However when combined with a turned in heel or known as a varus heel (refer to Figure B ) overload of the lateral (outside) structures of the foot and ankle occurs. With time this may predispose you to injury of the lateral ankle ligaments, and tendons at the side of the ankle (peroneal tendons) as well as the fifth metatarsal.
Your surgeon may investigate further, potential causes of why you have an abnormally high arch and turned in heel. However in a large number of patients no known or identifiable cause is found.
If you do have a high arch and frequently suffer from ankle sprains, initial treatment will be physiotherapy based. Orthotic insoles may also be considered.
Physiotherapy will target a calf stretching program and exercises to help you to regain your balance and strength.
If your ankle problem does not improve Mr Keith may discuss further operative procedures to restore the biomechanics to your foot in addition to performing an ankle ligament reconstruction.