Understanding Your Foot’s Arch: What It Reveals About Your Gait

Your foot's arch isn't just a structural feature; it's a dynamic component that significantly influences how you walk, run, and even how your body responds to various activities. By examining your arch type—be it flat, normal, or high—you can gain insights into your movement patterns, potential injury risks, and ways to optimise your footwear choices.

The Science Behind Foot Arches


The human foot comprises three primary arches:

  • Medial Longitudinal Arch: Runs along the inside of the foot from heel to toe.

  • Lateral Longitudinal Arch: Located on the outer side of the foot.

  • Transverse Arch: Spans across the width of the foot.

These arches function as shock absorbers, energy stores, and levers, adapting to various activities and loads. Research indicates that the mechanical function of the foot's arch varies between gait modes and foot strike types in running, highlighting the dynamic role of foot arches in movement efficiency.


Arch Types and Their Impact on Gait

High Arches (Cavus Foot)
Associated Injuries:

  • Plantar fasciitis

  • Metatarsal and heel stress fractures

  • Ankle sprains & lateral ankle instability

  • Calluses or corns under the ball and heel of the foot

  • Claw toes or hammer toes

Muscles & Tendons:

  • Plantar fascia and intrinsic foot muscles become shortened and tight.

  • Calf muscles (gastrocnemius/soleus) often tighten, reducing ankle flexibility.

  • Peroneal tendons (outside ankle stabilisers) are overworked.

Biomechanics – Supination:
People with high arches often supinate, meaning the foot rolls outward. This reduces shock absorption and increases pressure on the outer foot and ankle, making sprains and stress fractures more likely.

Why It Happens:
The rigid arch creates poor adaptability, concentrates force on small areas, and strains muscles/tendons that try to stabilise the foot.


Normal Arches
Associated Injuries:

  • Generally low risk of chronic injuries

  • Can develop plantar fasciitis, shin splints, or tendonitis with poor footwear, muscle imbalances, or sudden changes in activity

Muscles & Tendons:

  • Balanced length and tension across the plantar fascia, calf, and intrinsic foot muscles

  • Tendons (posterior tibial, Achilles, peroneals) work in harmony to support natural arch mechanics

Biomechanics – Neutral Gait:
The foot rolls slightly inward (mild pronation) to absorb shock effectively, then pushes off evenly.

Why It Happens:
This balance allows efficient shock absorption and energy transfer. Problems usually occur when external factors disrupt natural mechanics.


Low Arches / Flat Feet (Pes Planus)
Associated Injuries:

  • Plantar fasciitis

  • Achilles tendon strain

  • Shin splints

  • Posterior tibial tendon dysfunction

  • Knee and hip pain

Muscles & Tendons:

  • Posterior tibial tendon is overstretched and overworked, leading to dysfunction

  • Plantar fascia is overstretched and prone to inflammation

  • Achilles tendon often tightens as the heel rolls inward

  • Intrinsic foot muscles fatigue quickly

Biomechanics – Overpronation:
Flat feet commonly lead to overpronation, where the foot rolls inward excessively. This misalignment strains ligaments, tendons, and joints, and transfers abnormal forces up to the knees, hips, and lower back.

Why It Happens:
The low arch collapses under weight-bearing, overstretching support structures and forcing muscles to compensate.


Strengths and Weaknesses of Each Arch Type

  • Strengths

    Increased surface contact for stability

    Weaknesses

    Higher risk of overpronation and associated injuries

  • Strengths

    Balanced support and energy transfer

    Weaknesses

    May still experience injuries if not properly supported

  • Strengths

    Efficient energy storage and release

    Weaknesses

    Reduced shock absorption, leading to stress-related injuries

Implications for Movement and Injury Risk


Foot arch structure and intrinsic muscle strength are critical risk factors for overuse injuries. Both low-arched (pronated) and high-arched (supinated) feet are perceived to be risk factors for injury in many sports activities, especially running.

Runners with high arches but low arch mobility may experience increased vertical loading rates, which are often associated with higher injury risks. Conversely, individuals with more mobile arches may exhibit better shock absorption and joint coordination.

Footwear Recommendations Based on Arch Type

  • Flat Feet: Opt for motion control shoes that limit excessive pronation. These shoes provide stability and help in realigning the foot during movement.

  • Normal Arches: Stability shoes with moderate cushioning can enhance comfort and support without restricting natural movement.

  • High Arches: Choose cushioned shoes with ample arch support to aid in shock absorption and reduce stress on the forefoot.

It’s essential to note that while footwear can aid in managing arch-related issues, it’s not a one-size-fits-all solution. Individual assessments and personalised recommendations are crucial.

When to Seek Professional Help


Consider consulting a healthcare professional if you experience:

  • Persistent foot, ankle, knee, or lower back pain

  • Frequent injuries during physical activities

  • Difficulty finding comfortable footwear

  • Notable changes in your gait or posture

A podiatrist or orthopaedic specialist can conduct a thorough assessment, including gait analysis and imaging, to determine the underlying causes and recommend appropriate interventions.

Final Thoughts
Understanding your foot arch type is more than a matter of anatomy—it’s a window into your movement patterns and potential injury risks. By aligning your footwear choices with your arch type and seeking professional guidance when necessary, you can enhance your comfort, performance, and overall foot health.

  • Arda, B., Zor, M., & Göktepe, A. S. (2024). High medial longitudinal arch of the foot and latent trigger points in lower limb muscles. Journal of Clinical Medicine, 13(14), 4049.

    Baur, H., Hirschmüller, A., Müller, S., & Mayer, F. (2011). Neuromuscular activity of the peroneal muscle after foot orthoses treatment in runners with overpronation. British Journal of Sports Medicine, 45(5), 341–346.

    Burnet, D., Chinn, L., Millard, K., & Williams, J. (2018). Association between the Foot Posture Index and running related injuries: A case-control study. Physical Therapy in Sport, 34, 20–26.

    Domaradzki, J., et al. (2024). Prognostic power of foot mobility in identifying the risk of injury in runners. Journal of Clinical Medicine.

    Hillstrom, H. J., et al. (2012). Foot type biomechanics: Part 1: Structure and function. PM&R.

    Jastifer, J. R. (2022). The foot and ankle in long-distance running. PM&R.

    Kim, D., et al. (2021). Effects of obesity and foot arch height on gait mechanics. PLOS ONE.

    Neal, B. S., et al. (2014). Foot posture as a risk factor for lower limb overuse injury. PM&R.

    Seaman, T. J. (2023). Pes cavus. StatPearls.

    Williams III, D. S. B., et al. (2014). Increased medial longitudinal arch mobility, lower extremity kinematics, and injury risk in runners. Journal of Biomechanics.

    Woźniacka, R., et al. (2019). The association between high-arched feet, plantar pressure distribution, and gait. Journal of Foot and Ankle Research.

    Zhang, Y., Luo, Q., Fang, M., Zhang, J., & Chen, C. (2022). Effects of a 9-weeks arch support intervention on foot morphology in young soccer players. BMC Sports Science, Medicine and Rehabilitation, 14(1), 92.


Next
Next

Gout: What It Really Is, What It Isn’t, and How to Manage It