abnormally high arches

Imagine trying to build a house out of cards. You have to get the angle between the leaning cards just right for them to stand up.

If the angle is too low and flat, the cards fall down. If the angle is too sharp and high, they aren’t stable.

You can have a similar problem in your arches. Your midfoot has to curve just right to efficiently distribute your body weight and absorb the shock of your footsteps.

Conditions like cavus foot can make normal walking uncomfortable.

Cavus Foot: Abnormally High Arches

Cavus foot is much less common that flatfoot, but it can cause more pain and trouble walking—particularly if it’s connected to a neurological problem.

If you have high arches that are getting worse, or have simply become more painful, don’t wait to have them examined.

Take the next step toward happy feet and contact us today!

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Cavus Foot: Abnormally High Arches

cavus foot

treatment options

Diagnosing your arch issues and their source accurately is important to be able to treat the problem. Dr. Darren Silvester and our staff will use a variety of tests to determine whether or not high arches are behind your foot pain, and if an underlying issue led to midfoot changes.

Any neurological problems will have to be treated first to truly manage the discomfort and foot instability. Then we can help you relieve your limb pain.


conservative treatment options

HOW TO manage your midfoot conservatively:



You’ll need footwear that can help support and stabilize the lower limbs. This will mean wearing the right shoes, and possibly custom orthotics, to accommodate your arch shape.

Avoid super flat shoes or styles with raised heels.

Instead, wear footwear with a wide base for better stability, and make sure it has the right amount of cushioning under the arch. This helps absorb some of the shock of your steps.

Orthotics, such as our Custom 3D Orthotics – FitStation by HP, can supplement your shoes, too.

At Next Step Foot and Ankle Clinic, we are the first to bring San Antonio and surrounding areas Custom 3D Orthotics with our FitStation by HP(Hewlett Packard), digitized for unparalleled accuracy.

Our FitStation provides thousands of data points on not only the pressure points of your foot standing still (like a cast would) and when your feet are in gait (a person’s manner of walking), giving the doctors a view of how your body as a whole is affecting each foot for your perfectly tailored fit. Helping relieve that pressure off the big toe joint.

In some cases, you may need a brace to stabilize your lower limbs.

Cavus Foot: Abnormally High Arches

minimially invasive

treatment & surgery

for cavus foot
(abnormally high arches)


treatment & surgery options

If conservative measures are not enough to relieve your pain, you may need surgery.

There are procedures that can correct bony deformities and tighten unstable ankles. Sometimes, restructuring the arch so it is flatter makes a difference for your discomfort.

Transferring tendons to stabilize the limb, or releasing over-tightened tissues, may help even out the joint as well.

Any extra deformities that have developed, like claw toes, will also be corrected during the procedure if needed.

Dr. Silvester and Dr. Larsen specialize in many advanced minimally and non-invasive treatments, and if necessaryadvanced minimally invasive and traditional surgical techniques with patient proven success stories.

Some of those are used to treat severe forms of cavus foot, such as:


Why CHOOSE US for your foot pain?

Dr. Silvester talks about why choosing us for your foot pain needs is the best decision you can make.

With our advanced and minimally invasive treatment options and our dedication to helping you be pain free, you are sure to get the relief you deserve. 


Call us direct at 210-375-3318.

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