Arch Pain – What you need to know!

Michael Perlstein
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Board Certified Brooklyn Podiatrist

Are you experiencing pain while walking?  Do you also notice the arches on your feet are raised higher?  If you answered yes to both of these questions, then you are experiencing a condition called high arches, also known as pes cavus or cavus foot. 


The arch of your foot runs from your toes to the heel on the bottom of your foot.   High arches are the opposite of flat feet, and happen when the arch of your foot is raised higher than normal.  You can experience high arches at any age and they can occur in one or both of your feet.  With arched feet pain happens because added stress is placed on the foot.  The added stress goes on between the ankle and toes.  It also happens on the ball and heel of the foot while you walk or stand.    


Symptoms of arched feet include:

  • Hammertoes or claw toes
  • Shoes are difficult to fit into
  • Pain while walking, standing and running
  • Unstable on your feet


High arches are not as common as flat feet and may be caused by a bone or nerve condition.  Sometimes high arches can occur in people who have conditions such as cerebral palsy, Charcot-Marie-Tooth disease, spina bifida, polio, muscular dystrophy or stroke.  However, the condition can also be inherited.    


Sometimes people with high arches do not have many symptoms and it may not affect you as severely.  However, there have been people with high arches that have frequent ankle sprains and pain under the base of the big toe.  Also, corns and calluses are likely to develop because of pressure that is put on the toes and heels. 




First Dr. Perlstein will review your family history to see if high arches run in your family.  He will also check your foot to see how flexible the arch is, or if it is flexible at all.  He will also ask to see you walk around so he can observe your walking pattern and check the current wear of your shoes.  Dr. Perlstein may also perform tests, such as an x-ray, to help identify treatment options. 


Treatment options can include custom made orthotics, modifications to your current shoes such as arch inserts, or support insoles.  Bracing may also be recommended to keep your foot and ankle stable.  Sometimes surgery is needed to flatten the foot, but that only happens in severe cases.     


Next Steps


If you have arched feet and are experiencing pain, do not hesitate to call our office to set up an appointment.  Dr. Perlstein has over 25 years of experience dealing with a variety of foot issues and conditions.  You do not have to live with foot pain.  Call our office today so we can help you get you mobile without pain.    

Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.

Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.