Treatment | Surgical
Treatment for Talipes is varied, and will
depend on both your child and your doctor.
The Ponseti method is becoming much more
accessible in the UK, and is certainly worth
Strapping and physiotherapy
- This is the method we first tried with
Bethany, and was very common at the time. Strips of adhesive strapping are passed
around the foot, up the sides of the leg,
and over the top of the knee, to hold the
foot in a corrected position. This is usually
done weekly, following some physiotherapy.
This can be useful for fairly mild cases,
and did in fact correct her left foot.
Generally though, it tends to be ineffective after about
3 months. By this time the kicks are so strong
that the strapping stretches very quickly,
and is also liable to come off.
Plaster fixation - The surgeon
manipulates the foot into position, and holds
it in place with plaster. In the UK the
plasters tend to stay on for about 4 weeks,
whereas in the US, they are changed weekly.
This was once the most common treatment in the
Ponseti Method - When Bethany was being
treated, this method was becoming more common
in the US, but there were only one or two
doctors practicing it in the UK. Since then,
that situation has changed. It involves
regular casting, followed by the wearing of a
splint. This splint may be needed at night for
2 to 4 years, which makes this a long term
treatment, that needs to be followed by both
parent and child. However, as it replaces the
need for surgery, it is often a method
preferred by parents.
here are a good place to start. The
message board on this site has details of some
of the doctors using this method.
- There are different types of splint available,
with the most popular being an Ankle Foot Orthosis (AFO). These may be worn just at
night, or for most of the time.
Physio Method - A technique pioneered in France,
and used in certain places in the US. At this
present time, I am not aware of it being used
in the UK. An article can be found here.