Conditions we treat
We use the Ponseti method of treating club feet (also known as talipes, CTEV or talipes equinovarus). The Ponseti method is a technique to straighten the feet, which has been successfully used for over 45 years.
The treatment manipulates the bones and stretches the contracted tissues of the foot. The foot is held in place with a plaster cast. The cast is left on for seven days and then changed in clinic. This allows enough time for the muscles and ligaments to relax and for the bones to grow into the corrected position. Towards the end of cast treatment your child will undergo a small procedure to release the Achilles tendon. In small babies, this is usually done under local anaesthesia in clinic.
Once your child’s feet have been corrected, you will need to maintain the correction using a brace called “boots and bar”.
More information on the Ponseti method can be found on the STEPS website and in our information booklet.
If you have been seen prior to your baby’s birth for clubfeet (pre-natal counselling), and wish to inform us of your baby’s birth, please call Jo Shaw on 07950 888466 or Julie Keeley on 0116 258 5756. Congratulations on the birth of your baby!
If your child needs the next size up for your boots or bar, please contact Jo Shaw on 07950 888466 or firstname.lastname@example.org so that we can order them.
Developmental Hip Dysplasia
Another common condition we treat is DDH (also known as developmental dysplasia of the hip, dislocated hip or clicky hips). The treatment for this condition depends on the age at which the diagnosis is made. In babies treatment is often successful with a harness (Pavlik harness). In infants and pre-school children some form of surgery is nearly always required.
If your GP or midwife is concerned about your baby’s hips you will be referred for an ultrasound either in the radiology department or in the clinic. If needed treatment with the harness will be started, it is usually possible to start treatment on the day you are seen.
If your child is in a harness and you have a concern, please contact our secretary Julie Keeley on 0116 258 5756 and she will be able to pass a message on to the clinical team.