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Flat feet, high arches & bunions
When shoes rub or walking becomes uncomfortable, even a short outing can take more thought. We assess your symptoms, footwear and movement—not foot shape alone.
Bring the shoes you actually wear.
Bunions and low or high arches don’t always need treatment. Pain, shoe pressure and walking changes guide assessment.
On this page
How assessment guides the next step
- We listen to where you feel pain or pressure, what shoes are difficult and how walking, work or activity is affected.
- We examine the foot and may look at standing, walking or running, footwear, joint movement and pressure areas.
- We explain what the findings may mean, what remains uncertain and whether imaging, medical review or another referral is appropriate.
- Together, we discuss practical options such as footwear changes, pressure relief or rehabilitation. Orthotics are considered only when the assessment suggests they may add value.
Why the arch shape matters less than you’d think
We assess standing, movement, footwear and activity, including running demands where relevant. Findings may suggest contributors without a single explanation.
Flat and high arches can be painless. What matters is how load affects your foot and lower limb, and whether symptoms develop.
High‑arched feet (pes cavus)
A high, rigid arch (pes cavus) can concentrate pressure under the heel and ball of the foot. You may notice callus, outward rolling at the ankle, clawed toes or difficult shoe fit. It can run in families or become noticeable when symptoms develop.
Forefoot and toe pain can have several causes. Your history and examination help guide care or further investigation.
Other patterns we may consider
Forefoot and arch symptoms can overlap. The pattern helps guide what should be examined:
- Big-toe joint pain or stiffness may come from the joint rather than the bunion bump.
- Burning, numbness or a pebble-like feeling between the toes can suggest nerve irritation.
- Pain beneath a toe joint, swelling or a toe beginning to drift may need further assessment.
- Inner-ankle pain with a changing arch can involve a tendon that supports the foot.
These descriptions are not a self-diagnosis. Assessment helps narrow the possibilities and whether imaging or another opinion is needed.
Arthritis and painful foot joints
Stiff toes or aching joints can make walking and shoe choice harder. Arthritis, including osteoarthritis or rheumatoid arthritis, can affect the feet. We assess movement, footwear and pressure and coordinate with your GP where needed. Footwear changes do not cure arthritis. Sudden severe joint pain, heat or swelling needs prompt medical assessment.
For some joint concerns, rocker bottom shoes may be discussed after assessment. Suitability depends on your feet and how you walk.
Consider an assessment if pain or pressure is persisting, footwear is becoming difficult, your walking is changing, or the concern is limiting everyday activity.