Clubfoot
Clubfoot, also known as talipes equinovarus, is a structural condition present at birth that affects the bones, muscles, and tendons of one or both feet. In most cases, the foot appears twisted, with the heel turned inward and the toes pointing downward. Without treatment, a child with clubfoot will likely have difficulty walking normally.
The good news: with prompt and proper treatment from Iowa Ortho’s pediatric orthopedic team, children born with clubfoot can grow up to walk, run, and play just like their peers.
What Causes Clubfoot?
The exact cause of clubfoot isn’t fully known, but several factors may contribute:
- Genetic predisposition
- Neuromuscular disorders
- Abnormal development of muscles, bones, or tendons in the womb
Clubfoot occurs in about 1 in every 1,000 live births and is more common in boys. It may occur as an isolated condition or alongside other syndromes.
Signs and Symptoms
- The foot (or feet) is twisted inward and downward
- Calf muscles may appear smaller on the affected side
- The foot may be shorter than normal
- Stiffness or limited range of motion in the ankle or foot
- Typically not painful at birth
How Is Clubfoot Treated?
The gold standard treatment for clubfoot is the Ponseti method, a non-surgical approach that gradually corrects the foot’s alignment.
The Ponseti Method Includes:
- Gentle stretching and casting over a period of several weeks
- A minor outpatient procedure to lengthen the Achilles tendon (if needed)
- Wearing a brace (boots and bar) for several months full-time, then part-time for several years
The goal is to guide the growing foot into the correct position without invasive surgery.
In rare or complex cases, surgery may be needed to release tight tendons or realign the foot further.
Long-Term Outlook
When treated early and properly, most children with clubfoot grow up with feet that function normally. Regular follow-up visits and brace compliance are important to prevent recurrence.
Why Choose Iowa Ortho?
At Iowa Ortho, our orthopedic specialists have extensive experience in treating clubfoot in infants and children. We work closely with families throughout every stage of treatment—offering support, education, and expert care to ensure the best outcome for your child’s future mobility.