Harvey R. Danciger, DPM
74-000 Country Club Drive, Suite A-2
Palm Desert, CA 92260
(760) 568-0108
Clubfoot
Understanding the different kinds of problems with your feet is the best way to prevent and treat them. We believe our patients make the best decisions by being fully informed. Our patient library is an excellent learning tool for understanding all kinds of foot conditions, injuries, diseases, and deformities. It's also a great resource for answers to common questions like, "What should I look for in a shoe?", "How can I stretch my feet?", or "How can I prevent ingrown toenails?"
Browse through our library by using the tool bar on the right side of this page.
Not only can you find valuable information in our patient library, but we also provide excellent information on our blogs every week. By following us on twitter or checking out our facebook page, you can also follow links to interesting foot-related issues and see what others are saying about feet.
As always, you can contact our office to answer any questions or concerns.
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"The best way to take care of your feet and ankles is to have the information you need. That's why I'm making this book available to anyone who requests it"
- Dr. Harvey Danciger
Clubfoot is one of the most common, non-life threatening, major birth defects among infants globally. Approximately one in every 1,000 newborns has clubfoot. Of those, one in three have both feet clubbed. The exact cause is unknown. Two out of three clubfoot babies are boys. Clubfoot is twice as likely to occur if one or both parents and/or a sibling has had it. Less severe infant foot problems are often incorrectly called clubfoot.
Clubfoot twists the heel and toes inward. It often appears like the top of the foot is on the bottom. Additionally, the clubfoot, calf, and leg are smaller and shorter than normal. When clubfoot is detected at birth, it is not painful and is correctable.
The goal of treating clubfoot is to make the infant's clubfoot (or feet) functional, painless, and stable by the time he or she is ready to walk. Serial casting is the process used to slowly move the bones of a clubfoot into the proper alignment. The doctor starts by gently stretching the child's clubfoot toward the correct position. A cast is put on to hold the foot in place. One week later, the cast is removed, the baby's foot is stretched a little farther toward the correct position, and a new cast is applied. X-rays are used throughout the process to check on progress toward proper foot alignment. Casting generally repeats for 6-12 weeks, and may take up to 4 months.
About half the time, clubfoot straightens with casting. Once the proper foot alignment is achieved, the child is fitted with special shoes or braces to keep the foot straight once corrected. These maintenance devices are used until the child has been walking for up to a year or more. Muscles for children with clubfoot commonly try to return to the clubfoot position; a regular occurrence among 2 and 3 year olds, but a condition that may continue up to age 7.
In some cases, stretching, casting, and bracing is not enough to correct clubfoot. Surgery may be required to adjust the tendons, ligaments, and joints in the foot and ankle.
