Treatment for Clubfoot

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dr. simi paknikar
Medically Reviewed by dr. simi paknikar, MD
Last Updated on Sep 25, 2014
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Treatment for Clubfoot

Physiotherapy is an important part of the treatment of clubfoot and can be started once the child is 3 months old. The physiotherapist manipulates the affected foot and may also tape it.

Treatment is usually started as soon as the deformity is detected after birth. The goal of the treatment involves making the feet function and appear as normal as possible, without causing pain.

If treatment is started early, the chances of correcting the deformity are high. Usually conservative treatment is sufficient to correct club-foot with mild and flexible deformity. Physiotherapy alone can be effective in milder cases. In severe and rigid deformity, conservative treatment may fail and surgery is usually the next option.

Conservative treatment -

  • The treatment most commonly consists of a series of plaster-castings in the newborn, over a period of several weeks with frequent cast changes to gradually correct the deformity (Ponsetti method). Ideally, the procedure is started just after birth when the foot is easiest to reshape. Longer delay means greater difficulty in correction.
  • After the shape of the foot is realigned, it is maintained through exercise, night time splints and orthopedic shoes (a specialized boot designed for clubfoot deformity, which maintains the foot in its corrected position and prevents a relapse).
  • A conservative treatment approach takes approximately 3 months, however maintaining the correct foot position may require use of braces and additional treatment for years.
  • For those feet that do not respond to casting, surgery will be required once the child gets a little older (between 6 - 12 months). Hence, continued evaluation is recommended until the foot is fully grown.

Surgical Intervention-

  • In children less than 5 years of age - soft tissue correction is done, and the shortened tendons and ligaments causing abnormal position of the foot are released.
  • In children above 5 years of age - surgical correction - Bone re-shaping and Osteotomy (cutting & removing the bone) of the bones to correct abnormal foot position may be necessary.

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Ravinder1430

my friend 20 years old, have club foot give me some suggestion please.

manishjaiswal1978

My kid have club foot i started his treatment from his birth now is far better and he is 4 yrs old then before but now i am in chennai and it is almost impossible to go again U.P for his regular treatment there.

Is anybody know who is the best doctor for clubfoot in chennai.

Manish

I am looking for clubfoot treatment of my child to be born next year. Treatment will start 1 or 2 weeks after baby is born. Has anyone undergone treatment at CMC , vellore ?

fathima5

My son born with aclub foot,now he was 3 years old,we gave a treatment,like tenetomy,pop etc.at thebirthit self. but now his fore foot is started totwist,he is wearing a clubfoot shoe but our doctor is saying it will be like this what to do ,please give me asolution.

edsm1961

Where is there a Doctor that can put cussion in between the bones in the feet. My son has no Muscel from his knees down and he walks bone on bone. I am looking for a Doctor that can fix this he is 12 years old and they told me he would never walk but I got him walking about the age of 2.

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