High arched feet (cavus foot) are common and do not require treatment if they are not causing symptoms. Many professional athletes have subtle high arches, which allow high-level performance.
When is a high arch problematic?
High arches can lead to pain and overload of the outer part of the foot. High arches can be a problem if
One side only (unilateral)
Painful
Progressively worsening
Associated with stress fractures
Associated with ankle instability / peroneal tendon trouble
Treatment
Painless bilateral high arches do not require treatment. For painful high arches orthotic treatment and supportive shoes should be trialed. Surgery is sometimes needed and is customized according to your foot.
Surgery
Moderates to severe high arches usually require a combination of procedures. This usually involves releasing tight structures plus tendon transfer plus realignment of the heel bone and first ray.
Severe high arches with arthritis change usually require release of tight structures plus fusion of the affect joint.
After your surgery
Antibiotics will be given prior to surgery
You can go home the same day or next day according to your preference
You will be on crutches / frame for 6 weeks after surgery
You will be in plaster for 6 weeks posts surgery, with a wound review and suture removal around 14 days post surgery
Your surgeon will discuss the risks and benefits of blood clot prevention with you
Risks of high arched feet surgery
Infection
Nerve or blood vessels injury
Ongoing pain / deformity recurrence
Blood clots
Non union (non healing) of bones
Arthritis
Have a Question?
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