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High arches (pes cavus)

Also called: High arches, pes cavus, cavus foot

A foot with a very high arch that puts extra pressure on the heel and ball of the foot. Sometimes it's linked to a nerve condition.

HelpCushioned inserts, supportive shoes
CheckIf it gets worse or with weakness

Symptoms

Common signs:

  • High arches

Less common

  • Ankle sprains
  • Foot pain

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayLeg weakness.
See a doctor soonArches getting higher or tripping.

Causes

Genes, nerve conditions.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.
  • It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

  • Family history

Diagnosis

A clinician examines.

The exam

Nerve check.

Tests

Tests, if needed:

  • X-ray:

Treatment

Support the foot.

Self-care

  • Custom or cushioned inserts
  • Ankle-supporting shoes

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • There is no known way to prevent it. Early checkups help find it sooner.

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an orthopedist (bone and joint doctor).

Children, pregnancy, and older adults

  • Families: Can run in families.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Manageable.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Do I need a nerve test?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on High arches (pes cavus)

Sources

Last updated 2026-11-12.