Texas Scottish Rite Hospital for Children 2222 Welborn Street, Dallas, Texas 75219-3993 A new treatment is helping young patients overcome clubfeet. Photo: Physical therapist Holly Wilson tapes patient Kristen Silvas foot during treatment at Texas Scottish Rite Hospital for Children, Dallas. Young Kristen Silva has a lifetime of running, jumping, and playing ahead of her. This probably doesn't seem remarkable, except for the fact that Kristen was born with two severe clubfeet. Clubfoot is an abnormality of the foot where the foot turns in and down at birth. The muscles, tendons, and ligaments supporting the feet are contracted (or shortened), causing the bones in the foot to be out of normal alignment. The severity of clubfoot varies widely from case to case, ranging from deformed but flexible to extremely rigid and difficult to move. The good news about clubfoot, though, is that it is a highly treatable ailment. Treatment is required shortly after birth. Up until recently, the two most common forms of treatment have been casting and surgery. Serial casting is a process that enables the foot to be stretched to the desired position through a series of plaster or fiberglass casts. After casting, a special brace may be required to help maintain the effects of the casting. Often, though, if casting is not completely successful, or if a child has a severe case of clubfoot, surgery is required. While casting and surgery are both proven methods of treating clubfoot, a new treatment is also now helping patients at Texas Scottish Rite Hospital for Children (TSRHC), Kristen Silva included. The new technique, pioneered in France, consists of stretching, strengthening, taping, and splinting. The procedure involves daily stretching and massage of the foot, followed by application of tape and a soft plastic splint that is easily removed and put back on. Parents, after training from a therapist, remove the splint each day, perform a specific series of stretching and strengthening exercises with the foot, then reapply the splint. This process, while time-consuming and meticulous, has been quite successful for patients at TSRHC. The French medical professionals who have been utilizing this method for sometime now are reporting significantly fewer surgeries for this patient population. | |
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