Arch Pain – Causes, Treatments, and Prevention

Occasional arch pain is common; however, if the pain and discomfort persist, it is time to seek medical intervention.

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Arch Pain - Introduction

Arch pain is common in everyone, not just athletes. The arch of the foot absorbs the shock when you walk and bears your weight when you stand. Standing for long periods of time can predispose you to pain in the arch of the foot. Arch pain can also be caused by injury to the foot, as well as the wrong footwear, standing incorrectly, and flatfoot.

Arch pain refers to pain between the ball of the foot and the heel. The arches of the foot are made of muscles, tendons, and ligaments. Overuse, injury, weight gain, flatfoot, as well as other medical conditions can all cause pain in the arch.

The most common causes of arch pain in adults include:

Plantar Fasciitis

This condition is more common in the heel, but it can occur in the arch of the foot. Plantar fasciitis occurs when a band of tissue that runs from the heel to the arch becomes irritated and inflamed. The pain from plantar fasciitis is very localized to the arch and is worse in the morning when you get out of bed. After walking around for a few minutes, the arch stretches, and the pain is relieved.

Pinched Nerve

Nerves in the feet can get pinched, and this causes pain in the arch. The pinched nerve is actually located below the ankle, but the pain radiates to the arch of the foot. The pinched nerve causes sharp pains, aching, or foot cramps. Pain occurs at any time, even while at rest.


Tendinitis is inflammation or strain of a tendon. This will cause pain while walking. Tendinitis is more common in those with flatfoot, as they are more likely to strain the tendons in the foot. Pain occurs in the arch, the bottom of the foot, the inner part of the ankle, and on the top of the foot.


Though not as common as ankle sprains, arch sprains can cause significant pain. Because these can be difficult to diagnose, early evaluation by a foot and ankle specialist is necessary to prevent long term problems.

Stress Fractures

Stress fractures occur when your bone swells from overuse and cracks. Pain and swelling will typically be felt at the top of your arch, making closed shoes and walking uncomfortable.


Arthritis is an inflammation of the joints that can occur anywhere in the body. Arthritis in the arch is often associated with bone spurs and can cause aching and throbbing pain with every step.

Arch Pain Treatment

Foot pain is never normal. If you suffer from occasional arch pain, you may find relief with some home remedies, such as rest, icing the foot, and over-the-counter anti-inflammatory medications. If your pain persists or worsens, you are unable to bear weight because of the pain, or you develop redness or swelling to the foot, it’s time to make an appointment with your 1Foot 2Foot podiatrist. After diagnosing the underlying cause of your pain, your podiatrist will develop a treatment plan that may include the following:

  • Specialized athletic strapping
  • Modification of activity
  • Foot-type specific arch supports or custom orthotics
  • Bracing or cast protection
  • Prescription medications
  • Physical therapy
  • Steroid or amniotic injections
  • Regenerative medicine techniques such laser or shockwave therapy
  • Surgical intervention

Recovery time will depend on the cause of your arch pain and the treatment necessary to resolve it. Your podiatrist will be able to provide you with an estimated recovery time once an accurate diagnosis is made.

Arch Pain Prevention

You can prevent arch pain in a few different ways, First, ensure you are wearing the proper footwear for your activity and that the shoe fits properly. Avoid going barefoot, as the lack of arch support while barefoot can trigger arch pain. Maintain a healthy weight to alleviate some of the stress on your feet. Warm up before exercising. Your podiatrist can show you stretches that you can incorporate into your routine. Lastly, take your time and pace yourself and rest when you need to.


Occasional arch pain is common; however, if the pain and discomfort persist, it is time to seek medical intervention. The award-winning podiatrists at 1Foot 2Foot know how to relieve your arch pain and will develop a treatment plan specifically for your foot condition. Contact us today to schedule your appointment.