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Flat Feet, High Arches & Alignment Disorders

Fallen arches, very high arches, and alignment problems that strain your feet, knees, and hips. We support and correct how you stand and walk. Available at 15 clinics across Middle Tennessee.

About flat feet, high arches, and alignment problems

Understanding flat feet, high arches, and alignment problems, and how we help.

Flat Feet, High Arches & Alignment Disorders care is offered at 15 Neuhaus Foot & Ankle clinics across Middle Tennessee. Choose a clinic near you at the end of this page.

The shape of your arch decides how weight moves through your foot, ankle, knee, and hip. Very flat feet and very high arches both change how you walk, and over time the extra strain can cause pain far from the foot itself.

This group covers arch shape problems, alignment differences, and unusual walking patterns, in children, adults, and people whose feet have changed with age.

  • Kids & adultswelcome at every clinic
  • On site X-raysfor fast answers
  • 15 clinicsacross Middle Tennessee
Request an appointmentCall 615-220-8788
Flat Feet, High Arches & Alignment Disorders care at Neuhaus Foot & Ankle
Flat Feet, High Arches & Alignment Disorders foot and ankle care

Conditions we treat

7 conditions we care for at every clinic.

Not sure which one you have? You do not need to know. We will find the cause.

Symptoms

Signs of flat feet, high arches, and alignment problems.

If you notice any of these signs, a visit can bring clear answers.

  • 01

    Feet that roll inward or outward when you walk or stand

  • 02

    Aching arches, ankles, knees, hips, or lower back

  • 03

    Shoes that wear down unevenly

  • 04

    Tired feet by the end of the day

  • 05

    A bony bump on the inside of the foot (accessory navicular)

Why it happens

Common causes of flat feet, high arches, and alignment problems.

  • 01

    Inherited foot shape

  • 02

    Weak or damaged tendons, especially the posterior tibial tendon

  • 03

    Nerve or muscle conditions, especially with very high arches

  • 04

    Injury or arthritis in the midfoot

  • 05

    Differences in leg length

  • 06

    Weight gain or long hours standing

Ankle Pain, Instability & Tendon Disorders careAlso seeAnkle Pain, Instability & Tendon Disorders

Diagnosis and care

How we treat flat feet, high arches, and alignment problems.

Step 1 · Diagnosis

We watch you stand and walk, check the shape and flexibility of the arch, and measure how your feet and legs line up. Weight bearing X-rays show the bones under load. For advanced changes we may order an ultrasound or MRI to check tendons and joints.

Step 2 · Treatment

Most people improve with custom orthotics made from a scan or mold of the foot, supportive shoes, bracing, and exercises that strengthen the foot and ankle. For a painful accessory navicular, we can use padding, orthotics, and short-term immobilization. We tailor the plan to your foot, your job, and your activities.

When a deformity is advanced or painful despite good care, surgery can rebalance tendons, realign bones, or fuse a damaged joint. Our surgeons explain when it helps and when non surgical care is enough.

Recovery

What to expect.

Orthotics need a short break in period of one to two weeks, and many patients feel the difference within days. Bracing and exercise plans take a few weeks to show results. After surgery, recovery depends on the procedure, and we give you a clear timeline.

When to book: See a podiatrist if your arches ache, your feet roll in or out, you have pain in the knees or back that may come from how you walk, or the inside of your ankle becomes swollen and sore.

Prevention

Tips to keep it from coming back.

  • Wear shoes with good arch support and a firm heel
  • Use orthotics as prescribed and check them yearly
  • Keep calf and foot muscles flexible and strong
  • Get children's foot shape checked if you see rolling or pain
  • Replace shoes that wear unevenly

FAQ

Flat Feet, High Arches & Alignment Disorders: your questions answered.

Call 615-220-8788
Do flat feet always need treatment?

No. Many flat feet cause no problems. Treatment is for pain, fatigue, or a foot that is changing shape.

What is PCFD?

Progressive collapsing foot deformity happens when the tendon that holds up the arch weakens and the foot slowly flattens and turns outward. Early care helps slow it down.

Can orthotics fix a high arch?

Orthotics spread pressure and add support, which relieves pain for many people. They do not change the bones, but they make walking more comfortable and stable.

Where we treat it

Flat Feet, High Arches & Alignment Disorders care at 15 clinics.

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