Arch Pain Overview

Each foot contains 26 bones, which form two arches. The longitudinal arch runs the length of the foot, and the transverse arch runs the width. The bones of the arch are primarily held together by the shape with which they fit with each other and by fibrous tissues known as ligaments that serve to hold the bones to each other. The muscles of the foot, along with a tough, sinewy tissue known as the plantar fascia, provide secondary support to the foot. There are also fat pads in the foot to help with weight-bearing and absorbing impact. Arch pain can occur whenever something goes wrong with the function or interaction of any of these structures.

Medically Reviewed by a Doctor on 5/2/2014

Medical Author:

Jayson Goo, ATC, MA, CKTI

Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor


Flat Feet

“Flat feet” or fallen arches, is when a person’s large arch has collapsed so that the entire sole of the foot comes into contact with the floor or bottom of the shoe when a person is walking.
The “normal” or ideal foot has a raised arch on the inside of both feet. Approximately 20-30% of the population’s arches do not develop fully, either on one or both feet. Infants and toddlers do not have arches, but as the child grows and the foot is used more, the arch in most people develops.
Your feet are adapters, and will adapt their shape to the footwear you put them in. Therefore, wearing shoes like sandals and slippers that offer no arch support can lead to your feet’s arches flattening. Flat feet can also be caused by wearing high heels. (The Achilles heel shortens and tightens making the ankle not bend correctly and leaves the arch to pick up the slack.)
Having flat feet does not decrease running speed, or hamper usability of your feet, but can cause pain. When there is no arch in your foot a lot of other parts of your feet have to compensate. This can bring about pain in the legs or back because of the strain on the calves. Fallen arches can also lead to Plantar Fasciitis, which can happen when the bottom of the feet stretches too far and begins to tear or becomes inflamed. In some cases of flat feet, the sole of the foot will become rigid.
Flat feet have also been linked to pronation, or the foot turning too far inward. The foot naturally makes this movement while walking, but it is considered an ailment when the foot rolls inward too far, throwing your feet out of balance and alignment.
What Can You & Your Poor Flat Feet Do?
Arch supports can help with the foot pan associated with low or no arches. Arch Supports lift up the fallen arch and support the foot in the position it was meant to be in. Your weight is also dispersed properly throughout your feet. At your arch supports or orthotics are made from impression of your feet. These molds are balanced up bio-mechanically to help your feet function at there best. We would love to help you with your foot problems, give us a call at 800-500-2909 to discuss your foot problems with our Podiatrist

How are orthotics are made.

We have been asked numerous times, because of the price of our orthotics , are they really a custom made orthotic, or are they prefabricated that have been made to be like custom orthotics. First let us reassure you, they are custom orthotics. When we receive the impression kit back from the person who has ordered, we fill it full of a casting plaster, and let it harden. We then remove it from the foam, we clean it up and do an evaluation on the feet. If there is a bio-mechanical problem, we will make modifications to the cast of their feet. When the cast are ready a sheet of ultra high molecular polyethylene plastic, (which is a thermo plastic, which means it get soft when is heated), is formed over this corrected cast. It is allowed to cool, and the grinding portion of the process begins. This semi-rigid plastic shell is ground to end just behind the ball of the foot, come up into the arch and cup around the heel. There are several different grinding steps to produce a smooth finished product. At this time if required a heel post may be added. This additional material that is applied in the heel are, ground flat, and a protective cover plate is applied. The heel post helps the orthotic be more stable in the shoe. Then the top cover is applied. There are several different types of top cover. There are soft top covers, hypoallergenic plain vinyl and full length. The different top covers are used for different needs. From this point the orthotics are checked and sent off to the customer.

What is a Metatarsal Raise or Support

A Metatarsal Raise or Support is a soft tear drop shaped pad that is placed on the orthotic just behind the ball of the foot. It is used to give extra support in the ball area of the foot. One of the other things it does, is help spread the metatarsal bones apart. This is important if you are having problems with a neuroma which is a pinched nerve in the ball of the foot. The use of a metatarsal raise can be an effective way to treat this problem, and help avoid surgery. A metatarsal raise can also help when a person is bearing excessive weight on one metatarsal head. This will cause a callous to form, and become very painful. The metatarsal raise will help move the pressure back into the arch of the foot, and relieve the abnormal pressure. These are a few of the things that this modification of a Custom Orthotic can do. If you have any question please call us at 800-500-2909, or you can go to our website

The use of a heel post

We are often asked about the use of heel post on our orthotics. This is additional material that is applied in the heel area of the orthotic on the bottom. It is then ground flat, and a thin plastic cover is placed on the post. The purpose of the heel post is to provide greater stability, and keep the orthotic from rocking in the shoe. We use this often in people who are active. It makes the orthotic more stable, and gives better support during activity, It raises the orthotic only about 1/16 of in inch, so it takes up very little room in the shoe. A heel post is an effective way to make your custom orthotic more functional and preform better. Call us at 800-500-2909 if you have any other questions, or go to our website

Custom Orthotics New Blog

Well it is time that we at Custom Orthotics start entering into the social media world. has been around for over six years, and have made orthotic for thousands of people. It was started by Brent Bowden, who practiced Podiatry for about twenty years, and opened this business, because he sees a need for truly custom orthotics at a reasonable price. Our typical orthotic costs about $100.00 rather than the three to four hundred, that is normally charged by a Podiatrist. IF you need a good pair of Custom Orthotics give us a try.