Performed by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Clubfoot correction addresses a condition present at birth in which one or both feet are twisted inward and downward. Treatment typically begins with gentle manipulation and serial casting (the Ponseti method), followed by bracing to maintain correction. In some cases, surgery may be needed to release tight tendons or adjust bone alignment. Dr Venkatram Thyalapalli evaluates each child individually to determine the most appropriate treatment plan.
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A step-by-step look at what happens during this procedure.
The doctor examines the foot to assess the severity and flexibility of the deformity, checking ankle, heel, and forefoot alignment.
The foot is gently manipulated into a more corrected position and held in place with a long-leg plaster cast. The cast is changed weekly, gradually moving the foot closer to normal alignment.
After several weeks of casting, a small procedure may be performed to release the tight Achilles tendon, allowing the heel to move into proper position. This is usually done under local anaesthesia.
A final cast is applied for about three weeks after the tenotomy. Once removed, the child transitions to wearing a foot abduction brace to prevent recurrence.
Regular follow-up appointments track the child's growth and ensure the correction is maintained. Adjustments to bracing schedules or additional interventions are made as needed.
A structured, patient-first approach from first consultation to full recovery.
Dr Venkatram Thyalapalli assesses the child's foot deformity, reviews the family's concerns, and explains the treatment options and expected course.
Weekly gentle manipulation and casting are performed to gradually correct the foot position, following established principles to minimize trauma and maximize correction.
If an Achilles tenotomy or other minor release is required, it is performed with attention to minimizing discomfort and ensuring proper healing.
Regular appointments are scheduled to monitor the child's development, adjust bracing as the child grows, and address any signs of recurrence promptly.
What to expect at each stage of your recovery journey.
The child wears a cast continuously, changed weekly. Parents learn to watch for circulation issues, skin problems, or the cast becoming loose. Activity is limited by the cast itself.
After casting, the child wears a foot abduction brace full-time for several months, then during sleep for several years. Adjusting to the brace takes time, and consistency is important to prevent recurrence.
Even after bracing is complete, periodic check-ups continue through childhood to ensure the foot grows normally and to catch any late problems early.
Treatment aims to bring the foot into a more functional, plantigrade position that allows the child to walk and wear regular shoes. Not all feet achieve perfect alignment.
Early casting can often avoid or minimize the need for major reconstructive surgery. However, some children still require surgical releases or bone procedures if the deformity recurs or is severe.
Even with successful initial correction, clubfoot can recur, especially if bracing is not followed consistently. Additional treatment may be needed as the child grows.
Most treated children walk and run well, though the affected foot may remain somewhat smaller or stiffer than the other. The cosmetic appearance improves but may not be entirely normal.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
For very mild, flexible postural deformities, gentle stretching exercises and observation may be tried before casting. This is not suitable for true structural clubfoot.
In some settings or for older children presenting late, extensive soft-tissue or bone surgery is performed as the first treatment. This approach is generally reserved for cases where casting is not feasible or has failed.
Let's clear up some of the most common myths about clubfoot correction.
Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.
Consult Venkat Ram Thyalapalli for Clubfoot Correction at any of these 2 centres — pick the one nearest you.
