Today, Andy and I went to our much awaited orthopedic pediatrician appointment. Since the identification of club feet at 18 weeks Andy and I have felt anxious about our little man's first few years of life, and how this condition will affect him. Andy copes by waiting for the doctors to inform us, I however search the web and play worst case scenario in my head. Whatever the best method is, we were equally excited to meet and talk to Dr. Esposito, who put us at ease. Some of our Q and A.
Q1. What is the cause of club feet.A1. There are some indications that it may be genetic but it can also be linked to baby's position while in the uterus. An Iowa doctor has spent nearly 25 years trying to determine a cause but is retiring soon without finding a conclusive answer.
Q2. Is club feet a bone or ligament condition?A2. Both. One of the bones in the foot, which is naturally curved, develops with a more severe turn. Additionally the ligaments of those who have club feet tend to be thicker and tighter.
Q3. What will be the process of correction?A3. 4-6 weeks of hard casts, thigh high.*
3 months of 24/7 prosthetic shoes.**
3 years of night time prosthetic shoes.
*There is the possibility that during or after the casting he will need a minor surgery in which his Achilles tendon is cut to allow for easier stretching.
**This time period poses an additional possibility of a tendon (or maybe it was ligament?) replacement surgery, followed by 6 more weeks of casts.
Q4. How long have you been preforming this procedure?A4. Though he has been correcting club feet for some time longer, he was trained in the Ponseti Method five years ago. Since his training he has found this to be the most effective means of correction.
For more information on the Ponseti Method please visit:
http://www.uihealthcare.com/topics/medicaldepartments/orthopaedics/clubfeet/