High Arch Foot

Pes Cavus Deformity

High Arch Treatment in Fort Worth & Burleson, TX

A high arch foot, also known as pes cavus, is a structural condition that can lead to increased pressure on certain areas of the foot, resulting in pain, instability, and a higher risk of injury.

Dr. Dalton Ryba, DPM is a dual board-certified podiatrist and foot & ankle surgeon providing comprehensive evaluation and treatment for high arch foot conditions in Fort Worth and Burleson, Texas. Treatment focuses on improving function, reducing pain, and addressing underlying structural issues when necessary.

What is Pes Cavus?

Pes cavus refers to a foot structure where the arch is higher than normal.

This can lead to:

Increased pressure on the heel and forefoot
Reduced shock absorption
Instability during walking

In some cases, pes cavus may be associated with underlying neurologic conditions, while in others it is related to foot structure alone.

What Are The Common Symptoms?

Pain in the ball of the foot or heel
Frequent ankle sprains
Foot instability
Calluses under the forefoot
Difficulty finding comfortable shoes
Symptoms often worsen with prolonged standing or activity.

What Are The Causes And Risk Factors?

Pes cavus may develop due to:

Genetic foot structure
Neurologic conditions (in some cases)
Muscle imbalance
Prior injury

Evaluation may include assessment of overall foot mechanics and, when indicated, screening for underlying causes.

What Are The Treatment Options?

Many patients improve with non-surgical management.

Custom orthotics to redistribute pressure
Cushioned, supportive footwear
Bracing in cases of instability
Activity modification
Physical therapy

These treatments aim to improve stability and reduce abnormal pressure.

Surgery may be considered for:

Significant deformity
Recurrent instability or sprains
Persistent pain despite conservative care

Procedures may include:

Tendon balancing
Osteotomies (bone realignment)
Soft tissue procedures
Reconstruction in more advanced cases

Treatment is individualized based on the severity of deformity and functional limitations.

What Is The Recovery Timeline?

Recovery depends on the severity of the condition and treatment approach.

Conservative care: gradual improvement over time
Surgical treatment:
- Period of immobilization
- Gradual return to weight-bearing
- Physical therapy

Full recovery from reconstructive procedures may take several months.

When To See A Specialist?

Recurrent ankle sprains
Persistent foot pain
Difficulty with balance or stability
Pain not improving with supportive footwear
Early evaluation helps identify underlying causes and guide treatment.

Dr. Ryba sees patients in Fort Worth and Burleson, TX through
Lonestar Orthopaedic and Spine Specialists, PLLC.

When scheduling, please request an appointment specifically with Dr. Dalton Ryba, DPM.