Up to 2 months old, your child should see the doctor every 1 to 2 weeks and have gentle manipulation of the foot and cast changes. At about 2 months old, there should be an outpatient surgery visit, and the doctor should do Achilles tendon lengthening (tenotomy) and apply the last cast. At about 3 months old, the doctor should remove the last cast and measure your child for a brace. Then at about 4 months old until your baby is pulling and standing, you should see the doctor every 2 to 3 months and your baby should wear the brace for 23 hours a day with no exceptions. At about 12 months until 3 to 4 years old, your child should see the doctor every 3 to 6 months and wear the brace at night and during naptimes.
Chad Westphal, DPM
Location and Office HoursArizona Medical Clinic Orthopedic & Podiatry
9165 W Thunderbird
Peoria, AZ 85381
- BlueCross BlueShield of Arizona
- What type of follow-up care does my baby need for clubfoot?
Can weight gain contribute to Achilles tendinosis?
James Ioli, DPM, Podiatry, answeredWeight gain often contributes to the development of Achilles tendinosis. Although the tendon begins to degrade for a number of reasons, including genetic susceptibility to such damage, extra weight adds to the strain on the tendon and accelerates the destruction.
How is ankle impingement treated?
Treatment for ankle impingement is usually aimed at decreasing inflammation through rest, ice and anti-inflammatory medications. Crutches and compression bandages may be required. Physical therapy may include massage, stretching, activity modification and exercises to improve strength, flexibility and balance. If these are not successful, surgery may be an option.
In this video, Thomas San Giovanni, MD, an orthopedic surgeon at Baptist Health, explains the procedure.
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