Arches foot


At a Arches foot (medical: Pes cavus, Pes excavatus) is a Misalignment of the foot. This can be both congenital and acquired in the course of life.

Depending on the severity of the deformity, the hollow foot can already be recognized externally as such. By a Change in the longitudinal arch of the foot creates a reinforced arch of the foot towards the top what creates a cavity on the underside of the foot. This is due to an imbalance in the muscles in the foot and lower leg.

A archesus is noticed, depending on when it occurred, through the symptoms caused or by the parents of the child concerned. The diagnosis of archesus can be made by a doctor after a physical examination and an X-ray of the affected foot.

The most common other foot deformities are the splayfoot, of the Flat foot as well as the Buckle foot.

Causes of a high arched foot

Of the congenital archesus is relatively common among the various forms of the archesus and occurs in families. The causes of the congenital form have not yet been fully clarified. A high arch can also be occur in the course of life. The underlying cause can be neurological, orthopedic or neuromuscular in origin. Often, however, no cause can be found, in which case a so-called idiopathic archesus is spoken.

A high arch, which occurs in the course of life, is caused by a Imbalance of the muscles in the foot and lower legwhat a pathological change in the longitudinal arch of the foot on the bottom of the foot. In general, both nerves and muscles and their interaction can be disturbed.
There are a number of Diseaseswhich are known to cause arches in those affected. Examples are the neural muscular atrophy - the most common neuromuscular cause of the appearance of a high arch - or the so-called Friedrich ataxiawhich is one of the neurological causes. This disease results in the destruction of parts of the central nervous system to the development of a pesus.
Muscle injuries Accidents can also cause pesus.

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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Symptoms of a high arched foot

The symptoms of a arches foot are relatively characteristic. In addition to the noticeable external change in the foot, in which the longitudinal arch on the underside of the foot has a strong arching upwards strong pain one of the main symptoms of a high arched foot.

The pain typically occurs during exercise, such as when walking, running, or standing for long periods. They are usually located on the inside and outside of the foot in the area of ​​the Metatarsal bones. Pain can also be in the area of ​​the Tarsus occur.

Since the foot is particularly stressed in some places due to the misalignment, changes to the skin on the foot are also common. A increased corneal formation in the area of ​​the inside and outside of the metatarsus is therefore often found (see: Callus on the foot). In addition, there is a certain amount of tension due to increased tendon tension Immobility of certain joints on the foot.

  • Foot pain
  • Metatarsal pain
  • Arch of the foot pain

Treatment of a high arched foot

The therapy of a high arch is based on its severity and the cause. If the cause is known, the Underlying disease be treated.

A general distinction is made between conservative and surgical therapy and symptomatic treatment:

  • Conservative therapy: Conservative therapy is the beginning of the treatment of the archesus. With the help of specially made insoles, the archesus can be corrected to a certain extent. The insoles help to correct the imbalance between the muscle groups.
  • Operative therapy: Surgical therapy of a high arch is only carried out after conservative therapy has failed. There are several methods of correcting the arch of the foot. At a Osteotomy of the foot, bone parts are cut and fixed in a displaced position. The Arthrodesis on the other hand, the discomfort should be significantly reduced by the artificial stiffening of certain joints.
  • Symptomatic treatment: Pain medication can provide relief from the pain in the arches of the foot.


Special deposits represent an important part of the therapy of a high arches foot. Conservative therapy is mainly based on wearing these insoles. The insoles can help to eliminate the imbalance between the muscle groups on the foot and lower leg, and thus the cause of the arch of the arches, and thus to reduce the symptoms.In addition to deposits can also be customized Neight rails help to correct the arch of the foot.

In order to achieve an optimal treatment goal, the insoles should individually made and placed in the most frequently worn shoe. A regular check for any necessary readjustment makes sense. There are a number of different materials and different types of insoles. Advice from an experienced Specialist in Orthopaedics, that is, a specialist in the treatment of archesus, as well as regular Therapy controls are essential for the success of the treatment.

Surgery of a pesus

The operation of a high arch is an option if conservative treatment methods have not been successful. There are different ways to treat a high arch with the help of a surgical procedure.

A common procedure that is used with a high arch is the so-called Osteotomy (more precisely: calcaneus osteotomy). This is a bone of the tarsus, the Calcaneus, cut into two pieces and fixed again in a shifted position. After the bone has healed, the archesus usually improve.

Another possibility of treatment is the so-called Arthrodesis represent at which certain Artificially stiffened joints in the foot become. Since it is a permanent stiffening of the joints, this operation is only in special severe cases into consideration.

Which operation makes sense in the individual case depends crucially on the underlying disease as well as that Severity of the arch of the foot and will be discussed in detail with the attending physician.