Clubfoot, a congenital condition affecting approximately 1 in 1,000 births, is characterized by a child's foot turning inward and downward. It is primarily caused by a shortened Achilles tendon, resulting in misaligned bones in the foot. While about half of the affected children have bilateral clubfoot where both feet are impacted, prompt treatment is essential to avoid lifelong disability and walking difficulties. The leading cause of clubfoot is believed to be a combination of genetic and environmental factors. A family history of the condition increases the risk of clubfoot, but it can also occur without any prior family instances. Additionally, certain risk factors such as gestational diabetes, smoking, and drinking during pregnancy, can contribute to its development. Most cases of clubfoot can be successfully treated without surgery using the Ponseti method, involving progressive casting and bracing. However, severe cases may necessitate surgical intervention, which is considered a last resort. If your infant was born with clubfoot, it is strongly suggested that you make an appointment with a podiatrist immediately for early intervention and individualized treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Deann Hofer Ogilvie, DPM of Ascend Foot & Ankle Center. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Lafayette, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.