The condition can range from mild and flexible to severe and rigid. Each case of clubfoot may appear different from child to child. It may also be difficult to place the foot in the correct position. The calf muscle and foot may also be smaller than normal.
Treatment should be started as early as possible, ideally right after birth when it is easiest to reshape the foot. The best method of treating clubfoot is moving the foot into the correct position and casting the limb to hold it in place. Recasting and gentle stretching will be done every week to improve the position of the foot. 5 to 10 casts are typically needed, with the final cast left on for 3 weeks. After the foot is in the correct position the child will wear a special brace all day for 3 months, then at night and during naps for up to 3 years.
Severe cases of clubfoot will require further surgery to correct the deformity if conservative treatments do not work or if the problem returns. A small number of defects may not be completely fixed and treatment will only improve the appearance and function of the foot. These cases are usually associated with other birth disorders. The child should be monitored by a podiatric physician until the foot is fully grown. Most cases are resolved with conservative treatment and the outcome is excellent.
If your child is being treated for clubfoot, call your podiatrist if you see any of the following:
- The toes swell, bleed, or change color under the cast.
- The cast is causing the child pain.
- The toes disappear into the cast.
- The cast slides off.
- The foot begins to turn in again after treatment.
Connecticut Foot Care Centers
Podiatrists in CT
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