Lybrate.com has an excellent community of Pediatricians in India. You will find Pediatricians with more than 35 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Monika
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. MonikaYour feedback matters!
What You Need to Know About Clubfoot?
Clubfoot most often presents at birth.
Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under.
Clubfoot is twice as common in boys.
Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.
Children with clubfoot should be able to take part in regular daily activities once the condition is treated.
What is clubfoot?
Clubfoot is a foot deformity classified into three different types: idiopathic (unknown cause), neurogenic (caused by condition of the nervous system) and syndromic (related to an underlying syndrome).
Also known as talipes equinovarus, idiopathic clubfoot is the most common type of clubfoot and is present at birth. This congenital anomaly is seen in one out of every 1,000 babies, with half of the cases of club foot involving only one foot. There is currently no known cause of idiopathic clubfoot, but baby boys are twice as likely to have clubfoot compared to baby girls.
Neurogenic clubfoot is caused by an underlying neurologic condition. For instance, a child born with spina bifida A clubfoot may also develop later in childhood due to cerebral palsy or a spinal cord compression.
Syndromic clubfoot is found along with a number of other clinical conditions, which relate to an underlying syndrome. Examples of syndromes where a clubfoot can occur include arthrogryposis, constriction band syndrome, tibial hemimelia and diastrophic dwarfism.
What are the signs and symptoms of clubfoot?
In a clubfoot, the Achilles tendon is too short, causing the foot to stay pointed — also known as “fixing the foot in equinus.” The foot is also turned in and under. The bones of the foot and ankle are all present but are misaligned due to differences in the muscles and tendons acting on the foot.
What are the risk factors of clubfoot?
The treatment for clubfoot consists of two phases: Ponseti serial casting and bracing. Treatment is always necessary, because the condition does not get better with growth.
Ponseti Serial Casting
The Ponseti technique of serial casting is a treatment method that involves careful stretching and manipulation of the foot and holding with a cast. The first cast is applied one to two weeks after the baby is born. The cast is then changed in the office every seven to 10 days. With the fourth or fifth cast, a small in-office procedure is also needed to lengthen the Achilles tendon. This is done using a local numbing medicine and small blade. Afterward, the baby is placed into one last cast, which remains on for two to three weeks.
Bracing for Clubfoot
While the casting corrects the foot deformity, bracing maintains the correction. Without bracing, the clubfoot would redevelop. The day the last cast is removed, the baby is fit in a supramalleolar orthosis with a bar. These braces are worn 23 hours a day for two months, then 12 hours a day (naps plus nighttime) until kindergarten age.
Life after Treatment of Clubfoot
A well-corrected clubfoot looks no different than a normal foot. Sports, dance and normal daytime footwear are the expectations for a child born with a clubfoot. This condition will not hold a child back from normal activities.
1. Constant Companionship
Although childhood isn't always easy, having a pet provides constant companionship through the ups and downs. Dogs can be a great source of comfort for kids — even when they're coming to grips with difficult life lessons. Whenever kids feel sad, angry, or afraid, they can always turn to their pet. Petting and cuddling dogs has also been shown to relieve stress and help people relax.
2. A More Active Lifestyle
Caring for a dog also encourages a more active lifestyle. In fact, a recent study showed that kids with dogs exercise eleven minutes a day more than their non-dog owning peers. That might not sound like a lot, but over a week or month, it really adds up. Many dogs require daily walks or runs and plenty of play time. Those adorable puppy eyes they give you are sure to motivate you — even when you're not feeling up to it.
3. Learning Responsibility
Having a pet is a great way to teach responsibility to kids. Making sure that the family dog has food and water gives children a first glimpse of accountability and obligation. Children also learn empathy and compassion by caring for their pet, while developing a higher level of self-esteem by taking care of their pet-owning responsibilities.
4. Health Is Wealth
Recent studies have found that babies raised in close contact with a pet get sick less often in their first year of life, meaning fewer visits to the doctor's office. Exposure to pet dander and the microbes that pets carry into the home from the outdoors is suggested to improve babies' developing immune systems. Research has also found that children who grow up with dogs experience a reduced risk of allergies.
5. Don't Worry, Be Happy!
Perhaps one of the greatest benefits of dogs in early childhood is simply that they make children happy! Interaction with animals has been proven to raise levels of serotonin and dopamine, which are the chemical building blocks of positive feelings. All science aside, playing and interacting with dogs is just plain fun — and it's bound to brighten any kid's day.