Orthotics For Supination & Pronation - Tips For Dealing With High Arches

by Casey Scofield December 10, 2015


High arch support insoles can prevent injury and provide comfort

Having high arches can be a pain – literally. Foot shape affects pressure on other joints. If not properly cared for, high arches can lead to knee and hip problems. Here, we’re exploring some concerns specific to people with high arches. Orthotics for supination and pronation are the key for injury prevention and comfort.

Are High Arches the Exact Same Thing as Supination?

No. Supination is also known as underpronation, which occurs when the foot doesn’t properly roll inward upon landing. In fact, a supinating foot has an inward motion of less than 15%. Most of the person’s body weight lands on the outer edges of each foot. Supination can put too much pressure on the Iliotibial (IT) band. Some people who supinate will experience knee pain or achilles tendonitis. Up to 10% of people in the U.S. supinate. Those with severe supination are prone to inversion ankle sprains, heel spurs and stress fractures.

While supination is not the same thing as high arches, it is a condition often caused by them. Not all people with high arches will supinate, but many are at risk. Athletes with high arches should be particularly careful in order to avoid these injuries.

get arch support for your ultra-high arches


Can Someone Have Very High Arches and Still Pronate?

Yes. Pronation is the inward rolling of the foot when walking or running. This is a normal motion, but if it goes too far, it is called overpronation. When this occurs, the arch flattens, the toes pivot out, and the knee rolls inward. Though people with high arches often underpronate, that is not always the case. People with high arches can pronate and even overpronate. Take note of how your shoes wear. Be mindful of any discomfort or sore joints. All are indicators of your individual stride.

I Have High Arches, How Can I Tell if I Supinate?

According to Runner’s World there is an easy informal test to see if you supinate. Simply take a well-worn pair of sneakers and place them on a flat surface. Look at the shoes from behind. Do they stand straight? Or do they lean to the outer edges? If they lean dramatically to the edges, there is a high chance that you supinate. See a doctor for confirmation.

Best Shoes For High Arches And Supination

Shoe shopping can be difficult for people with high arches. But there are quite a few options, once you know what to look for. There are many brands and styles that work well for people with high arches. To find your the best shoes for high arches and supination, it's important to try several pairs on in a store before purchasing. Orthotics for supination can also be a great solution (more on that below).

New Balance

New Balance is a great brand of running and walking shoes for people with high arches. Many of their styles provide extra cushioning. Cushion is important because it serves as the shock absorption that high-arched feet typically don’t have on their own. New Balance’s cushion is superior to other brands because of their “ABZORB” technology. ABZORB is a proprietary blend of rubber and foam materials that is very lightweight and can endure many miles of wear. Try these models first:

  • For Men: M1080v5, MW928
  • For Women: W1080v5, WW928


Birkenstock is another well-known comfort shoe brand. Their sandals provide arch support with a molded footbed. For many, their signature footbed helps redirect and balance pressure. Make sure to try out the sandals in the store. Birkenstock's firm one-size-fits-all footbed is heaven for some but too uncomfortable for others.


Developed by the founder of Tread Labs, Chaco has been making sandals with robust arch supports for decades. Originally designed for river guides, the number of Chaco styles have increased with time. The original Z/series of sandals has very good arch support. Some of the more recent models have less-pronounced support. Very durable, Chaco sandals will last for years. Many are re-solable and a made-in-USA model is available for a premium price.


Saucony also makes great running shoes for those with high arches. Like New Balance, they provide amazing comfort and cushioning. Their PWRGRID+ technology claims to provide 20% more cushion without adding bulk or weight. A selection of their shoes are designed for daily use for neutral or supinated feet. Check out:

  • For Men: Saucony Triumph ISO
  • For Women: Saucony Triumph ISO

High arch support insoles

How Will High Arches Change With Age?

As people with very high arches grow older, their arches may fall. Weight gain is another cause of fallen arches. A series of tendons and ligaments that attach leg muscles to the foot create the foot’s arch. When these tendons are injured or otherwise loosened, arches begin to fall. This change in foot shape can be painful. Feet will tire easily and put even more stress on knees and ankles. Prevent arches from falling by making sure to wear high arch support insoles and maintaining a healthy lifestyle.

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Are High Arches Passed Down Genetically?

Sometimes. There are many causes of high arches. People can be born with high arches or develop them later in life. Causes include:

  • Natural orthopedic shape/genetic – high arches tend to run in families. 
  • Neuromuscularsuch as Charcot Marie Tooth Syndrome
  • Neurological – often the cause of a high arch in just one foot.

What Typical Problems Do People With High Arches Have? Specific Problems Associated With Certain Sports? Running?

Proper pronation is key to shock absorption. It is this small movement that protects joints. Runners with high arches can be prone to injury, especially if they run without properly-cushioned shoes. Cushioning and high arch support insoles can prevent shin splints, knee pain, and ankle sprains, the most common problems for athletes with high arches. Athletes face these risks with any weightbearing exercise. Alternative workouts may be safer for people with joint pain associated with high arches, including swimming, cycling, yoga, and rowing.

Supination Inserts Provide Comfort and Relief

Millions of people in the U.S. have high arches. With proper foot care and footwear like shoe inserts for supination correction, they should enjoy pain participation in most sports and activities. Staying in tune to your own body and being aware of any discomfort or changes is the best and most proactive way to prevent injury.

Casey Scofield
Casey Scofield

2 Responses

Dan LeFleur
Dan LeFleur

February 23, 2017

Hi Karin,

Thanks for taking an interest in Tread Labs.

The product that comes to mind after hearing about your feet is the Stride with a Medium or High arch support.

The Stride can help regulate the biomechanics of the foot, it’s excellent pronation control helps relieve the pain of Plantar Fasciitis and ongoing support prevents re-occurrence.

give us a call if you have any other questions 781-435-0662

Thanks again,


Karin Demko
Karin Demko

February 08, 2017

I have both high arches with supports in shoes, and suppination at the same time. Is there a product that can aid both? If I bring my arches down a bit to avoid over suppination, then I have plantar fatiatus back.

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