Clubfoot

Clubfoot is a common birth condition where a baby’s foot twists downward and inward, making it look like it’s turned in the wrong direction. At Konigsberg Pediatric Orthopaedics in Midland Park, New Jersey, David Konigsberg, MD, is an expert pediatric orthopaedic surgeon who can help. While it may look concerning, clubfoot is treatable, especially when care begins early. With the right approach, most children grow up to walk, run, and play without any limitations. Learn more by calling the office for an appointment or book online today.

What is clubfoot?

Clubfoot is a congenital condition in which a baby’s foot gets twisted out of its normal position. The foot often turns inward and downward, affecting the muscles, tendons, and bones. It’s present at birth and can occur in one or both feet. 

Without treatment, a child with clubfoot may have difficulty walking normally. However, with early care by Dr. Konigsberg, most children lead active, healthy lives.

Is clubfoot a health concern?

Yes, clubfoot is a health concern, but it's treatable. If left uncorrected, it can lead to long-term issues, such as:

• Pain
• Difficulty walking
• Balance issues
• Mobility problems

A child might walk on the sides or tops of their feet if the foot remains deformed. Fortunately, most cases aren’t painful at birth, and the outcomes are excellent with Dr. Konigsberg’s timely treatment.

What causes clubfoot?

The exact cause of clubfoot isn’t always known. It may be related to genetics or environmental factors that affect development in the womb. 

Clubfoot can occur as an isolated condition or as part of a syndrome involving other musculoskeletal or neurological issues. It’s more common in boys than girls and may run in families. There’s no evidence that anything a mother does during pregnancy causes clubfoot.

How is clubfoot treated?

Treatment for clubfoot typically begins shortly after birth. The most common and effective method is the Ponseti method, a gentle and nonsurgical approach. It involves:

Serial casting

Using a series of casts changed weekly,  the baby’s foot gradually moves into a better position.

Achilles tenotomy

A minor procedure to release a tight tendon at the back of the ankle.

Bracing

After correcting the foot, the child must wear a special brace (boots and bar) to keep the foot in the proper position and prevent recurrence. Bracing continues for several years, usually during naps and at night.

In rare or severe cases, Dr. Konigsberg may need to perform surgery to adjust tendons, ligaments, or joints. Children with clubfoot typically grow up with strong, functional feet and lead active lives when they receive consistent treatment and follow-up care.

If you have questions or concerns about clubfoot, make an appointment at Konigsberg Pediatric Orthopaedics today by phone or online.