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Portland Foot and Ankle

(503) 244-7894

Battle Ground Foot and Ankle

(360) 687-3668

Vancouver Foot and Ankle East

(360) 834-3707

Vancouver Foot and Ankle West

(360) 597-4223

What is Cavus Foot?
Cavus foot is a condition in which the foot has a very high arch. Because of this high arch, an excessive amount of weight is placed on the ball and heel of the foot when walking or standing. Cavus foot can lead to a variety of signs and symptoms, such as pain and instability. It can develop at any age, and can occur in one or both feet.

 

Causes
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.

An accurate diagnosis is important because the underlying cause of cavus foot largely determines its future course. If the high arch is due to a neurologic disorder or other medical condition, it is likely to progressively worsen. On the other hand, cases of cavus foot that do not result from neurologic disorders usually do not change in appearance.

Symptoms
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

Some people with cavus foot may also experience foot drop, a weakness of the muscles in the foot and ankle that results in dragging the foot when taking a step. Foot drop is usually a sign of an underlying neurologic condition.

cavus2Diagnosis
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 pattern 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
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.

When is Surgery Needed?
If non-surgical treatment fails to adequately relieve pain and improve stability, surgery may be needed to decrease pain, increase stability, and compensate for weakness in the foot.

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.

Our Locations


Vancouver Foot and Ankle West


Vancouver Foot and Ankle East


Battle Ground Foot and Ankle


Portland Foot and Ankle


Hours of Operation

Vancouver Foot And Ankle West

Monday:

8:00 am-4:00 pm

Tuesday:

Closed

Wednesday:

Closed

Thursday:

8:00 am-4:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Vancouver Foot and Ankle East

Monday:

Closed

Tuesday:

Closed

Wednesday:

8:00 am-4:00 pm

Thursday:

8:00 am-4:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

8:00 am-12:00pm (Alternating Saturday)

Sunday:

Closed

Battle Ground Foot and Ankle

Monday:

8:00 am-3:00 pm

(Alternating Monday)

Tuesday:

Closed

Wednesday:

8:00 am-4:00 pm

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Portland Foot and Ankle

Monday:

Closed

Tuesday:

8:00 am-3:00 pm

Wednesday:

Closed

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

  • "My 3rd and 4th toes on the right foot were so painful to walk for about 5 years or so. Dr Belnap clipped the tendons in the toes and clipped the nails of both feet on follow up appointments, and now I can walk without pain. I wish I had known of this procedure sooner and will surely recommend this office to friends!

    Side note: I know there has been discussion on getting access to all the x-rays from every location. Is that going to be possible in the future? It would be very helpful for surgical planning, as it is always a good idea to have a copy of the x-rays in the operating room for surgical planning purposes. The other solution I could think of is printing off the x-rays on surgical patients and scanning them into their charts as a document, so you can access them from anywhere.

    Thanks for all your help!!"
    Nancy P.
  • "Dr Belnap is very professional. He helped with my foot pain. He corrected my issues and I was pain-free by the first follow up visit!"
    Dennis B.
  • "I came to Dr Hayes from a personal referral. He has done surgery on both of my feet for bunions. It has helped me to live my busy lifestyle. I have highly recommended him to my friends"
    Susan N.