Treated by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Clubfoot is a condition present at birth where one or both feet turn inward and downward, making the sole face sideways or even upward. The foot appears twisted, and without treatment, a child would walk on the ankle or side of the foot rather than the sole. Early treatment helps the foot achieve a functional position for walking.
The most common form, occurring without any other known condition or syndrome. The foot structures are otherwise normal but positioned incorrectly.
Clubfoot that occurs as part of a broader syndrome or genetic condition, such as arthrogryposis or spina bifida. These cases may be more complex to treat.
A milder form caused by the baby's position in the womb. The foot is flexible and often corrects with gentle stretching or positioning rather than intensive treatment.
Multiple factors can contribute to the development and progression of this condition.
Recognising the signs early gives you more treatment options.
Clubfoot is usually identified at birth through clinical examination of the foot's position and flexibility. Most cases are diagnosed by appearance alone, though imaging may occasionally be used to assess bone structure or plan treatment.
From conservative to surgical — we always start with the least invasive option first.
A structured, patient-first approach from first visit to full recovery.
Dr Venkatram Thyalapalli examines the foot to determine the type and severity of clubfoot, checking flexibility and assessing whether other conditions are present.
A treatment plan is tailored to the child's age and the nature of the clubfoot, with casting typically started as early as possible for the best results.
Serial casting is applied following the Ponseti method, with weekly adjustments to gently guide the foot into the correct position, and a minor tendon release performed if needed.
Parents receive clear instructions on bracing, and regular follow-up visits monitor the correction and address any signs of recurrence or difficulties with brace wear.
What to expect at each phase of recovery.
Typically lasts six to eight weeks with weekly cast changes. The foot gradually moves into better alignment. Timelines vary by individual response.
After casting, the brace is worn nearly full-time for about three months. The child adjusts to the brace, and parents learn the routine. Consistency is key during this period.
Bracing continues at night and during naps until age three to four years. Regular check-ups ensure the foot remains in good position and growth proceeds normally.
With early and consistent treatment, most children achieve a foot position that allows normal or near-normal walking and activity. The corrected foot typically functions well for daily life.
The treated foot and calf often remain slightly smaller or less muscular than the opposite side. This difference is usually cosmetic and does not significantly affect function.
Clubfoot can recur, especially if bracing instructions are not followed. Recurrences may require additional casting or, in some cases, surgical intervention.
Children treated for clubfoot generally participate in regular activities and sports. Some may experience mild stiffness or reduced flexibility, but significant limitations are uncommon with proper treatment.
Without treatment, a child with clubfoot will walk on the outer edge or top of the foot rather than the sole, leading to pain, thick calluses, and difficulty with shoes and mobility. The foot remains stiff and deformed, limiting participation in normal activities. Over time, untreated clubfoot can cause problems with the ankle, knee, and hip due to abnormal gait and stress on other joints.
Clubfoot is usually identified at birth or during prenatal ultrasound. If you notice your newborn's foot is turned inward or has an unusual position, consult a paediatric orthopaedic surgeon promptly. Early treatment within the first weeks of life offers the best results. For older children with clubfoot that was not previously treated, seeking care as soon as possible is important to improve function and reduce long-term complications.
Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.
Consult Venkat Ram Thyalapalli for Clubfoot at any of these 2 centres — pick the one nearest you.
