High arched foot (Cavus)

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High arched foot (Cavus)

Excessive arch associated with plantar flexion of the foot is called high arched foot or pes cavus deformity. Weight-bearing stress is usually distributed across the entire body with normal arches, but those with high arches, carry weight mainly on the balls of the feet or on the heels. This led to undue stress on their ankles, and toe which leads to instability and intense pain. High arch can also occur in part of paralytic foot disorders.

These are some of the causes of pes cavus foot deformity-

  • Inherited Structural deformity
  • The high arched foot may besecondary to a neurologic condition like Charcot-Marie-tooth disease (CMT); in this neuromuscular contraction draw the ball of the foot closer to the heel.
  • Spina bifida and other spinal disorders
  • Cerebral palsy and other brain disorders
  • Poliomyelitis

Cavus foot may not show symptoms by itself but it can arise from abnormalities secondary to high arch:

  • Lateral ankle instability, often causing tripping, twisting, sprains
  • Metatarsalgia (cramping or pain in the balls of your foot)
  • Claw toes (Clenched toes) or hammertoes (bent toes)
  • Peroneal tendon problems
  • Plantar fascitis
  • Hip, Knee, or lower back pain
  • Calluses on the ball, heel or side of the foot
  • Excessive pressure and stress fractures on outer aspect of foot

The treatment of cavus foot depends upon the severity and cause of the problem.

In most of the cases, customized accommodative insoles, braces and physical therapy works well. Apart from it, taking care of associated secondary problems is needed. In a handful of cases which don’t improve with non-operative treatment or those with severe deformities, surgical correction may be needed. Just like flat foot, cavus foot reconstruction surgery is very complex and needs a lot of pre-operative planning and decision making before as well as during surgery.

Dr Anuj Chawla has an extensive experience of working with the experts all around the world while managing such patients. He first diagnoses the exact problem and then provides treatment accordingly. Book your appointment at his clinic if you think you might be suffering from high arched foot.

+ Causes

These are some of the causes of pes cavus foot deformity-

  • Inherited Structural deformity
  • The high arched foot may besecondary to a neurologic condition like Charcot-Marie-tooth disease (CMT); in this neuromuscular contraction draw the ball of the foot closer to the heel.
  • Spina bifida and other spinal disorders
  • Cerebral palsy and other brain disorders
  • Poliomyelitis
+ Symptoms

Cavus foot may not show symptoms by itself but it can arise from abnormalities secondary to high arch:

  • Lateral ankle instability, often causing tripping, twisting, sprains
  • Metatarsalgia (cramping or pain in the balls of your foot)
  • Claw toes (Clenched toes) or hammertoes (bent toes)
  • Peroneal tendon problems
  • Plantar fascitis
  • Hip, Knee, or lower back pain
  • Calluses on the ball, heel or side of the foot
  • Excessive pressure and stress fractures on outer aspect of foot
+ Treatment

The treatment of cavus foot depends upon the severity and cause of the problem.

In most of the cases, customized accommodative insoles, braces and physical therapy works well. Apart from it, taking care of associated secondary problems is needed. In a handful of cases which don’t improve with non-operative treatment or those with severe deformities, surgical correction may be needed. Just like flat foot, cavus foot reconstruction surgery is very complex and needs a lot of pre-operative planning and decision making before as well as during surgery.

Dr Anuj Chawla has an extensive experience of working with the experts all around the world while managing such patients. He first diagnoses the exact problem and then provides treatment accordingly. Book your appointment at his clinic if you think you might be suffering from high arched foot.

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