Methods and high heel foot wear pads help provide arch support and may include a soft pliable foot engageable sheet for fitting into a high heel foot wear to engage the downwardly sloping arch engageable portion of its inner sole. A fastener on the underside of the sheet is adapted to secure the pad in place on the sloping arch engaging inner sole of the high heel foot wear. An arch support component may be mounted to the underside of the sheet spaced from the edges of the sheet to help support the foot of the wearer.