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Definition
A high arched foot is one
where there is a marked elevation of the longitudinal arch both on and off
weight bearing. This type of foot by itself is usually not a problem but
tends to cause other difficulties, which frequently require treatment. For
instance, the high arched foot creates excessive pressure on the ball of the
foot and frequently produces thick and uncomfortable calluses. Hammertoes
are also common with this foot type, which may cause problems with certain
shoes. In addition, the high arched foot is notoriously known as a poor
shock absorber, frequently resulting in discomfort and bursitis in the heel.
Causes
The three main causes of
high arched feet include congenital development (at birth), trauma or injury
(involving nerve damage) and certain neurological conditions. It is
important to thoroughly evaluate a high arched foot in order to determine
its probable cause. The type of therapy selected will then have a much
better chance for success. It should be kept in mind that not all high
arched feet require treatment. In the absence of symptoms or progressive
soft tissue changes, clinical treatment may be unwarranted.
Treatment
The treatment of the high arched
foot is directed at supporting the elevated mid section of the foot,
providing shock absorptive benefits to those areas in need and improving the
functional mechanics of the foot and ankle. Orthotics prescribed by a foot
specialist are the most effective means of accomplishing these objectives.
The high arched foot usually responds well in a relatively short period of
time to the use of orthotic supportive devices. In certain rare case where
the condition is excessive and defies therapeutic control, surgery might
become a consideration.
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