Arch Pain: Arch pain can occur whenever something goes wrong with the function or interaction of the structures in the foot. Causes include injury (trauma), sprains, muscle strains, poor biomechanical alignment, stress fractures, overuse, or the tightness or lack of tightness of the joints in the foot. Symptoms are pain and tenderness. Home treatment includes rest, ice, compression, and elevation (RICE), and over-the-counter pain medications. Physical therapy, new shoes, orthotics or insoles may be recommended.