Richard M. Foster, DPM
Location and Office HoursHackensack Diabetic Foot & Wound Center
211 Essex St Ste 106
Hackensack, NJ 07601
- monday: 9:30AM - 4:30PM
- tuesday: 9:00AM - 7:30PM
- wednesday: 9:30AM - 4:30PM
- thursday: 9:00AM - 7:30PM
- Hackensack University Medical Center
- Holy Name Hospital
What causes arthritis of the midfoot?
In arthritis of the midfoot, the joints of the midfoot can begin to wear out for a variety of reasons. If they are injured by a fall, a twist or a crush accident, progressive degeneration of the joints can begin. Sometimes an individual’s foot anatomy places more pressure on one portion of the foot, causing a joint to wear. In addition, small amounts of loosening of the joints or slight flattening of the foot can begin the degeneration toward arthritis.
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 is hindfoot arthritis diagnosed?
To diagnose hindfoot arthritis, the doctor will examine your foot and may ask you to walk so he or she can observe your gait. X-rays will help reveal any degenerative changes. Additional tests such as MRI may also be called for to help determine any other abnormalities or sources of pain.
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