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Had surgery for clubfoot when I was 2 weeks old, still have limited dorsiflexion.

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Hello. I was born with a clubfooted left foot. I've been to a successful surgery when I was about 2 weeks old. I'm currently almost 19 years old, but I am a little handicapped. The leg has a very limited dorsiflexion. With every step I take - the bone reaches its flexing limit. As you could imagine, walking all day long when your bone reaches its limit with every step is rather painful. Is there a known surgery, or even a non invasive method, that can help my leg so it would hurt less? Much appreciated.

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Category: Family Physician-GP
 26 Doctors Online

Hi,

I am afraid it is a very common problem among individuals suffering from CTEV (clubfoot), with not very successful treatment options.

People with Congenital tallipes equino Varus or clubfoot usually have surgery in the childhood, like you have, and that prevents severe leg deformity in the future.

Although the leg deformity is corrected a few residual flexing deformity usually persists and usually undergoes arthritic changes.

Although a few surgical procedures like arthosis are known to be done in adolescents with residual club foot, it is not very successful. I would not recommend it.

I would recommend the following.

1) Consider wearing special shoes for residual clubfoot, usually custom made based on the amount of club foot.

2) The main concern would be to reduce the arthritic changes in the foot and the first step towards that would be to reduce weight and have a regular exercise regimen.

3) Consider taking Aspirin 325 mg to reduce the pain and inflammation.

4) I would strongly recommend physiotherapy and it is the best treatment for your problem. It will increase the ability of the foot to flex and also help in improved mobility.

5) Strongly advise you to have a good healthy diet with good portions of milk and banana for Calcium and phosphorous.

Thank you


Dr. John Monheit
Category: Family Physician-GP
Experience: 
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

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