High Arched Feet
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Pes Cavus

(high arched foot)

 

INTRODUCTION

Most people have a gap between in the inner side of the foot and the ground when they are standing. This is referred to as an "arch". Small children do not have an arch, the arch begins to form between the ages of 3 and 10. Feet that have a high arch are sometimes referred to as cavus type feet.

 

APPEARANCE

  • On standing the person will have a high arch.
  • The heel may be drawn towards the inner side and the toes may be drawn inwards.
  • Some people with pes cavus have clawed toes.
  • The front of the foot may appeared to be dropped or drawn downwards. The results in the 1st Ray (1st toe Joint) and the 5th Ray (5th toe joint) to be dropped.

High Arch

 

 

SYMPTOMS

  • The symptoms vary depending on the severity of the condition.
  • The patient may experience corns or hard skin under the sole of the foot, especially under the 1st and 5th toes.
  • Shoes may wear out quickly.
  • Pain or tenderness along the arch.
  • Shoes may be very difficult to fit, especially around the ankle.
  • Stiffness of the feet.
  • With severe pes cavus, problems such as calf pain, knee pain and hip pain may be present.
  • Some patients may suffer from ankle sprains very easily.

 

CAUSE

  • It may be hereditary, i.e runs in the family.
  • In most cases the exact cause can not be discovered
  • Cerebral palsy, spins bifida and muscular dystrophy can also lead to a flat foot condition.

 

TREATMENT

  • Insoles and orthotics can provide relief to sore arches.
  • Silicone pads can creams can help to reduce the pain that arises from corns.
  • Wear wide fitting shoes.
  • Do not try to treat the secondary lesion (i.e Corns) yourself.

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Review:
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