![]() It also transmits more shock to the ankle, knee, and hip. ![]() The excessively supinated foot is more rigid and lacks mobility, which makes it less adaptable to uneven surfaces. Below is an example of a foot that is supinated versus a pronated foot. It leads to compensating with too much supination of the foot with walking. This foot type is also known as a “supinated foot” or in medical terms, a “pes cavus” foot. This foot type is more complex and biomechanically more challenging. Let’s first breakdown the anatomy and biomechanics. It's been reported that approximately 10-20% of the population have high arches… maybe that’s why we don’t hear about orthotics or shoes that are geared towards those who have the opposite problem. We have all heard that finding shoes with arch support is better for us and that wearing flats or sandals without arch support is not good for us. Most of the orthotics out on the market are geared towards and marketed to those with flat feet. If you have high arches and you have had difficulty finding the right shoes or orthotics to support your feet, I’m not surprised and you should keep reading. I will simply explain why and I’ll also explain how your specific foot type leads to certain types of foot and ankle pain. ![]() ![]() Whether having high arches is better or worse than having flat feet is irrelevant, because they both present with their own unique set of challenges. Recently I had a patient with pain in the ball of the foot, heel, and Achilles tendon tell me that orthotics have never worked for her "high arches". ![]() You’ve probably been told over the years by a doctor, podiatrist, therapist, or shoe salesperson that you have high arches and you w eren’t sure if that was a good thing or a bad thing. You’ve compared your feet with others with “low arches” or “flat feet” and noticed the dramatic difference. If you have “high arches”, you probably know it. Why People with “High Arches” Can’t Find Orthotics That Work and How Finding the Right Orthotic Can Prevent Annoying, Chronic Foot & Ankle Pain by Tamer Issa, PT, DPT ![]()
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