Clubfoot is a congenital defect that affects around 1 in 800 newborns, causing the foot to twist inward and downward. Although its appearance can be alarming, with early intervention and the right treatment, children with clubfoot can live active, healthy lives.
The most visible sign of clubfoot is the abnormal shape and positioning of the foot. The foot points downward and inward, resembling the shape of a golf club—hence the name. There are an equal number of bilateral and unilateral cases, though some data suggest a predominance of unilateral cases. Other symptoms include an underdeveloped calf muscle and a shorter Achilles tendon, which makes the foot less flexible. Despite these symptoms, clubfoot itself isn’t painful for infants.
When it comes to treatment, the earlier it's started, the better the outcomes. The most effective and widely accepted methods for treating clubfoot is the Ponseti method, a non-surgical approach that involves gentle manipulation of the foot and a series of plaster casts. This method gradually corrects the foot’s alignment over a period of weeks. Once the desired position is achieved, a small procedure called a tenotomy may be needed to release the tight Achilles tendon.
After the initial correction, maintaining the corrected position is crucial. This is done using a brace called a foot abduction brace, which is worn for 3-4 years. While most cases are successfully treated with the Ponseti method, more severe cases may require surgical intervention.
At the Anushkaa Foundation for Eliminating Clubfoot, we are dedicated to helping children with clubfoot access early intervention and the right treatment. Through our programs, we work closely with families, healthcare professionals, and local communities to ensure children receive the care they need. Our Program Executives (PEs) provide ongoing support to families, reminding them about appointments and helping them navigate the treatment process. By ensuring consistent follow-up care, we give children the best chance for a future free from the limitations of untreated clubfoot.
With awareness and timely action, clubfoot can be effectively treated, allowing children to walk, run, and thrive.