High Arched Foot (Pes Cavus)



Article by Dr. Misako McLeod, DPM

Although many people suffer from flatfeet, some people suffer from the opposite, high-arched feet or Pes Cavus.

A Pes Cavus foot type is a condition where the arch is very high and can causes a variety of symptoms including:

Some Pes cavus issues are causes by neurologic issues such as peripheral neuropathy, stroke, brain injury, and other causes.

When evaluating a painful Pes Cavus deformity, Dr. McLeod will first perform a comprehensive physical examination including a neurologic and orthopedic exam. This is followed by a thorough gait examination. X-rays will be taken to evaluate the joints and the overall structure of the foot to the leg.




Conservative treatment may be as simples as orthoses, bracing, reduction of skin and calluses, shoes with a lateral flare, and shoe gear modifications.

If these conservative treatments fail, surgery may be recommended with the goal of alleviating pain and improving overall stability of the foot and ankle as well improving fit of shoes.

Most Pes Cavus surgeries involve cutting and realigning bones to help realign the heel to the leg and help lower the arch.  Surgical correction of hammertoes may be indicated as well. Every patient is different and the surgery is tailored to your specific needs.

Most Pes Cavus corrective surgery will require 6-8 weeks in a cast to allow the bones to heal. Gradual weigh bearing will ensue and the patient will started on physical therapy.  Usual recover time is about 3 months.

Dr. Misako McLeod, DPM is a Foot and Ankle Surgeon specializing in reconstructive surgery. For an evaluation of your Pes cavus deformity, please call 1-844-442-FOOT for an appointment. 

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