High Arches (Cavus Foot)
Quick Answer: High arches (cavus foot) often hereditary or neurological. Cause foot pain by concentrating pressure on heel and ball. Treatment: cushioned shoes, custom orthotics with arch fill, calf stretching. Severe cases may need surgery.
When to Suspect Neurological Cause
Bilateral progressive cavus foot, especially with toe weakness or family history, may indicate Charcot-Marie-Tooth or other neuropathy. Get neurology evaluation.
FAQ
Will my high arches get worse?
Idiopathic cavus is usually stable. Neurological causes can progress and need ongoing monitoring.
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Top OTC Insoles for Foot Pain (Podiatrist-Audited)
PowerStep Pinnacle Maxx (Best for Plantar Fasciitis)
★★★★½ 4.5/5 — 19,000+ reviews
Pros: Aggressive arch support; angled heel cradle; deep heel cup; double-layer cushion
Cons: Bulkier than most OTC; needs trim-to-fit; not for narrow shoes
Dr. Tom’s Tip: First-line for moderate plantar fasciitis with overpronation. If your heel pain is worst on first morning steps, this insole stops the cycle.
CURREX RunPro (Best for Active Runners)
★★★★½ 4.4/5 — 5,500+ reviews
Pros: Dynamic flex; responsive; comes in low/medium/high arch profiles
Cons: Premium price; less rigid than PowerStep
Dr. Tom’s Tip: Runners who want responsive feel without losing support. Available in 3 arch profiles — get fitted properly.
Superfeet Green (Best for High Arches)
★★★★½ 4.5/5 — 25,000+ reviews
Pros: Firm structured support; deep heel cup; durable polyethylene shell
Cons: Stiff feel — needs break-in; less cushion than PowerStep
Dr. Tom’s Tip: High arches, athletic use. Trim to fit — don’t force into too-small shoe.
What causes high arches?
High arches can be genetic, neurological (like Charcot-Marie-Tooth disease), or resulting from muscle imbalances and tight calf muscles.
Do high arches need orthotics?
Not all high arches require orthotics, but custom orthotics can provide support if you experience pain or instability.
Can high arches cause pain?
High arches can contribute to foot pain, plantar fasciitis, metatarsalgia, and ankle instability without proper support.
Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.