Cavus foot is often caused by a neurologic disorder or other medical condition such as cerebral palsy, Charcot-Marie-Tooth disease, spina bifida, polio, muscular dystrophy, or stroke. In other cases of cavus foot, the high arch may represent an inherited structural abnormality.
The arch of a cavus foot will appear high even when standing. In addition, one or more of the following symptoms may be present:
- Hammertoes (bent toes) or claw toes (toes clenched like a fist).
- Calluses on the ball, side, or heel of the foot.
- Pain when standing or walking.
- An unstable foot due to the heel tilting inward, which can lead to ankle sprains.
Diagnosis of cavus foot includes a review of the patient's family history. The foot and ankle surgeon examines the foot, looking for a high arch and possible calluses, hammertoes, and claw toes. The foot is tested for muscle strength, and the patient's walking pattern and coordination are observed. If a neurologic condition appears to be present, the entire limb may be examined. The surgeon may also study the patterns of wear on the patient's shoes.
X-rays are sometimes ordered to further assess the condition. In addition, the surgeon may refer the patient to a neurologist for a complete neurologic evaluation.
Non-surgical treatment of cavus foot may include one or more of the following options:
- Orthotic devices. Custom orthotic devices that fit into the shoe can be beneficial because they provide stability and cushioning to the foot.
- Shoe modifications. High topped shoes support the ankle, and shoes with heels a little wider on the bottom add stability.
- Bracing. The surgeon may recommend a brace to help keep the foot and ankle stable. Bracing is also useful in managing foot drop.
The surgeon will choose the best surgical procedure or combination of procedures based on the patient's individual case. In some cases where an underlying neurologic problem exists, surgery may be needed again in the future due to the progression of the disorder.
If you believe have a foot problem and do not currently see a podiatrist, call one of our six locations to make an appointment.
Connecticut Foot Care Centers
Podiatrists in CT
Visit our website, like our page on Facebook, and follow our tweets on Twitter.