ORTHOTIC MANAGEMENT OF THE CAVOVARUS FOOT

One of the most difficult foot types to treat is a high arched foot. In some cases, high arched feet can be due to hereditary motor and sensory neuropathies including: cerebral palsy, myelodysplasia, peroneal nerve injury but especially Charcot Marie Tooth (CMT) disease. CMT can result in foot drop, sensory loss and absent tendon reflexes, muscle cramps as well.

With a pes cavus (high arched) foot type these feet are incapable of absorbing shock and adapting to the terrain in advanced stages. Calluses are usually present at the head of the first, fifth and base of the fifth metatarsals. 

Courtesy of Barry Block, editor of PM News