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Our baby was born with some weird looking feet. The pediatrician says since she's not walking, we can just wait-and-see what happens. We're wondering if we shouldn't take her to Shriner's or some other children's hospital where a specialist could take a look. What do you recommend?
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Fortunately orthopedic problems at birth or during the first few months of life are rare. Experts in this area remind us that children are not little adults. And newborns are not just little children. They have unique anatomy and physiology that requires some special attention. That's why when problems are present at birth, an orthopedic surgeon is usually consulted. Knowing what's normal at this age and what can happen to cause musculoskeletal problems is important. Even a specialist in children's orthopedic problems may be challenged.
Foot problems in the newborn are probably the most common deformities present at birth. These include metatarsus adductus, equinovarus, calcaneovalgus foot, and congenital vertical talus.
Metatarsus adductus refers to a bean shape of the foot as the forefoot curves outward. This foot deformity occurs as a result of positioning during development inside the uterus (mother's womb).
Many people have heard of clubfoot. The medical term for this deformity is talipes equinovarus. The foot is positioned in a toe pointed down position and ankle curved inward. It may occur by itself or it could be part of a bigger congenital problem (present at birth). Congenital conditions such as arthrogryposis, spina bifida, or Larsen syndrome often come with clubfoot deformities.
Calcaneovalgus foot and congenital vertical talus describe two separate conditions of misalignment of the bones of the foot. Both of these problems are easily recognizable just by looking at the child's foot. In the case of calcaneovalgus foot, the bones and soft tissues are still flexible. With a vertical talus, the bone is dislocated resulting in a rigid deformity requiring surgery.
With most of these foot problems, treatment is started early with gentle stretching, serial casting, serial manipulation and casting, and sometimes surgery. For very mild problems, a wait-and-see approach may be all that's needed. A second opinion can't hurt. If it gives you the answers you need, then the time and financial investment may be well worth it to you.
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*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. |
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