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Parent guide to club foot stretches: Step 1

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Parent Guide to Club Foot Stretches

Understanding Club Foot

Club foot, also known as Talipes Equinovarus (TEV), is a congenital condition where one or both feet are twisted out of shape or position. It's important for parents in the UK to understand the nature of this condition to provide the necessary support for their children. Early intervention with stretching exercises can significantly improve foot alignment and function.

Step 1: Preparing for the Stretches

Before starting with the stretches, ensure your child is in a comfortable, relaxed position. It’s often helpful to perform these exercises during times when your child is naturally more relaxed, such as after a warm bath. Having a soft blanket or cushion can provide additional comfort.

Step 2: Basic Foot Stretch

1. Positioning: Gently hold your child's foot with one hand supporting the heel and the other hand holding the forefoot.

2. Stretching: Carefully move the foot upward to align with the shin (dorsiflexion). It's important to be gentle and never force the movement. Hold the stretch for about 15-30 seconds.

3. Repetition: Repeat this stretch 3-5 times, ensuring your child remains calm and comfortable throughout the process.

Step 3: Inward and Outward Stretches

1. Inward Stretch: With one hand steadying the ankle, gently move the sole of your child's foot inward. Ensure the movement is smooth and hold for 15-30 seconds.

2. Outward Stretch: Similar to the inward stretch, but move the sole of the foot outward. Hold this position for 15-30 seconds as well.

3. Repetition: Repeat these inward and outward stretches 3-5 times for each foot.

Step 4: Rotational Stretch

1. Positioning: Hold your child's foot with both hands, one hand on the heel and the other on the toes.

2. Rotation: Gently rotate the foot in a circular motion, first clockwise and then counterclockwise. This helps in improving the flexibility and overall movement.

3. Time: Perform this rotation for about 1-2 minutes in each direction.

Tips for Parents

- Consistency: Regular stretching exercises are crucial. Aim to perform these stretches at least twice a day.

- Comfort: Ensure your child is as comfortable as possible during these exercises. Distract them with toys or gentle music if necessary.

- Guidance: Regularly consult with your child’s physiotherapist or orthopaedic specialist. They can provide additional exercises tailored specifically for your child’s condition.

With patience and consistent effort, these stretching exercises can greatly help in managing and improving club foot in children. Always follow the advice of healthcare professionals for the best outcomes.

Frequently Asked Questions

What is club foot?

Club foot, also known as talipes equinovarus, is a congenital condition where a baby’s foot or feet turn inward and downward.

How common is club foot?

Club foot affects about 1 in 1,000 newborns in the United Kingdom.

What are the causes of club foot?

The exact cause of club foot is unknown, but it is believed to be a combination of genetic and environmental factors.

How is club foot diagnosed?

Club foot is usually diagnosed at birth through a physical examination, and sometimes it is detected during prenatal ultrasounds.

What are the treatment options for club foot?

The most common treatment for club foot is the Ponseti method, which involves gentle stretching and casting, followed by bracing.

When should treatment for club foot begin?

Treatment for club foot should ideally begin within the first week or two after birth.

How often will stretching exercises need to be done?

Stretching exercises should be done multiple times a day as recommended by your healthcare professional.

Will my child need surgery for club foot?

Most children with club foot will not need surgery if they receive appropriate and timely treatment with methods like Ponseti. However, some severe cases may require surgical intervention.

How long will my child need to wear braces?

After the initial casting phase, your child will need to wear braces full-time for 3 months, then typically at night for up to 4 years.

What can I expect during club foot stretching sessions?

During stretching sessions, you’ll gently move your child's foot into a more natural position, holding each stretch as advised by your healthcare provider.

Can club foot recur after treatment?

There is a small risk of recurrence, which is why it’s important to follow all treatment and bracing recommendations closely.

Is club foot painful for my baby?

Club foot itself is typically not painful for the baby, but they may experience some discomfort during stretching and casting.

What are the long-term outcomes for children treated for club foot?

With proper treatment, most children with club foot can lead active, healthy lives, and participate in normal physical activities.

How can I support my child emotionally during treatment?

Provide lots of love and encouragement, keep them entertained during treatments, and maintain a positive attitude to help them feel secure.

Where can I find more information and support for club foot?

You can find more information and support through your child’s healthcare provider, local support groups, and organisations such as STEPS Charity Worldwide.

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