Understanding the Pediatric Implications of Clubfoot

At Podiatry Care, PC, and the Heel Pain Center, we take pride in helping our pediatric patients with a range of different conditions. Some of these constitute birth defects, such as clubfoot.

Clubfoot, also known as talipes equinovarus, is a birth defect causing the foot to point in and down, thus resembling a club. This condition will be our focal point today as we explore its causes, symptoms, and treatment.

Causes

Anatomically, the deformed foot position is largely due to a shortened Achilles tendon. The precise reason this happens remains unclear, but several factors may play a role:

  • Genetic predisposition: Family history can increase the risk of clubfoot.

  • Fetal development: Issues during fetal development may contribute to the condition.

  • Other birth defects: Clubfoot is sometimes associated with other congenital abnormalities.

Symptoms

Clubfoot is typically painless, however, as the child develops, it can be hard for them to walk. Pain might become a factor as well once weight starts to bear on the foot. Of course, this also affects balance, and can lead to secondary foot conditions such as a high arches.

Treatment

Treatment for clubfoot begins shortly after birth and involves a series of gentle stretching and manipulation techniques. These methods, known as the Ponseti method, are often successful in correcting the deformity. In some cases, casting or surgery may be necessary.

Prognosis

With early and consistent treatment, most children with clubfoot achieve excellent results. The Ponseti method has a high success rate in correcting the deformity without the need for surgery. However, regular follow-up care is essential to monitor the foot's development and address any potential recurrences.

Prevention

While there's no definitive way to prevent clubfoot, prenatal care, and regular check-ups can help identify potential issues. But overall, early intervention can increase the odds of successful treatment for those families already affected.

At Podiatry Care, PC, and the Heel Pain Center, we treat an array of foot and ankle problems. Dr. Charlotte George, Dr. Matthew Tschudy, Dr. Rebecca Wiesner, Dr. Kristen Winters, Dr. Laura Vander Poel, and the rest of our team are happy to serve our Hartford County patients. To schedule an appointment at our Enfield location, call (860) 741-3041. For an appointment at our South Windsor location, call (860) 644-6525.