The plantar fascia is a thick, broad ligament that runs along the bottom of the foot from the heel to the base of the toes. This fascia maintains the structure of the arch. According to MedlinePlus, the plantar fascia can become inflamed from injury or overuse, causing a dull ache on the sole of the foot. A heel spur can form on the heel bone, or calcaneus, where the plantar fascia attaches, causing pain along the sole. Conditions that predispose you to plantar fasciitis or formation of a heel spur include obesity, long-distance running and a rigid flat or high-arched foot. You Might Also Like Metatarsalgia and Arthritis Treatment varies from patient to patient. It is important to have x-rays to see if there is what we call spurring, or bony growths (also called degenerative joint damage), that occurs due to this foot type. Caves or high arched feet can be surgically corrected, but we usually try a conservative treatment, which is often the treatment of choice. Typically custom orthotics, which are custom casted to your feet , will provide relief for patients. Another device we use is an ankle foot orthotic, a bulkier device that completely encapsulates the foot and ankle. Shoes that don't support a high arched foot can be a problem. Another way to determine your foot type is to do what is popularly known as the wet test. Dip your foot in water, shake off the excess water and step on anything that will leave a print of your foot It can be a sheet of paper, the floor or a piece of colored cardboard. Just make sure you get the full print on it. Take special care in trying to press your foot on your chosen medium. Too much pressure may ruin your foot print. If this happens just wet your foot again and repeat the test. Cavus foot refers to an abnormally high arch and because of this high arch structure, an excessive amount of weight is placed on the ball and heel of the foot when standing. Cavus foot can lead to a variety of signs and symptoms, particularly pain and instability and it can develop at any age, and can occur in one or both feet. People with high arches are often times vulnerable to overuse injuries during sports and exercise because their feet aren’t good shock absorbers, due to less surface contact with the ground. Signs and Symptoms. It may look overwhelming when you walk into a store to buy running shoes. It is quite simple though to find the proper running shoes for your feet. You can do either of two things. You can go to a specialty running store and have one of the employees examine your feet to see if you have no arches , high arches or a neutral foot. Or you can determine this on your own by making a footprint of your wet foot on paper. If you have flat feet (no arch) you will see a print of your entire foot, no space between your big toe and heel. The intermetatarsal bursa are found between metatarsal heads two though five and are small, about the size of a little grape. As we walk or run a tremendous amount of weight or load is presented to the forefoot. With proper foot function and anatomy the forefoot load is absorbed and pain free ambulation is achieved. Improper function or faulty anatomy can result in activity induced pain to the ball of the foot known as metatarsalgia. This term is non-specific. It does not define the reason why a person is experiencing pain to the forefoot.