Clubfoot in Delhi

What is Clubfoot?

Clubfoot is a condition which is present by birth in children. In this type of congenital disease a child’s foot gets turn inward. It can occur in one or both feet. Children with clubfoot have, their tendons that connect their leg are short in the sense that they are too tight and cause the foot to twist.

Clubfoot is one of the foot deformities that is normally present by birth or we can say it is innate in which children’s feet are turned flabby or positioned in a manner that is inwards. It affects the child’s walk and lets them walk in a very stiff and not steady manner. Some people think that it is a kind of disability and cannot be cured as it is present by birth which is a wrong assumption, clubfoot can be cured if started early at an early age.

Clubfoot is just a deformity of feet with no painful condition. Dr. Nargesh Agarwal, from Child Orthocare mentions that this type of deformity should be corrected in infancy as it becomes easy for the children as well as the doctor if clubfoot is treated as soon as possible. So that correction can be done manually otherwise doctors would have to look for surgical options for a small child which becomes a difficult task to handle for a baby. Children with clubfoot are usually not able to walk normally if they do not receive treatment. They will continue to have deformed feet.

Dr. Nargesh Agarwal, a pediatric orthopedic surgeon states that there is a high rate of cases which clubfoot has been treated. Following treatment, your youngster ought to be able to engage in a wide range of physical work and live a  general life.

What Are The Major Causes of Clubfoot?

There is no clear idea from research as to how children get clubfoot. It is generally considered,especially in rural areas of India that it is something related to eclipse which is completely unreal and false. It is conjectured by doctors that there might be some genetic issues or most probably it is idiosyncratic reason. There could be a link between low amniotic fluid and clubfoot. Amniotic fluid is the liquid that surrounds a baby in the womb.

 

Signs and symptoms of clubfoot in children:

Clubfoot symptoms can vary, but they are simple for a medical expert to recognise. Usually, a clear symptom is feet bent downwards and inwards, pointing its toes in the direction of the other foot. Another symptom may include, feet size difference up to half an inch. A clubfoot foot is shorter than the other foot.

How Does It Get Diagnosed?

Clubfoot, generally, is discovered after a child is delivered. It can be physically seen how your baby’s foot looks, your doctor can determine if your child has clubfoot. During an ultrasound, clubfoot can also be found in utero (when the infant is still inside the mother’s womb). An imaging technique called an ultrasound is used to examine unborn children. An ultrasound is typically performed on a pregnant woman to confirm the health and development of her unborn child.

Even if clubfoot is found while the baby is still within the womb, there is little that can be done at that time to treat it before the child is born. It can be treated only after the birth of the baby but as mentioned earlier it should be treated as soon as the child is born.

Can it be Treated easily?

Find out next

According to many researchers and child Orhopedic surgeons Clubfoot is not a ‘disease’ which can not be treated, rather many doctors have this view that Clubfoot can be trated very easily if it is treated on time!

There are primarily two methods for treating clubfoot. Stretching to reshape which is usually done through Plasters, is one method. There are different sphere of the world where Clubfoot is present even in India and there are different facilities for Clubfoot treatment in India. Through CTEV/Clubfoot brace, Clubfoot shoes, or CTEV/Clubfoot exercise. There are myriads of options that doctors tells us to treat Clubfoot in India. there are orthopedic clinics available, like Child Orthocare, for CTEV treatment in Delhi/India.

The second way entails surgery. The majority of clubfoot cases respond well to non-surgical treatment, with CTEV braces, or CTEV/Clubfoot exercises. As there are CTEV Management in Delhi/India very easily and at the same time they are effective.

Stretching and reshaping the foot is the most effective treatment for the majority of infants having cubfoot in Delhi or in any other part of the world.  The Ponseti approach is the one that is most frequently utilised. Usually within the first week after birth, treatment starts as soon as possible. The greatest and simplest moment to restructure the foot is right now.

Talking about surgery, which is apparently a very minor surgical work doctor Nargesh agarwal shows in his videos (posted on YouTube) how this small procedure is done. Doctor Agarwal mentions the following:

“the child who has clubfoot has the tendon that is behind it is tight. So what we do is, the heel that you see here is the sole and this is the heel area. We go one inch upwards to the heel area, here first we do local anesthesia, local anesthesia means to numb that particular area. When this area becomes numb then with any surgical blade we after feeling the place, we cut the tendon from here. The moment this tendon is cut, the way you saw it there is a gap created between them in this gap a new vein is generated. OK. It is a very simple procedure. There was a tight tendon, this blade went here, cut it and they got separated. After this what is gap is created in this a new vein is generated. Just exactly like that a new vein is created as nature had provided”. There are research done on the same by Doctor Agarwal and others which can be used as reference for more information. (cf. *The research link*)

CASE STUDY

Patient’s Name: Virendra Kumar

Age: Seven months

Disease: Clubfoot (Tenotomy Surgery)

Patient’s Parents’ Name:

There are approximately INSERT NUMBER clubfoot that Dr Nargesh Agarwal has treated through Tenotomy. For instance, a case that Dr Agarwal has treated lately is Virendra Kumar who had had tenotomy recently. He got a small cut in tenotomy and according to his parents now this child is completely fine. Dr Agarwal shows how you can check the child’s movement improvement in tenotomy.

The child he had clubfoot on the left side but after tenotomy surgery child’s foot is completely straight. There is a complete movement in his feet after the surgery. So, the first sign is that when you move the foot the child is not crying, earlier the parents said that the child used to cry a bit. But now even after movement the child is normal, this is a complete movement. The child had clubfoot in his left foot which was not equal to child’s right foot but both feet are almost equal.

Clubfoot in Delhi

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