Foot arch pain is a frequent complaint by people everywhere. It primarily affects runners and other athletes, although it can also affect less physically active persons. The foot’s arch extends from the bottom of your toes to your heel and is essential in any activity that requires you to be on your feet.

Arch discomfort can occur in both the ball and heel of the foot. You may also have pain in the top of your foot, ankles, knees, hips, legs, and back. The discomfort may be more significant when walking, standing, or during or after any activity involving your feet. It may also become more acute when you first get up in the morning.

Arch pain can develop if the muscles, bones, ligaments, or tendons that create your foot’s arch are injured. It can also occur as a result of structural concerns, significantly if such structural issues are exacerbated by:

  • gaining weight
  • ageing
  • overuse
  • neurological disorders
  • physical adversity

Flat feet and high arches are two structural abnormalities that can cause arch discomfort.

The following are some prevalent causes of arch pain.

Plantar Fasciitis

Plantar fasciitis is the most widespread cause of arch pain and one of the most often reported orthopaedic issues. Inflammation, overuse, or damage to the plantar fascia are possible causes. The ligament linking the front foot to your heel is called the plantar fascia. It is more common among runners, although it can also occur in non-runners.

Plantar fasciitis can cause discomfort and stiffness in the heel and arch. Such pain is often severe upon arising and worsens after extended standing or activities that need you to be on your feet.

If you get plantar fasciitis regularly, you may need to wear a different shoe or receive inserts to offer more comfort and support to your foot. Stretching might also help relieve plantar fasciitis pain.

Posterior Tibial Tendon Dysfunction (PTTD)

PTTD, also known as adult-acquired flatfoot, develops when the posterior tibial tendon is injured or inflamed. The posterior tibial tendon links the inner foot to the calf muscle. If the posterior tibial tendon can no longer support the arch, PTTD can cause arch discomfort.

Arch discomfort from PTTD is likely to spread down the back of the leg and into the inner aspect of the ankle. You may also get ankle swelling. The pain usually occurs during an activity, such as jogging, rather than afterwards.

To treat PTTD, you are likely recommended to wear an ankle brace or a specific shoe insert. Physical treatment may also be beneficial. In extreme circumstances, surgery may be required to address the disease.


Overpronation refers to how your foot moves while you walk. In overpronators, the outside edge of the heel strikes the ground first, followed by the foot rolling inward onto the arch. This flattens the foot excessively. Overpronation can injure muscles, tendons, and ligaments over time, resulting in arch discomfort.

Overpronation may also cause knee, hip, or back discomfort, corns or calluses, and hammer toe.

If you overpronate, you might think about wearing stability shoes. When you walk, these shoes will help you straighten your stride. Inserts may also be beneficial. Consult a local shoe store associate for advice, or consult a podiatrist or orthopaedic surgeon. A podiatrist is a specialist who specialises in the care of the feet. Exercises and stretches may also be beneficial.

Cavus Foot

Cavus foot is characterised by a relatively high arch of the foot. It might be caused by a hereditary structural anomaly or by neurological diseases such as cerebral palsy or a stroke. Walking or standing causes the most pain in patients with a cavus foot. In addition, because of your foot instability, you may be more prone to ankle sprains.

Special orthotic shoe inserts, like other arch issues, may help ease your pain. You should also wear shoes with extra ankle support when engaging in sports. Look for shoes with high heels. In some circumstances, surgery may be required.