Flat Feet vs High Arches: A Comparative Analysis
Kilani
February 22, 2025

Flat Feet vs High Arches Introduction
Flat Feet vs High Arches The structure of the foot plays a crucial role in balance, posture, and movement. Two common conditions that affect foot structure are flat feet (pes planus) and high arches (pes cavus). Both conditions can cause discomfort, impact daily activities, and lead to complications if left untreated. This article explores the differences, causes, symptoms, treatments, and the role of physiotherapy in managing these conditions.
Flat Feet (Pes Planus)
Flat Feet Causes:
Genetic predisposition
Weak or damaged tendons (especially the posterior tibial tendon)
Arthritis or joint inflammation
Neurological disorders (e.g., cerebral palsy, muscular dystrophy)
We see this cause in kilani physiotherapy center mostly in children
Obesity or excessive strain on the foot
Symptoms:
Pain in the arch, heel, or along the inner side of the foot
Swelling in the lower foot region
Tired or aching feet after prolonged standing or walking
Difficulty standing on tiptoes
Poor balance and potential misalignment of the knees and hips
Treatment:
Orthotic insoles for arch support
Supportive footwear with proper cushioning
Stretching and strengthening exercises
Anti-inflammatory medications for pain relief
Surgery in severe cases
High Arches (Pes Cavus)
High Arches Causes:
Neuromuscular conditions (e.g., Charcot-Marie-Tooth disease, polio)
Inherited structural abnormalities
Injury or trauma to the foot
Stroke or other neurological disorders
Symptoms:
Pain and instability while walking
Frequent ankle sprains due to poor balance
Calluses or corns on pressure points of the foot
Claw toes or hammertoes due to tight foot muscles
Difficulty finding comfortable footwear
Treatment:
Custom orthotics to redistribute pressure
Footwear with ample cushioning and shock absorption
Stretching and strengthening exercises
We give patients the exercises as home program treatment
Bracing for additional support
Surgical intervention in severe cases
Role of Physiotherapy in Treatment Flat Feet vs High Arches
Physiotherapy plays a vital role in managing both flat feet and high arches by addressing pain, improving foot function, and preventing complications.
Strengthening Exercises – Physiotherapists prescribe targeted exercises to strengthen the foot and lower leg muscles, providing better support for the arches.
Stretching Routines – Stretching the Achilles tendon, plantar fascia, and calf muscles can help improve flexibility and reduce discomfort.
Balance and Proprioception Training – Exercises to enhance balance and coordination reduce the risk of falls and injuries, particularly for individuals with high arches.
Manual Therapy – Techniques such as soft tissue massage and joint mobilization help alleviate pain and improve mobility.
We focus on this type therapy in kilani physiotherapy center
Gait Training – Correcting walking patterns can prevent long-term complications in the knees, hips, and lower back.
Taping and Bracing – Supportive taping or bracing may help stabilize the foot and reduce strain on affected areas.
Conclusion
Flat Feet and High Arches require proper management to prevent discomfort and complications. While supportive footwear, orthotics, and medical interventions are useful, physiotherapy remains an essential component in the treatment plan. A structured physiotherapy program helps enhance foot strength, improve mobility, and promote overall foot health, leading to a more active and pain-free lifestyle.
If you suffer from this condition, do not hesitate to contact us at our branches in Jordan and Dubai.
If you have questions or need to schedule an appointment, please visit our Contact Us page.