High Arch Foot Series
Part 2 High Arch Foot Case Study
Let’s look at High Arch Foot Case Study!
A 35 year old male presented with pain along the outer edges of both feet for the past four months. He reported increased discomfort during running and noted a history of frequent ankle sprains. Symptoms developed gradually with increased physical activity.
Clinical Background
The patient is recreationally active and runs 3 to 4 times per week. He has no major medical history but reports a long-standing “high arch” foot type. He typically wears neutral running shoes.
Symptoms
– Pain along the lateral aspect of both feet
– Frequent ankle instability
– Discomfort during running
– Pressure under heel and forefoot
– Symptoms worsen with activity
Clinical Findings
Examination revealed high medial arches during both weightbearing and non-weightbearing. There was reduced shock absorption and increased pressure along the lateral foot. Mild ankle instability was noted with no joint restrictions.
Answers
Diagnosis
Pes Cavus (High Arch Foot) that’s Rigid (still high after weightbearing) leading to Lateral Overload (based on high arch structure, lateral foot pain, instability, and pressure distribution findings).
Management Plan
– Prescription of Custom Orthotics to improve pressure distribution and shock absorption
– Cushioned footwear with a wider base for stability
– Physiotherapy to improve balance and ankle stability
– Education on activity modification and injury prevention
Follow-up to monitor symptoms and adjust orthotics if needed
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