Kevin Thomas, DPM
Location and Office HoursDrs Hopson & Rano
560 Riverside Dr Ste A101
Salisbury, MD 21801
- BlueCross BlueShield
- CareFirst BlueCross BlueShield
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- United Healthcare
- Peninsula Regional Medical Center
What causes osteochondritis dissecans?
Doctors believe osteochondritis dissecans may be caused by repetitive trauma or stresses to the bone over time. As the articular cartilage degenerates, it changes from a smooth, frictionless surface to a rough cobblestone-like surface. Chips may become detached, floating freely inside the ankle joint and causing pain and a loss of motion. In addition, the joint may become swollen and painful.
What is the Ponseti method of treating a child’s clubfoot?
The Ponseti method is a way to treat clubfoot. It has been used for many years.
• It is a mostly non-surgical method for correcting clubfoot.
• It works best if treatment is started in the first few weeks of life.
• It works well when used correctly.
• It takes several months to complete this treatment.
Treatment is divided into two parts or phases
1. Treatment Phase
• Treatment should begin when a baby is less than a week old.
• It involves gentle manipulation (movements) and casting of the affected foot. The cast helps hold the foot in the correct position.
• It is usually done every week for a while.
• Slowly the foot will begin to re-shape to the correct position.
• It usually takes 5 or 6 casts to fully correct the foot.
Your baby may also need minor surgery called a tenotomy when the last cast is put on.
• This is the final step in the correction of the clubfoot.
• It is done as an outpatient.
• Your doctor will talk with you about this as your baby’s treatment progresses.
2. Maintenance and Prevention
• After the last cast is removed, your baby will be put into a brace.
• The brace has shoes mounted on a bar
• The brace helps keep the foot in the correct position.
• The brace is often worn 23 hours a day until your baby is pulling to stand and walking.
• Once your baby is standing and walking, the brace can be worn only at night and naptimes.
• If you do not use the brace as advised by your baby’s doctor:
- The clubfoot deformity will probably return.
- Your child may need more surgery to correct it.
How can other health conditions affect foot problems?
Christopher Chiodo, MD, Orthopedic Surgery, answeredAlthough most foot conditions are easily treated, some can become serious and threaten your quality of life if you suffer from diabetes, nerve damage, or a vascular problem that interferes with the healing of injuries. And anyone can get skin cancer, which can originate as a spot anywhere on the foot -- including the sole -- but it is often overlooked until it spreads.Helpful? 1 person found this helpful.
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