New Jersey Clubfoot Specialists

What Causes Clubfoot in Children?

Clubfoot is a congenital disorder that occurs when the tendons and muscles connecting a baby’s heel to the leg are shorter than usual, causing the foot to turn inward. This condition affects approximately 7 in 1,000 children in the United States, and boys are twice as likely as girls to be born with clubfoot. It can affect one or both feet, and in some cases, it is associated with neuromuscular disorders. Clubfoot can also run in families, increasing the likelihood of a child being born with this condition.

While the exact cause of clubfoot is still debated, factors such as genetics, maternal smoking, drug use during pregnancy, low amniotic fluid, and maternal age have been linked to a higher incidence.

Early diagnosis, even in utero via ultrasound, allows parents to explore treatment options and plan accordingly. Scheduling a consultation with a pediatric orthopedic surgeon before the baby is born can help families understand the nonsurgical methods available to treat clubfoot in children, though most treatments begin after birth.

What Are the Early Signs of Clubfoot?

Clubfoot is typically present at birth and is often diagnosed shortly afterward. In some cases, it may also be detected during prenatal ultrasounds. Common signs of clubfoot include:

• – The foot or feet turning inward.
• – The affected foot may appear shorter than the other by about ½ inch.
• – Calf muscles in the affected leg may be smaller than usual.

Because clubfoot is a congenital disorder that is easily recognizable, pediatricians can visually diagnose it or use imaging techniques like X-rays to confirm. Early detection ensures that treatment can begin as soon as possible, improving the child’s mobility and quality of life.

When Should I See a Pediatric Orthopedic Surgeon?

If your child is born with clubfoot or if it is detected during a prenatal ultrasound, it’s essential to schedule a consultation with a pediatric orthopedic surgeon. Early intervention greatly increases the success of nonsurgical methods, such as the Ponseti method, which minimizes the need for surgery later on.

Dr. Mark Rieger, the only physician in New Jersey currently listed on the Ponseti webpage, was the first in the state to use the Ponseti method for clubfoot treatment. This approach involves gentle stretching of the child’s foot and securing it in a series of plaster casts to gradually correct the deformity. Meeting with a specialist before birth provides families with the knowledge needed to confidently navigate treatment from the moment their child is born.

Early Intervention & Treatment for Clubfoot

Treating clubfoot early, ideally within the first few weeks after birth, is crucial for optimal outcomes. If left untreated, clubfoot can lead to significant mobility issues later in life. Early intervention helps the child’s foot develop normally, and most cases can be corrected without surgery.

The Ponseti Method: Nonsurgical Treatment for Clubfoot

The Ponseti method is the gold standard for treating clubfoot in children using nonsurgical methods. This minimally invasive approach involves a series of casts, where gentle stretching is applied to the child’s foot and secured in a plaster cast. The cast is removed and replaced each week to continue the correction process. Most children with clubfoot require about six weeks of casting to achieve proper foot alignment.

Sometimes, a minor procedure may be necessary to lengthen the Achilles tendon. After the series of casts, the child will need to wear a brace during naps and nighttime until about age four to maintain the correction and prevent relapse. Cast technicians are vital in ensuring the casting process is performed correctly, making this a highly effective nonsurgical treatment option.

Surgical Treatment for Clubfoot

In rare cases, when nonsurgical methods are not fully successful, surgery may be required to correct clubfoot. Surgical intervention typically involves lengthening tendons and realigning bones to ensure the child’s foot functions normally. While surgery is much less common today thanks to the Ponseti method, it remains an option for more severe cases of clubfoot.

About Our Pediatric Orthopedic Surgeons

Dr. Mark Rieger is a board-certified pediatric orthopedic surgeon with extensive experience treating clubfoot and other congenital disorders. He was the first surgeon in New Jersey to use the Ponseti method, and he continues to lead in nonsurgical treatments for clubfoot, ensuring optimal outcomes for his young patients.

Dr. Tamir Bloom is a pediatric orthopedic specialist who has vast experience treating a wide spectrum of conditions, including clubfoot. His dedication to both surgical and nonsurgical interventions allows him to tailor treatment plans to meet each child’s unique needs.

Dr. Mark Solomon is a board-certified foot and ankle specialist with extensive expertise in both conservative and surgical treatments for pediatric and adult foot and ankle conditions. He serves as the podiatrist for the New York Jets and is recognized for his advanced techniques in treating sports injuries, neuropathy, and trauma. Known for his patient-centered approach, Dr. Solomon is a sought-after lecturer and consultant, dedicated to using the latest advancements to deliver exceptional care and optimal outcomes.

Request an Appointment

If your child has been diagnosed with clubfoot, or if you would like to consult with our pediatric orthopedic specialists, contact The Pediatric Orthopedic Center today. With over 30 years of experience treating clubfoot and a commitment to the latest advancements in nonsurgical treatment, we provide comprehensive care for children born with this condition.

Dr. Rieger, a pioneer in the Ponseti method, leads our nonsurgical clubfoot treatments, ensuring the best possible outcomes for children. Schedule an appointment with our team to explore treatment options and help your child start on the path to a healthy, active life.