Metatarsus adductus and varus is a common foot deformity noted at birth that causes the fore foot to turn inward. It is caused by the infant’s position inside the womb.
It is important to treat it after birth because it is one of the reasons why people develop “in-toeing” walk.
If the foot is very flexible and easy to straighten in the other direction, the problem will resolve in few days with muscular stimulation and a light strapping. The baby will be followed closely for a period of time.
If the foot is rigid, your baby will need mobilization and wear a splint or special shoes. 10 sessions are required.
Your baby’s foot is turned upwards towards the shin. This deformity is typically flexible and fully correctable if there is no neurological disorders, it is due to intrauterine mal-positioning which provokes an imbalance of foot muscles
This malposition can be resolved by mobilization, proper muscular stimulation and some feet require a splint.
Skew or serpentine foot
The foot appears to hook inward or has a “C” shaped appearance. It looks like a metatarsus adductus but it is not. It is rare deformity which if it has not treated provokes an irreversible deformity of the foot.
The “French Method” physiotherapy consists of mobilization, muscular stretching and stimulation. The foot is held in a support and a splint at the age of 2 to avoid the recurrence. The assembly is changed 2 times/week. When the treatment is started earlier the result is best.
Congenital vertical talus or rocker bottom foot is characterized by a convex rounded bottom of the foot and the heel . It is a rare deformity, the cause is unknown.
If you early treat this deformity , you may have chance to obtain a best growth of the foot. Otherwise, the deformity will be worse with the growth.
The diagnostic is confirmed par X-ray and clinical examination
The rehabilitation consists in muscular stretching, immobilization of foot with a splint. Regular consultation with an orthopedist is essential to follow up the foot evolution. In most cases, the functional result is correct, the recurrence is rare and the physiotherapy reduces an invasive surgery.
Talipe equinovarus or club foot is a common congenital deformity whose the cause is unknown. It has diagnosed during the pregnancy and has to be treated from the birth. The affected foot appears to have been rotated internally at the ankle. Without treatment, the child will walk on their ankles. It involves one foot or both.
Nowadays, two physiotherapy treatments exists the “Ponsetti” or “French”method, I use the last one. The child's foot is gradually stretched to achieve the right position 3 to 5 times/ week at the beginning, being held in place with foot support and splint after stretching. The latest studies have shown that this functional treatment minimise the need for extensive surgery.
Your baby has to be followed regularly by a paediatric surgeon. It is a long process until the end of growth. The French method allows to treat and follow up your child, has a good result and can detect the recurrence or worsening during the growth.