What is clubfoot?

What is clubfoot?

Mohammad Yousefi Chiraghi
Mohammad Yousefi Chiraghi
Karaj

What is clubfoot?

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What does Clubfoot mean?

One of the common questions of parents is what is clubfoot and why is this term used for a foot disease. In fact, Clubfoot is an English word that consists of two parts: Club meaning bent or fake and Foot meaning foot. This term well indicates the abnormal shape of the baby's foot in this condition; Because instead of being straight and facing forward, the foot turns inwards or downwards and becomes bent.

When it is said What does clubfoot mean, it means a kind of congenital malformation in the foot that is formed since the development of the fetus in the mother's womb. This condition affects not only the bones but also the ligaments and tendons of the foot and causes the foot to lose its natural flexibility. As a result, the baby cannot put its legs in a normal position after birth.

The appearance of the foot affected by clubfoot usually has the following characteristics:

  • The sole of the foot is inclined inward or downward.
  • In many cases, the leg is shorter than the healthy leg.
  • The ankle has little flexibility and is stiff.
  • In severe cases, the sole of the foot turns upwards or even towards the leg.

When families want to know what is clubfoot, they often worry about their child's future. It should be said that although this disease seems serious at first glance, fortunately it is treatable. The golden point is that the treatment should start in the first months of life. The Ponseti method, which is the world standard today, includes successive casts and the use of braces. In some cases, there may be a need for limited surgery.

Club foot itself is not painful, but if left untreated, it can cause serious problems in the future. A child whose legs are not corrected has to use the side of the leg when walking. This issue will gradually change the shape of the joints, chronic pains and movement restrictions.

In short, the answer to the question What does clubfoot mean is this: Clubfoot is a congenital malformation of the foot that causes the baby's foot to deviate from its normal position and turn inward or downward. If early treatment is done, the child can have normal activities like others in the future.

Learn more:

What is the meaning of clubfoot?

When parents or patients are asked what is clubfoot, the simple answer is this: clubfoot is a congenital deformity of the foot that causes the sole of the foot to turn inward or upward instead of lying flat. For this reason, its Persian term is Pachenbari.

This English word Clubfoot is a combination of two words club meaning "club or crooked" and foot meaning "foot". In fact, it is a description of a picture of a foot that has gone out of its normal state and has found an unusual shape.

The important point is that clubfoot never means permanent disability. Although the appearance of the foot is alarming at first, this condition can be completely corrected with proper treatment, especially the Ponseti method. After treatment, most children can run, play and lead a normal life like others.

Simply put, when we ask what does clubfoot mean, the answer is:

  • A congenital deformity of the foot
  • Usually visible from birth
  • Treatable and fixable

Therefore, rather than being a "scary disease", clubfoot is a modifiable disorder that can be cured with timely care.

What is club foot?

When we talk about what is clubfoot, we mean a congenital malformation of the foot that is clearly visible at the time of birth. In this disease, instead of being in a smooth and normal position, the baby's foot turns inwards or downwards and has an unusual appearance. The term "clubfoot" in Farsi is equivalent to Clubfoot in English, and both refer to the same disease.

Ankylosing spondylitis can involve one or both legs. In unilateral cases, one leg is abnormally shaped, while the other leg is normal. In the bilateral case, both legs are deformed, which usually causes more concern for parents. This disorder is formed during the development of the fetus in the mother's womb and has nothing to do with the behavior or lifestyle of the parents after birth.

The salient features of ankle foot or club foot are:

  • The sole of the foot is inclined inward or downward.
  • The leg looks shorter and smaller than usual.
  • The ankle is stiff and has little flexibility.
  • In severe cases, the sole of the foot may roll almost upwards or towards the lower leg.

Although the appearance of this disease seems scary at first, it should be noted that clubfoot is not painful at the time of birth. The baby does not suffer from this problem, but if the treatment is not done, it will have many problems in the future. When learning to walk, the affected child cannot put his feet on the ground naturally and has to move on the side of the foot or even on its unnatural surface. This issue causes pain and deformity in the knee and hip joints and ultimately affects the quality of life of a person.

The good news is that clubfoot is treatable. The universal standard method for treatment is the Ponset method. This method includes consecutive casts in the first weeks of life and then using a brace. In most cases, this method yields excellent results. In some severe cases, there may be a need for limited surgery to repair the tendons.

Consequently, when we ask what is clubfoot, we should know that it is a congenital foot disease that, fortunately, can be completely corrected with timely treatment and proper follow-up.

What is the fetus club?

Sometimes parents ask the question during pregnancy, What is clubfoot of the fetus and how can it be identified. The clubfoot of the fetus is actually the clubfoot that was formed before birth, during intrauterine growth. This problem is known as a congenital malformation of the foot and is caused by the abnormal growth of the bones, tendons and ligaments of the foot during pregnancy.

Diagnosis of fetal clubfoot is usually possible in three-dimensional or four-dimensional ultrasounds in the middle months of pregnancy. In these images, the doctor can see the angle and condition of the fetus's legs and, if there is a deviation, suggest the possibility of clubfoot. However, some mild cases may not be detected on ultrasound and may be diagnosed only after the baby is born.

What is clubfoot? This is a deformity in the foot that causes the sole of the foot to tilt inward or downward. This condition can affect one leg or both legs. In the bilateral case, the severity of parents' concern increases, but it should be emphasized that treatment is possible even in this situation.

The point that parents should know is that the stillbirth club in no way means permanent disability or incurable disability. Medical advances in the field of pediatric orthopedics, especially the Ponseti method, have made it possible to successfully treat this disease. By starting the treatment immediately after birth, the child's foot will be gradually corrected and he will be able to walk and have normal activities like other children in the future.

Sometimes parents are worried about what is the cause of this problem. It should be said that in most cases, the exact cause is not known. Some theories consider genetics to be effective, while others consider environmental factors to be involved. But what is important is that Fetal death club is not the fault of the parents and it cannot be definitely prevented. All that needs to be done is to prepare for early postnatal treatment.

In short, the answer to the question What is fetal clubfoot is this: a congenital malformation of the foot that occurs during pregnancy, and with timely diagnosis and proper treatment, it can be completely corrected.

What is two-way clubfoot?

When we talk about bilateral clubfoot, it means that both feet of the baby are involved in this deformity. Unlike unilateral clubfoot, in which only one leg is deformed, in the bilateral type, both legs are out of normal shape, and this usually causes more concern for parents.

Bilateral clubfoot appears in such a way that both feet are turned inward or downward, and the soles of the feet are not properly placed on the ground. In this case, the legs may appear shorter than normal and the wrists may be stiffer. The severity of this deformity in both legs can be similar or different.

What is bilateral clubfoot? Children with this type, without treatment, cannot walk normally and will have many problems in the future, such as knee and hip deformities, chronic pain, and even movement restrictions.

Diagnosis of bilateral clubfoot is usually easy at the moment of birth, and in some cases it is even identified in prenatal ultrasounds. Parents should know that although the appearance of this problem is worrying, fortunately there are effective treatment methods for it.

The global treatment standard is the Ponseti method, which includes successive casts and then the use of braces. In bilateral clubfoot, the treatment may take a little longer, but the results will be just as successful. In certain cases, limited tendon surgery can also help correct the foot.

In general, bilateral clubfoot, if treated on time and with regular follow-up, will not hinder the child's normal development. After correction, children can run, play and live a normal life like their peers without any problems.

What is the cause of clubfoot?

One of the common questions of families is what is the cause of clubfoot and why such a problem occurs in a baby's foot. The fact is that the exact cause of clubfoot has not yet been definitively determined. But research shows that a combination of genetic and environmental factors can play a role in the occurrence of this disorder.

One of the theories is that clubfoot is caused by the abnormal growth of tendons and ligaments during the fetal period. In this case, the tendons around the ankle are shorter than usual, and this causes the foot to pull inward or downward.

The genetic factor is also very prominent. If there is a history of clubfoot in the family, the probability of its occurrence in the baby increases. Of course, this does not mean that the transfer is certain, but only the risk increases.

Some environmental factors may also play a role, such as:

  • restriction of fetal movement in the uterus (due to lack of amniotic fluid or abnormal position of the uterus)
  • Some neuro-muscular problems
  • Using some drugs during pregnancy (rarely of course)

The important thing is that parents should not blame themselves. In most cases, the exact cause of clubfoot is not known and has nothing to do with the mother's behavior during pregnancy.

Therefore, the answer to the question What is the cause of clubfoot is this: a set of genetic and environmental factors can play a role in its occurrence, but there is no definitive and single reason for it.

What is the cause of clubfoot?

When we ask what is the cause of clubfoot, we mean the cause of the change in the shape of the foot itself. As mentioned, one of the most important reasons is the abnormal growth of muscles, tendons and bones of the legs during pregnancy.

In a normal foot, there is a balance between internal and external muscles and tendons. But in the foot with clubfoot, the medial tendons become shorter and stiffer, pulling the bones inward. This issue causes the abnormal rotation of the foot.

In short:

  • Tendons and ligaments: are short and tight.
  • Bones: grow abnormally.
  • Muscles: become weak or imbalanced.

These changes together make the foot unable to be in a smooth and natural position.

Many parents worry if something they did during pregnancy caused this problem or not. The answer is negative. The cause of clubfoot usually comes from internal and genetic factors and has nothing to do with parents' lifestyle.

For this reason, the most important action after birth is to focus on treatment so that the child's foot gradually improves.

Causes of clubfoot

When we talk about the causes of club foot, we mean a set of possible factors that can contribute to the occurrence of this disorder. Some of the most important causes are:

  1. Genetics: Family history is one of the strongest risk factors. If one of the parents or close relatives has clubfoot, the probability of the child's disease increases.
  2. Neuro-muscular problems: In some children, problems such as spina bifida or spinal disorders can be associated with clubfoot.
  3. Environmental factors: A lack of amniotic fluid or abnormal pressure on the fetus in the womb may limit the movement of the legs and, as a result, change their shape.
  4. Abnormal growth of tendons: The shortening and stiffness of the tendons around the ankle is one of the most important direct causes of foot deformity.

Despite these factors, it should be emphasized that in many cases, there is no known exact cause and clubfoot occurs as a congenital disorder without a known cause.

Is clubfoot hereditary?

One of the important questions of families is Is clubfoot hereditary? The answer is: Yes, in some cases, there can be a hereditary and genetic background. If one of the parents or family members has this disease, the probability that the child will be born with this problem increases.

However, clubfoot being hereditary does not mean that the transfer is 100%. Even in families with no history of clubfoot, a baby may be born with this problem. Therefore, genetics is only one of the risk factors and is not the definitive cause.

According to the research, if one of the parents has club foot, the probability of the child will be about 4%. If both parents are affected, this probability increases to about 15%.

In short:

  • Clubfoot can be hereditary.
  • But in many cases it occurs without any family history.
  • Having a family history only increases the risk of infection.

Therefore, parents should not only worry about family history, but should focus on early diagnosis and timely treatment.

What are the symptoms of athlete's foot?

It is very important to know what are the symptoms of athlete's foot for early detection. The most important symptoms of this disease are:

  • The foot or both feet are turned inwards or downwards.
  • The sole of the foot cannot be placed flat on the ground.
  • The leg is seen shorter and smaller than the normal leg.
  • The ankle is stiff and has little flexibility.
  • In severe cases, the sole of the foot rotates upwards or towards the leg.

These symptoms are usually visible at the moment of birth and no special test is needed for diagnosis. Doctors can easily identify the disease based on physical examination.

If these symptoms are ignored and treatment is not started, more problems will appear in the future. When walking, the child is forced to move on the side of the leg or its abnormal part, which over time causes pain, changes in the shape of the bones, and movement restrictions.

Types of clubfoot

Club foot is divided into several types depending on the severity and cause:

  1. Idiopathic clubfoot (congenital): It is the most common type and occurs without a specific cause. The foot is deformed from the very beginning of birth.
  2. Secondary foot club (nerve-muscular): This type is caused by other problems such as spina bifida or cerebral palsy and is usually more severe.
  3. Positive Foot Club: It is caused by the abnormal position of the fetus in the womb or mechanical pressure. It is usually milder and easier to treat.

Knowing the types of clubfoot helps to choose the appropriate treatment method.

About the syndrome Baby Digital More Know

Can clubfoot be treated?

The important question of parents is Can clubfoot be treated? Fortunately, the answer is yes. Today, with medical advances, almost all children with clubfoot can have normal feet with proper treatment.

The main method of treatment is the Ponseti method, which is known as the gold standard all over the world. This method includes weekly casts and then using a brace. In more than 90% of cases, this method is successful.

In more severe cases or if the disease returns, limited surgery may be required. But in general, clubfoot is a treatable disease and does not limit the child's future.

Does Clubfoot have a cure?

When parents ask is there a cure for clubfoot, their concern is natural. The answer is clear: yes, this disease has a cure. Treatment should begin in the first weeks of life, because at this time bones and tendons are softer and easier to repair.

Treatment includes consecutive casts, use of braces and in some cases limited surgery. The success of the treatment is very high and if the families cooperate, the results will be permanent.

Club foot treatment methods

The main methods of treatment are:

  1. Ponseti method: the most common and successful method, including cast and braces.
  2. French method (physiotherapy): including continuous stretching and physiotherapy.
  3. Surgery: in severe cases or resistant to non-surgical treatments.

Each method is chosen according to the child's condition, but the Ponseti method has excellent results in most cases.

When should treatment for clubfoot be started?

The best time to start treatment is the first few days after birth. At this time, the bones are soft and the foot is easily corrected. If the treatment is started later, it is still possible to correct, but it will take more time.

Therefore, it is recommended that as soon as clubfoot is diagnosed, families should go to an orthopedist and start treatment.

Learn more: What should we do with a stubborn child?

Ponseti treatment

Ponseti method is the most reliable and effective method of clubfoot treatment. This method includes:

  • Weekly casts for gradual correction of the foot
  • A small Achilles tendon surgery (in some cases)
  • Using a brace to prevent the disease from returning

The advantage of this method is that it is non-invasive and is successful in more than 90% of cases.

How does clubfoot work?

When non-surgical methods do not work, the doctor recommends clubfoot surgery. In this procedure, the tendons and ligaments are released or stretched so that the foot is in a normal position. The operation is usually done in infancy or early childhood, and then plaster and braces are used for some time.

What is clubfoot surgery?

Club foot surgery means surgical intervention to correct foot deformity. This surgery usually involves releasing the tendons, realigning the bones, and rebuilding the ligaments. Although the Ponseti method is used more today, surgery is still an important option in resistant cases.

Ankle surgery

The term ankle surgery is the same as club foot surgery. This operation can be limited (to release a tendon) or extensive (to correct bones). After the surgery, the child should wear a cast for a while and then use a brace.

Is it possible to prevent athlete's foot?

One of the common questions of parents is Is it possible to prevent athlete's foot? The answer is, unfortunately, no. Because clubfoot is a congenital disorder and its exact cause is not known, there is no definite way to prevent it.

However, measures such as proper care during pregnancy, performing periodic ultrasounds and visiting a specialist doctor in case of abnormal symptoms can help in early diagnosis. The most important thing is that prompt treatment of clubfoot is started after birth so that the baby has a healthy future.

Relationship between club foot and occupational therapy, speech therapy and rehabilitation

Club foot is a congenital disorder of the foot that changes the shape and restricts the movement of the foot. Clubfoot treatment usually includes orthopedic procedures such as casts, braces and, in severe cases, surgery. But in order to achieve better results and maintain the child's normal movement function, occupational therapy plays a very important role.

Occupational therapy for children with clubfoot includes targeted exercises to increase ankle flexibility, strengthen leg muscles, and modify walking patterns. These exercises help the foot regain its normal function after the original treatment (such as the Ponseti method or surgery) and reduce the likelihood of recurrence. Occupational therapists also teach parents how to continue the exercises at home so that the child's feet develop properly.

The best occupational therapy in Karaj

Although speech therapy is not directly related to foot correction, speech therapy can help in children who start walking later due to motor problems. In this way, by improving general movement skills and increasing the child's self-confidence, his ability to interact with the environment and verbal learning is strengthened. Therefore, speech therapy indirectly helps the full development of the child.

The best speech therapy in Karaj

Physical rehabilitation or physiotherapy is also an important part of the clubfoot treatment program. Physiotherapy includes stretching exercises, massage and movement exercises that increase the flexibility and strength of leg muscles. These methods are very important after cast or surgery to prevent muscle stiffness, correct the step and strengthen the leg muscles.

The combination of these methods - occupational therapy, rehabilitation and sometimes speech therapy - makes the child with clubfoot:

  • have more flexible and stronger legs
  • have a natural and balanced gait
  • reduce the possibility of recurrence or the need for repeated treatments
  • Increase his self-confidence and movement independence

As a result, the treatment of clubfoot is not only limited to casting or surgery; A comprehensive program of rehabilitation and occupational therapy can significantly improve the quality of life of the child and prepare him for daily activities.

The best rehabilitation in Karaj

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