Also known as a high arched foot, as the name implies, is pretty much the exact opposite of a flat foot and because of this has its own inherent set of potential problems.
Most people who have high arched feet find this as just part of their normal skeletal structure. In the case of the neurological origins of cavus foot, this is usually a result of weakening of the muscles that flatten the foot resulting in a relative strengthening of the muscles of the foot and leg that raise the arch. In the case of neurological origins, the high arched foot tends to be a progressive problem usually resulting in some form of bracing to protect against drop foot and to aid in better gait management. Most cases of cavus foot deformity seen in the office is of the idiopathic or natural occurring form which in the majority of cases is much less severe that the neurological type. The naturally occurring high arch can be further divided into two sub-classes: rigid and flexible.
RIGID TYPE-cavus deformity, the arch stays virtually the same height whether the patient is on or off his foot. Compared to a more flexible foot, the rigid high arched foot tends to be a very poor shock absorber. FLEXIBLE TYPE-cavus deformity, the arch will be very high when a person is off weight bearing , but when they step down, their arch will flatten out to some extent.
More local to the foot, the cavus foot (both types) deformity can exacerbate certain problems.

Lateral ankle sprains are also more common in the high arched foot simply because the heel bone (calcaneus) is slightly more tilted inward to the mid line of the body than a "normal" foot structure. Looking at the pictures on this page, one can see that the heel and the ball of the foot are subject to greater impact in the high arched foot (red circles). In the rigid type of cavus foot the plantar fascial ligament may actually contract over time thus causing tremendous strain on the ligament. In the more flexible cavus deformity, as the arch swings between high and low points the plantar fascia is being over worked as the foot goes through a large amount of motion within itself as one walks.
Treatment for either the rigid or flexible cavus deformity generally requires the use of an orthotic. Custom orthotics-The problem here is that most store bought arch supports are not high enough to even come close to supporting the arch. Scraping of calluses that form on the ball of the foot and even on the heels in some individuals.
Surgery-In very severe cases, especially of neurological origin, surgical intervention may be necessary in an effort to lower the arch. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen.
First, I want to let you know that you have the best web site I've found related to foot issues.

I have been experiencing foot pain of various sorts and am working to figure out what it is. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem.
I have to say though, after using them for just four days, I have experienced grand relief from my foot pain.
Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. Neuromuscular diseases that cause changes in muscle tone may lead to the development of high arches. Unlike flat feet, highly arched feet tend to be painful because more stress is placed on the section of the foot between the ankle and the toes (metatarsals). This includes orthopedic modifications to the shoes, such as an arch insert and a support insole.

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Category: Shoe Inserts

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