Arch Disorders – The arches of the foot, formed by the tarsal and metatarsal bones, strengthened by ligaments and tendons, allow the foot to support the weight of the body in the erect posture, dissipate shock, adapt to the terrain and assist in pushing the foot forward during gait. The main arches of the foot are the medial (inside of foot), lateral (outside) and transverse (across the foot). This arch height is different for each person depending on their height, weight and anatomical make up. As podiatrists, the main arch we see issues with is the medial arch and the complications that occur when it is either too high or low. Low arches (sometimes known as fallen arches) are the most common.
Common Issues from Arch disorders:
- Excessive inward rolling of the foot (pronation)
- Excessive outward rolling of the foot (supination)
- Internal rotation of lower leg and knee
- Excessive rotation or tilting at the hip
- Strain on lower back
These can manifest in a number of ways but the common injuries that are associated with the above are:
- Low back pain
- Hip Pain
- Knee pain
- Ankle pain
- IT band syndrome
- Shin splints
- Plantar fasciitis (heel pain)
- Morton’s Neuroma
Each of the above injuries will need to be treated in a number of different ways. At David Brown Podiatry we believe in treating the root problem of any injury and as podiatrists we consider some injuries are exaggerated by the arch condition of the foot. If an arch disorder is believed to be contributing to any of the above injuries it is important to address this to compliment your recovery program. This may include stretching and strengthening exercises in the lower limb and the foot, footwear modifications and in some cases orthotic insoles to heel realign the rear foot and support the arch also. We can provide ‘off the shelf’ insoles and make and fit high performance bespoke orthotic insoles to any footwear and for any sport the same day.
If the arch disorder is not corrected then it is likely injuries will return at some point in the future.