Clubfoot
Definition:
Clubfoot it's a congenital condition where a baby's foot is twisted out of shape or position. The foot may be turned downward and inward, and the soles of the feet may face each other. Clubfoot can affect one or both feet.
Principal causes:
The exact cause of clubfoot is not fully understood, but it's believed to be due to a combination of genetic and environmental factors. While clubfoot is present at birth, it's not typically painful for infants. However, if left untreated, it can cause problems with walking and mobility as the child grows
Symptoms:
Abnormal Foot Positioning: The affected foot or feet are turned inward and downward, making it difficult to place the sole of the foot flat on the ground.
Tight Achilles Tendon (Heel Cord): The Achilles tendon, which connects the calf muscles to the heel bone, may be tight or shortened, contributing to the inward and downward positioning of the foot.
Rigid or Stiff Foot: The foot may feel rigid or stiff due to the abnormal positioning of the bones, joints, and muscles.
Misshapen Foot: The foot may appear smaller than normal, and the bones may be misaligned. The arch of the foot may be higher than usual, and the heel may be smaller or tilted inward.
Limited Range of Motion: Movement of the foot and ankle may be restricted, making it challenging to flex the foot upward or outward.
Difficulty Walking or Standing: Infants and children with untreated clubfoot may have difficulty bearing weight on the affected foot or walking normally.
Calf Muscle Atrophy (in severe cases): In severe cases or if left untreated, the calf muscles on the affected side may appear smaller than those on the unaffected side due to lack of use.
Our treatment in EvivaPHYSIO:
Treatment for clubfoot usually starts soon after birth and may involve gentle manipulation and stretching of the foot followed by casting to gradually correct the position of the foot. This process, known as the Ponseti method, is highly successful in correcting clubfoot in most cases.
In some instances, if the condition is severe or if initial treatment with casting is unsuccessful, surgery may be recommended to release tight tendons and ligaments and realign the bones in the foot. After treatment, children with clubfoot may need to wear special braces or orthotic devices to maintain the correction and prevent relapse as they grow.
With early intervention and appropriate treatment, the vast majority of children with clubfoot can achieve normal function and mobility in their feet. Ongoing monitoring and follow-up care may be necessary to ensure the best possible outcomes.