Clubfoot Relapse: Signs and Treatment

Treatment for Relapsed Clubfoot

Treatment for relapsing clubfoot will depend on the severity of the relapse. If the relapse is related to problems keeping boots and bars for the recommended time, simply addressing the problem, and following the treatment protocol closely may be enough to correct the feet. For more severe relapses, it is possible that a clinician may need to manipulate the feet and reapply a plaster cast to maintain the correction. This will be followed by a repeat of the boots and bars stage of treatment.

In some cases, surgery to the foot may be required, followed by a plaster cast and again a repeat of boots and bars.

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In some cases, a tibialis anterior transfer is required. This is a way of moving one of the tendons on the foot to make it more balanced. The tibialis anterior tendon attaches on the inside of the front of the foot, near the toes. A total tendon transfer will result in the foot being pulled straight. The wounds are stitched and will leave minimal scarring. Stitches are usually dissolvable, but a strong, removable stitch may be used to secure the tendon into its new position. A plaster cast will be worn for approximately 6 weeks following the surgery.

It is important, if you think there is a relapse, to keep the foot in a brace throughout. In the meantime, stretching is really important. If you are able to do effective stretches, especially calf stretches, keep doing so: hopefully, you have been shown how to do these by a physiotherapist as well as simple exercises. Exercises to practice may include hopping, walking on heels, balancing on one leg and how to use resistance bands (which help the muscles on the outside of the foot). You will want to keep all the muscle groups strong particularly around your foot keeping it as supple and mobile as possible. Work on strengthening the core and leg muscles and keeping a general fitness is recommended but in a low impact way. Cycling, swimming, yoga, when possible, are all low impact activities the whole family can enjoy together and there are some great online resources for children and families readily available.

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