Steve G Steffan, DPM
Location and Office HoursCommunity Foot Care Center Inc
116 S Poplar
Vinton, VA 24179
- LewisGale Hospital Alleghany
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.
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 ankle instability treated?
Ankle instability is a condition in which the ankle has lost its normal stability due to loose ligaments. Non-operative treatment involves bracing, physical therapy or activity modification. If non-operative treatment is ineffective in relieving symptoms, typical surgery to repair the stretched-out ligaments (a modified Brostrom procedure) works well, with high patient satisfaction rates. On rare occasions, an allograft tendon (tendon from a cadaver bank) can be used to reconstruct the ankle’s outer ligaments in those with very severe instability.
In this video, Thomas San Giovanni, MD, an orthopedic surgeon at Baptist Health, explains the procedure.
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