{"id":690,"date":"2025-07-06T08:53:44","date_gmt":"2025-07-06T08:53:44","guid":{"rendered":"https:\/\/podcare.gr\/?post_type=pathology&p=690"},"modified":"2026-03-28T17:07:39","modified_gmt":"2026-03-28T17:07:39","slug":"pes-cavus","status":"publish","type":"pathology","link":"https:\/\/podcare.gr\/en\/pathology\/pes-cavus\/","title":{"rendered":"Pes Cavus"},"content":{"rendered":"\n
\n

Pes cavus is a condition of the foot in which the arch is excessively high, resulting in body weight being distributed mainly across the metatarsal region and the heel. This may lead to instability, pain, and an increased risk of injury.<\/p>\n\n\n\n

Causes and Risk Factors<\/strong><\/p>\n\n\n\n

Pes cavus may be hereditary (idiopathic) or may develop as a result of neurological or musculoskeletal disorders.<\/p>\n\n\n\n

1. Genetic factors<\/strong><\/p>\n\n\n\n

\u2013 It often occurs in families with a history of pes cavus.<\/p>\n\n\n\n

2. Neurological disorders<\/strong><\/p>\n\n\n\n

\u2013 Conditions such as Charcot\u2013Marie\u2013Tooth disease, cerebral palsy, and muscular dystrophy may lead to an excessively high arch.<\/p>\n\n\n\n

3. Injuries or muscular imbalances<\/strong><\/p>\n\n\n\n

\u2013 Damage to nerves or muscles that affects the shape of the foot.<\/p>\n\n\n\n

4. Developmental or degenerative conditions<\/strong><\/p>\n\n\n\n

\u2013 Arthritis or tendon dysfunction that alters the distribution of forces in the foot.<\/p>\n\n\n\n

Symptoms<\/strong><\/p>\n\n\n\n

\u2013 An excessively high arch, which may be visible even when the foot is at rest.<\/p>\n\n\n\n

\u2013 Foot pain, especially in the metatarsal region, the toes, or the ankle.<\/p>\n\n\n\n

\u2013 Instability while walking due to a reduced support surface.<\/p>\n\n\n\n

\u2013 Increased pressure on the metatarsals and the heel, which may cause calluses or ulcers.<\/p>\n\n\n\n

\u2013 Stiffness and reduced flexibility of the foot.<\/p>\n\n\n\n

\u2013 Frequent ankle sprains due to reduced balance.<\/p>\n\n\n\n

\u2013 Muscle weakness or toe deformities (e.g. hammer toes, claw toes).<\/p>\n\n\n\n

Diagnosis<\/strong><\/p>\n\n\n\n

Diagnosis is made by a podologist-podiatrist or an orthopaedic specialist through:<\/p>\n\n\n\n

\u2013 Clinical examination to assess the structure and mobility of the foot.<\/p>\n\n\n\n

\u2013 Plantar pressure assessment to evaluate weight distribution.<\/p>\n\n\n\n

\u2013 X-rays or CT scan, if there is suspicion of an underlying pathological cause.<\/p>\n\n\n\n

\u2013 Neurological testing, if pes cavus is associated with neuropathies.<\/p>\n\n\n\n

Management and Treatment<\/strong><\/p>\n\n\n\n

Treatment depends on the severity of pes cavus and on whether it is associated with neurological or musculoskeletal disorders.<\/p>\n\n\n\n

\u2013 Orthotic insoles, which help reduce pressure and improve stability.<\/p>\n\n\n\n

\u2013 Special footwear with shock absorption and good arch support.<\/p>\n\n\n\n

\u2013 Physiotherapy<\/p>\n\n\n\n

\u2013 Exercises to strengthen the foot muscles and improve balance.<\/p>\n\n\n\n

\u2013 Stretching exercises to reduce stiffness.<\/p>\n\n\n\n

\u2013 Avoidance of high heels and rigid footwear that increase pressure on the metatarsals.<\/p>\n\n\n\n

Prevention<\/strong><\/p>\n\n\n\n

\u2013 Assessment by a podologist-podiatrist if there are early signs of pes cavus.<\/p>\n\n\n\n

\u2013 Proper choice of footwear with support and shock absorption.<\/p>\n\n\n\n

\u2013 Avoidance of activities that place excessive strain on the feet, if there is a predisposition to pain or injury.<\/p>\n\n\n\n

\u2013 Regular stretching and strengthening of the plantar muscles to maintain function.<\/p>\n\n\n\n

When to Visit the Podiatrist<\/strong><\/p>\n\n\n\n

\u2013 If pes cavus causes chronic pain or difficulty walking.<\/p>\n\n\n\n

\u2013 If there is instability or frequent ankle injuries.<\/p>\n\n\n\n

\u2013 If symptoms worsen over time.<\/p>\n\n\n\n

\u2013 If there is suspicion of a neurological disorder, especially if muscle weakness or gait asymmetry is observed.<\/p>\n<\/blockquote>\n\n\n\n

Pes cavus may significantly affect gait and quality of life, but with proper diagnosis and treatment, symptoms can be managed effectively. If you are experiencing problems with the arch of your foot or the way you walk, consultation with a podiatrist or orthopaedic specialist is essential for proper management of the condition.<\/p>\n","protected":false},"excerpt":{"rendered":"

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