Overview *

Clubfoot is a common birth defect that affects one in 1000 babies. The term clubfoot is used when a baby is born with one or both feet twisted inward and pointing down. Clubfoot is not painful and early treatment can correct almost all cases of clubfoot. Clubfoot can be diagnosed with a physical exam, x-rays, and other tests. Clubfoot can sometimes be seen on an ultrasound before birth.

The Ponseti method is the most common treatment option and is usually started in a baby's first two weeks of life. It consists of using stretching and casting to stretch out the tendon and straighten the foot. Most times, before the last cast of the treatment process is applied, the heel cord is snipped. This is done usually under local anesthesia and is called tenotomy.

In order to prevent the foot from moving back to the incorrect position, a brace must be worn. A brace consists of shoes that attach to a bar. It is important for parents to follow their doctor's directions in order to prevent clubfoot from relapsing. You must use the brace as directed for the prescribed amount of time. Not following your doctor's directions can cause clubfoot to relapse. Braces should not be painful. Check for blisters or discomfort and adjust the brace or shoes right away.

In-Depth

Introduction | Diagnosis
Ponseti Treatment | Stretching & Casting
Snipping Heel Cord | Bracing
Complex Clubfoot | Surgery
Summary

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Last reviewed: 2/13/2012