What is the initial treatment for clubfoot?

The initial treatment for clubfoot, also known as talipes equinovarus, is stretching and casting. This method is part of a technique called the Ponseti method, which is widely recognized for its effectiveness in correcting clubfoot deformities.

In this approach, gentle manipulation of the foot is conducted to gradually stretch the soft tissues. After each manipulation, a series of casts is applied to maintain the corrected position of the foot. Typically, casting is done weekly for several weeks, allowing for gradual correction of the abnormal positioning.

This non-surgical method is preferred because it is less invasive, promotes proper development of the foot and ankle, and has been shown to have good long-term results in most cases. Following the casting phase, patients often require bracing to prevent recurrence, but this initial phase of treatment is crucial for optimal outcomes.

The other treatment options, such as surgery, orthotics, and physical therapy, are either not the first-line treatment or are used as adjuncts or alternatives in more severe or resistant cases. Surgery is usually considered later, if conservative measures do not yield the desired results.