Occasionally, the doctor may request X-rays to fully understand how severe the clubfoot is, but usually X-rays are not necessary. It's possible to clearly see most cases of clubfoot before birth during a routine ultrasound exam in week 20 of pregnancy. While nothing can be done before birth to solve the problem, knowing about the condition may give you time to learn more about clubfoot and get in touch with appropriate health experts, such as a pediatric orthopedic surgeon and a genetics counselor.
Because your newborn's bones, joints and tendons are very flexible, treatment for clubfoot usually begins in the first week or two after birth. The goal of treatment is to improve the way your child's foot looks and works before he or she learns to walk, in hopes of preventing long-term disabilities.
After the shape of your baby's foot is realigned, you'll need to maintain it with one or more of the following:. For this method to be successful, you'll need to apply the braces according to your doctor's directions so that the foot doesn't return to its original position. The main reason this procedure sometimes doesn't work is because the braces are not used as directed. If your baby's clubfoot is severe or doesn't respond to nonsurgical treatments, more-invasive surgery may be needed.
An orthopedic surgeon can lengthen or reposition tendons and ligaments to help ease the foot into a better position. After surgery, your child will be in a cast for up to two months, and then need to wear a brace for a year or so to prevent the clubfoot from coming back. Even with treatment, clubfoot may not be totally correctable.
But in most cases, babies who are treated early grow up to wear ordinary shoes and lead full, active lives. If your baby is born with clubfoot, he or she will likely be diagnosed soon after birth.
In some cases, your baby's doctor may refer you to a pediatric orthopedist. If you have time before meeting with your child's doctor, make a list of questions to ask. These may include:. Mayo Clinic does not endorse companies or products.
Advertising revenue supports our not-for-profit mission. Bracing is essential to maintain the correction obtained after casting. Initial bracing is around the clock but is decreased to night time wear by the time the child starts walking. Most children respond to casting and Achilles tendon lengthening.
Occasionally additional small surgeries may be required to restore muscle balance around the foot. Extensive surgical procedures may be required for persistent problems and recurrent club foot deformities that do not respond to casting.
Children successfully treated using casting and Achilles tendon releases have normal looking, flexible, pain free feet and can participate in all activities, including sports. The Center team will help care for you and your infant with club foot. The Center will develop a comprehensive plan with all the physicians and specialists involved in the care of you and your newborn before, during, and after delivery.
When you contact The Fetal Center, you will be in touch with a dedicated coordinator who will walk you through the process step-by-step and help you to understand every aspect of your care. Phone: Toll free: Fax: Email: thefetalcenter memorialhermann. We have received your inquiry, and a team member will contact you soon. In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project.
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The maximum number of hours awarded for this Continuing Nursing Education activity is 0. Clubfoot, congenital talipes equinovarus, is one of the most common orthopedic conditions diagnosed on prenatal ultrasound with an incidence of per at birth.
Diagnostic accuracy, work-up and outcomes of pregnancies with clubfoot detected by prenatal sonography. Outcome of prenatally diagnosed isolated clubfoot. Learn More ». Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software.
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