How to Tell if You Have Flat Feet or High Arches

The human foot, a complex structure, forms the foundation for movement and support. Its intricate components create arches, fundamental to how we stand, walk, and run. Foot arches distribute body weight, absorb shock, and adapt to various surfaces. Understanding your foot arches offers insights into your body’s mechanics and potential concerns.

The Foot Arch Explained

The foot contains three primary arches: the medial longitudinal arch, the lateral longitudinal arch, and the transverse arch. These arches are formed by bones and reinforced by ligaments and tendons.

The medial longitudinal arch, along the inner edge, is the highest and acts as a spring, absorbing impact and distributing weight evenly. The lateral longitudinal arch, located on the outer edge, is flatter and contributes to balance and stability. The transverse arch spans across the midfoot, adding structural integrity and facilitating weight transfer. Collectively, these arches enable the foot to function as a flexible platform for shock absorption and a rigid lever for propulsion during movement.

Recognizing Flat Feet

Flat feet, also known as pes planus, occur when the arches on the inside of the feet flatten, causing the entire sole to touch the ground. This condition can result from arches not developing in childhood or collapsing later due to injury or wear. A common visual cue is an inward rolling of the ankle, known as overpronation. For self-assessment, perform a “wet test” by wetting your feet and stepping onto cardboard or a paper bag. If your footprint shows the entire sole with little to no inward curve, it indicates flat feet.

Flat feet may cause symptoms such as pain in the heel or arch area, which can worsen with activity. Some experience ankle pain from overpronation or general foot fatigue. Altered foot posture can affect alignment up the kinetic chain, leading to pain in the knees, hips, and lower back. In some cases, flat feet can contribute to conditions like plantar fasciitis or shin splints.

Recognizing High Arches

High arches, or pes cavus, refer to a condition where the arch is significantly raised, appearing pronounced even when weight-bearing. This foot type places excessive weight on the heel and ball of the foot, leading to uneven pressure distribution. Visual signs include a noticeable arch, splayed or “clawed” toes, and an outward rolling of the ankle (supination). In the wet test, a high arch leaves a footprint showing only the heel, the ball of the foot, and the toes, with a very narrow or absent connection in the middle.

High arches may lead to symptoms like pain in the ball or heel, especially after prolonged standing or high-impact activities. Calluses frequently form on areas bearing excessive weight, such as the ball or heel. Reduced shock absorption and altered foot mechanics can also lead to instability, frequent ankle sprains, or pain extending to the shins, knees, and hips.

When to Consult a Professional

While self-assessment methods like the wet test offer initial insights, they do not replace professional medical evaluation. Consult a healthcare professional if you experience persistent foot pain that doesn’t improve with rest or interferes with daily activities. Seek medical advice for rapid or significant changes in arch height, or if one foot appears notably different.

Other indicators include numbness or tingling in your feet, signaling nerve compression or damage. Swelling, redness, or bruising in the arch area that does not subside within a few days also warrants attention. A specialist can diagnose the underlying cause of your foot issues and recommend management, including custom orthotics or specific exercises.