick

Best for: Daily moisturizer for cracked heels

Check Price on Amazon

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

FTC Disclosure: As an Amazon Associate, Dr. Tom Biernacki, DPM earns from qualifying purchases at no additional cost to you. Every product below is independently tested and reviewed by Dr. Tom for 30+ days in clinical practice before recommendation. We never accept paid placements. Last verified: April 2026.

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.

📋 Affiliate Disclosure: Dr. Tom Biernacki, DPM is a board-certified podiatrist + Foundation Wellness affiliate (PowerStep + CURREX). We earn a commission on qualifying purchases at no extra cost to you. Last verified: April 28, 2026.
#1
⭐ Best for Flat Feet

PowerStep Pinnacle MaxxDr. Tom’s #1 Brand

Best For: Overpronation + Flat Feet (Pes Planus)
★★★★★ 4.5 (28,341+ reviews)
Amazon’s ChoicePrimeAPMA-Accepted

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.

✓ PROS
  • Rigid shell controls overpronation
  • Lateral wedge corrects pronation
  • Deep heel cradle
  • Trim-to-fit any shoe
✗ CONS
  • Trim required
  • 7-day break-in
👨‍⚕️ Dr. Tom’s Verdict: My #1 prescription for flat-footed patients. The wedge corrects overpronation that causes 90% of plantar fasciitis, knee pain, and hip pain. Pair with stability shoe.
🛒 Check Latest Price on Amazon — Free Returns →
#2
⭐ Editor’s Pick — Best for PF

PowerStep PinnacleDr. Tom’s #1 Brand

Best For: Plantar Fasciitis + Heel Pain (Editor’s Pick)
★★★★★ 4.4 (22,500+ reviews)
Amazon’s ChoicePrimeAPMA-Accepted

Flagship PowerStep — semi-rigid arch with deep heel cradle. The #1 podiatrist-prescribed OTC orthotic in the US for plantar fasciitis and heel pain.

✓ PROS
  • Semi-rigid medical-grade arch
  • Deep heel cradle
  • Dual-density EVA
  • APMA-accepted
  • 30-day guarantee
✗ CONS
  • Trim required
  • Less aggressive than Maxx
👨‍⚕️ Dr. Tom’s Verdict: My flagship prescription for plantar fasciitis. If you have heel pain — start here. 60% of patients see major improvement in 2 weeks.
🛒 Check Latest Price on Amazon — Free Returns →
#3
⭐ Best for High Arch

PowerStep Pinnacle High ArchDr. Tom’s #1 Brand

Best For: High Arch + Supination (Pes Cavus)
★★★★★ 4.5 (8,200+ reviews)
PrimeAPMA-Accepted

Higher-volume arch profile for cavus feet that don’t fill standard insoles. Prevents the lateral roll that causes ankle sprains in supinators.

✓ PROS
  • High-arch profile
  • Deep heel cradle
  • Prevents lateral roll
✗ CONS
  • Only for high arches
  • Wrong choice for flat feet
👨‍⚕️ Dr. Tom’s Verdict: Use the wet-foot test. If your wet print only shows heel + ball with no midfoot — you have high arches. This is your insole.
🛒 Check Latest Price on Amazon — Free Returns →
#4
⭐ Best for Neuroma

PowerStep Pinnacle Plus (with Built-In Met Pad)Dr. Tom’s #1 Brand

Best For: Morton’s Neuroma + Metatarsalgia
★★★★★ 4.5 (5,800+ reviews)
PrimeAPMA-Accepted

Pinnacle with built-in metatarsal pad — eliminates the burning ball-of-foot pain from Morton’s neuroma + metatarsalgia.

✓ PROS
  • Built-in met pad — no separate pad needed
  • Spreads metatarsal heads
  • Same Pinnacle support
✗ CONS
  • Met pad position fixed
  • Trim required
👨‍⚕️ Dr. Tom’s Verdict: For ball-of-foot pain or numbness in toes — this insole is the fix. The built-in met pad lifts the transverse arch + spreads the metatarsals so the neuroma doesn’t get pinched.
🛒 Check Latest Price on Amazon — Free Returns →
#5
⭐ Best for Big Toe

PowerStep Morton’s Extension InsoleDr. Tom’s #1 Brand

Best For: Hallux Rigidus + Turf Toe + Big Toe Arthritis
★★★★★ 4.5 (3,400+ reviews)
PrimeAPMA-Accepted

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.

✓ PROS
  • Stiffens 1st MTP joint
  • Reduces big toe motion
  • Prevents flare-ups
✗ CONS
  • Stiff feel takes 1 week
  • Specific use case
👨‍⚕️ Dr. Tom’s Verdict: For hallux rigidus or turf toe — stop the painful big toe motion. This insole replaces a $300 carbon plate at a fraction of the cost.
🛒 Check Latest Price on Amazon — Free Returns →
#6
⭐ Best for Athletes

PowerStep ProTech Full LengthDr. Tom’s #1 Brand

Best For: Athletic + Premium Full-Length Support
★★★★★ 4.4 (4,500+ reviews)
PrimeAPMA-Accepted

Premium athletic insole with carbon-reinforced shell + dual-density forefoot. Best PowerStep for serious athletes.

✓ PROS
  • Carbon-reinforced shell
  • Dual-density forefoot
  • Antimicrobial top
✗ CONS
  • Pricier
  • Athletic use only
👨‍⚕️ Dr. Tom’s Verdict: For athletes who push the standard Pinnacle to failure — the ProTech holds up to high-impact athletic use.
🛒 Check Latest Price on Amazon — Free Returns →
#7

PowerStep Slim Profile (Dress Shoes)Dr. Tom’s #1 Brand

Best For: Dress Shoes + Low-Volume Footwear
★★★★★ 4.4 (6,200+ reviews)
PrimeAPMA-Accepted

Slim-profile Pinnacle that fits in dress shoes, work shoes, and low-volume footwear without lifting the heel out.

✓ PROS
  • Slim profile fits dress shoes
  • Same Pinnacle arch
  • Low-friction top
✗ CONS
  • Less cushion than full Pinnacle
  • Trim required
👨‍⚕️ Dr. Tom’s Verdict: For dress shoes, work shoes, or anything with a tight heel cup — this is your daily-wear insole.
🛒 Check Latest Price on Amazon — Free Returns →
#8

PowerStep Wide (EE / EEE Fit)Dr. Tom’s #1 Brand

Best For: Wide Feet + 2E/4E Shoes
★★★★★ 4.4 (3,800+ reviews)
PrimeAPMA-Accepted

Wider footbed for EE/EEE-width feet that overflow standard insoles. Same Pinnacle support, wider sole.

✓ PROS
  • Fits 2E/4E feet
  • Same Pinnacle arch
  • No spillover
✗ CONS
  • Won’t fit narrow shoes
  • Pricier
👨‍⚕️ Dr. Tom’s Verdict: If you wear 4E shoes — this is your only OTC orthotic option that won’t spill over the edges.
🛒 Check Latest Price on Amazon — Free Returns →
#9
⭐ Best Premium for Runners

CURREX RunPro (3 Arch Heights)Dr. Tom’s #1 Brand

Best For: Running Shoe Inserts (3 Arch Options)
★★★★★ 4.4 (4,000+ reviews)
Prime

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.

✓ PROS
  • 3 arch heights for custom fit
  • Carbon-reinforced heel
  • Dynamic forefoot zone
  • Premium German engineering
✗ CONS
  • Pricier than PowerStep
  • 7-10 day break-in
👨‍⚕️ Dr. Tom’s Verdict: For runners — this is what professional athletes use. Choose your arch height from a wet-foot test.
🛒 Check Latest Price on Amazon — Free Returns →
#10
⭐ Best for Walking

CURREX WalkProDr. Tom’s #1 Brand

Best For: Walking + Daily Walking Shoes
★★★★★ 4.4 (1,800+ reviews)
Prime

Walking-specific CURREX — softer cushioning + lower-impact heel for daily walking and standing.

✓ PROS
  • Walking-specific cushioning
  • 3 arch heights
  • Premium materials
✗ CONS
  • Pricier
  • Not for high-impact running
👨‍⚕️ Dr. Tom’s Verdict: For 5+ miles of walking daily — this is more comfortable than RunPro. Choose your arch height first.
🛒 Check Latest Price on Amazon — Free Returns →
#11
⭐ Best for Pickleball

CURREX AceProDr. Tom’s #1 Brand

Best For: Pickleball + Tennis + Court Sports
★★★★★ 4.5 (1,400+ reviews)
Prime

Court-sport-specific CURREX — stiffer shell for lateral stability during quick stops + cuts. Pickleball + tennis + basketball.

✓ PROS
  • Lateral stability shell
  • Quick-stop heel
  • 3 arch heights
✗ CONS
  • Stiffer feel
  • Sport-specific
👨‍⚕️ Dr. Tom’s Verdict: Pickleball is exploding — if you play, this insole prevents the ankle sprains that 30% of new pickleball players get in their first year.
🛒 Check Latest Price on Amazon — Free Returns →
#12

CURREX EdgeProDr. Tom’s #1 Brand

Best For: Skiing + Snowboarding
★★★★★ 4.5 (1,200+ reviews)
Prime

Reinforced shank insole for ski + snowboard boots — prevents foot fatigue on steep descents.

✓ PROS
  • Reinforced shank
  • 3 arch heights
  • Cold-weather friendly
  • Carbon plate
✗ CONS
  • Stiff feel
  • Sport-specific
👨‍⚕️ Dr. Tom’s Verdict: For skiers + snowboarders — this is the insole. The reinforced shank prevents fatigue that ruins multi-day mountain trips.
🛒 Check Latest Price on Amazon — Free Returns →
#13

CURREX HikeProDr. Tom’s #1 Brand

Best For: Hiking + Backpacking + Trail
★★★★★ 4.5 (900+ reviews)
Prime

Hiking + backpacking insole — extra heel cushion + reinforced midfoot for uneven terrain.

✓ PROS
  • Extra heel cushion
  • Reinforced midfoot
  • 3 arch heights
✗ CONS
  • Bulky in low-volume shoes
  • Pricier
👨‍⚕️ Dr. Tom’s Verdict: For hikers + backpackers — replace your hiking boot insole with this. Prevents the foot fatigue that ruins long-distance hikes.
🛒 Check Latest Price on Amazon — Free Returns →
#14

CURREX BikeProDr. Tom’s #1 Brand

Best For: Cycling + Road Bike + Spin
★★★★★ 4.5 (700+ reviews)
Prime

Cycling-specific insole — stiff carbon plate to maximize power transfer + cleat alignment.

✓ PROS
  • Stiff carbon plate
  • Cleat-compatible
  • Lightweight
✗ CONS
  • Cycling-only
  • Pricier
👨‍⚕️ Dr. Tom’s Verdict: For serious cyclists — this insole is what professional teams use. Power transfer up to 12% better than stock cycling shoe insoles.
🛒 Check Latest Price on Amazon — Free Returns →

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.

📋 Affiliate Disclosure + Trust Statement:
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.
#1
⭐ Editor’s Pick — Dr. Tom’s #1

PowerStep Pinnacle MaxxDr. Tom’s #1 Brand

Best For: Overpronation + Plantar Fasciitis
★★★★★ 4.5 (28,341+ reviews)
Amazon’s ChoicePrimeAPMA-Accepted

The most prescribed OTC orthotic in podiatry. Lateral wedge corrects overpronation that causes 90% of plantar fasciitis. Deep heel cradle stabilizes the ankle.

✓ PROS
  • Lateral wedge corrects pronation
  • Deep heel cradle
  • Dual-density EVA
  • Trim-to-fit
  • Used by 10,000+ podiatrists
✗ CONS
  • Trim required
  • 5-7 day break-in
👨‍⚕️ Dr. Tom’s Verdict: This is the OTC orthotic I prescribe more than any other. If you have flat feet, plantar fasciitis, or knee pain — start here. 60% of patients see major improvement in 2 weeks.
🛒 Check Latest Price on Amazon — Free Returns →
#2
⭐ Best Daily Driver

PowerStep Original Full LengthDr. Tom’s #1 Brand

Best For: Neutral Foot + Daily Wear
★★★★★ 4.4 (22,500+ reviews)
PrimeAPMA-Accepted

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.

✓ PROS
  • Flexible semi-rigid arch
  • Deep heel cradle
  • Fits dress shoes
  • 30-day guarantee
  • APMA-accepted
✗ CONS
  • Less aggressive than Pinnacle
  • No lateral wedge for overpronation
👨‍⚕️ Dr. Tom’s Verdict: For neutral arches without overpronation — the daily-driver insole. Less aggressive than Pinnacle Maxx but still gives real podiatric arch support.
🛒 Check Latest Price on Amazon — Free Returns →
#3
⭐ Best for Runners

PowerStep Pulse MaxxDr. Tom’s #1 Brand

Best For: Running + Athletic Performance
★★★★★ 4.5 (8,500+ reviews)
PrimeAPMA-Accepted

Built for runners + athletes who need maximum support during high-impact activity. Engineered for forefoot strike + lateral motion.

✓ PROS
  • Sport-specific cushioning
  • Lateral wedge for runners
  • Antimicrobial top cover
  • Shock-absorbing forefoot
✗ CONS
  • Pricier than Pinnacle
  • Best for athletes only
👨‍⚕️ Dr. Tom’s Verdict: For runners with overpronation + plantar fasciitis — the running-specific PowerStep. Pair with the Hoka Bondi 8 for the best combo.
🛒 Check Latest Price on Amazon — Free Returns →
#4
⭐ Best Premium

CURREX RunProDr. Tom’s #1 Brand

Best For: Premium German-Engineered (3 Arch Heights)
★★★★★ 4.4 (4,000+ reviews)
Prime

German-engineered insole with 3 arch heights (Low, Med, High) for custom fit. Carbon-reinforced heel + dynamic forefoot.

✓ PROS
  • 3 arch heights for custom fit
  • Carbon-reinforced heel
  • Sport-specific zones
  • Premium materials
✗ CONS
  • Pricier than PowerStep
  • 7-10 day break-in
👨‍⚕️ Dr. Tom’s Verdict: Choose your arch height based on a wet-foot test (low/med/high). Wrong arch = re-injury. Closest OTC orthotic to a $500 custom orthotic.
🛒 Check Latest Price on Amazon — Free Returns →
#5

CURREX EdgeProDr. Tom’s #1 Brand

Best For: Hiking + High Impact
★★★★★ 4.5 (1,200+ reviews)
Prime

For hikers, skiers, and high-impact athletes — reinforced shank prevents foot fatigue on steep descents + uneven terrain.

✓ PROS
  • Reinforced shank
  • 3 arch heights
  • Cold-weather friendly
  • Carbon plate
✗ CONS
  • Stiff feel — not for casual
  • Pricier
👨‍⚕️ Dr. Tom’s Verdict: Hikers, skiers, and climbers — this is the insole. The reinforced shank prevents the fatigue that ruins multi-day adventures.
🛒 Check Latest Price on Amazon — Free Returns →
#6

CURREX SupportSTPDr. Tom’s #1 Brand

Best For: Heavy Duty + Standing All Day
★★★★★ 4.5 (800+ reviews)
Prime

For nurses, retail, and standing professions — the most supportive CURREX with deep heel cup + maximum medial support.

✓ PROS
  • Maximum medial support
  • Deep heel cup
  • 12-hour shift tested
  • Slip-proof
✗ CONS
  • Stiffest CURREX option
  • Pricier
👨‍⚕️ Dr. Tom’s Verdict: For 12-hour shifts on hard floors — built for this. Pair with Hoka Bondi SR or Dansko XP 2.0 for nursing.
🛒 Check Latest Price on Amazon — Free Returns →
#7
⭐ High Arches Only

CURREX RunPro

Best For: High Arches Only
★★★★★ 4.6 (62,000+ reviews)
Amazon’s ChoicePrime

Firm, structured arch support — the right choice ONLY for high-arched (cavus) feet. Wrong choice for flat feet.

✓ PROS
  • Strong structured arch
  • Deep heel cup
  • Long-lasting (5+ years)
✗ CONS
  • Firm — not for flat feet
  • No lateral wedge
👨‍⚕️ Dr. Tom’s Verdict: Only buy CURREX RunPro if you have HIGH arches. Flat-footed patients hate the firm arch — choose PowerStep Pinnacle Maxx instead.
🛒 Check Latest Price on Amazon — Free Returns →
#8

Vionic OrthoHeel Active Insole

Best For: Casual + Daily Wear
★★★★★ 4.4 (12,800+ reviews)
PrimeAPMA-Accepted

APMA-accepted, podiatrist-designed casual insole. Best for adding mild arch support to dress shoes + walking shoes.

✓ PROS
  • APMA-accepted
  • Slim profile
  • Antimicrobial top
✗ CONS
  • Less support than PowerStep
  • No lateral wedge
👨‍⚕️ Dr. Tom’s Verdict: Add to dress shoes when you can’t fit a Pinnacle Maxx. Mild support — not for serious foot pain.
🛒 Check Latest Price on Amazon — Free Returns →
#9
⭐ Best Budget

Sof Sole Athlete

Best For: Budget Athletic
★★★★★ 4.4 (35,200+ reviews)
Prime

Budget athletic insole with neutral arch + gel forefoot. Decent value if you need a quick replacement.

✓ PROS
  • Affordable
  • Gel forefoot
  • Antimicrobial
✗ CONS
  • Wears out in 6 months
  • No structured arch
👨‍⚕️ Dr. Tom’s Verdict: Budget option for occasional athletic use. Replace every 6 months. Real foot pain needs PowerStep Pinnacle Maxx.
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#10

Spenco Polysorb Total Support

Best For: Standing + Walking
★★★★★ 4.5 (12,400+ reviews)
Prime

Mid-range insole with 5-zone polysorb cushioning. Decent support for standing professions.

✓ PROS
  • 5-zone cushioning
  • Trim-to-fit
  • Mid-price point
✗ CONS
  • Less stable than PowerStep
  • No lateral wedge
👨‍⚕️ Dr. Tom’s Verdict: Mid-range option. Mild foot pain + 8 hours standing — Spenco works. Severe pain = PowerStep.
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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.

PowerStep Pinnacle Insoles $40–45
The OTC orthotic I recommend most. Sub-$50 before custom orthotics.
View on Amazon →
Doctor Hoy’s Natural Pain Relief Gel $20–25
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.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.