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The Blackford FEET method is a structured system for diagnosing and treating feet problems. The system helps you act in a professional manner, and ensures you don’t overlook anything. FEET represents best practice in foot health care.
The Blackford FEET methodology: Find out, Examination, Evaluation and Treatment. Other types of examination: x-ray, MRI, ultrasound Programmes of treatment – prevention, maintenance and support
- What Is Club foot?
- What Causes Club foot?
- How Common Is Club foot?
- How Is Club Foot Diagnosed?
- What Is The Treatment For Club foot?
- What Is The Outlook For Club foot?
Club foot, also known as talipes. It is a deformity of the foot and ankle that a baby can be born with. 1. If a baby has club foot, their foot points downwards at their ankle and the heel of their foot is turned inwards. 2. The middle section of their foot is also twisted inwards so their foot appears quite short and wide. It cannot be gently moved...
In some cases the position of the foot is due to the way the baby was lying in the womb. The deformity can be easily corrected by a series of gentle stretches as advised by a physiotherapist. This is called positional talipes. If you have had a baby born with club foot, there is about a 3-4 in 100 chance that a brother or sister born after them wil...
Club foot is a fairly common problem. It is one of the most common deformities that a baby can be born with. About 1 in 1,000 babies born in the UK have club foot. About twice as many boys as girls are born with club foot and it can affect both feet.
Club foot was previously only diagnosed after a baby is born. However, as the technology of ultrasound scanning during pregnancy improves, increasingly, club foot is being detected during scanning before a baby is born. All babies in the UK are routinely examined and checked over by a doctor shortly after they are born. The doctor will look for clu...
Ponseti method
The Ponseti method is now the preferred treatment by orthopaedic surgeons throughout the world. Major surgery used to be common; however, medical research has shown that the Ponseti method gives better long-term results for most children. This method involves the specialist gently manipulating (holding, stretching and moving) the child's foot with their hands, into a position in which the foot deformity is put right (corrected) as much as possible. This is not painful or uncomfortable for the...
Achilles tenotomy
At this stage, a small operation is suggested for most children, called an Achilles tenotomy. This involves releasing the tight Achilles tendon at the back of the foot, using a small cut so that the heel can drop down. It is a minor operation and it can usually be done with just a local anaesthetic. After this, their foot is put in a final plaster cast, usually for three weeks. The child will then need to wear a brace (some special boots that are connected together with a bar). They will need...
Other methods
Other treatment methods are available. One example is the French functional method, which involves daily manipulation as well as immobilisation with adhesive bandages and pads. Kite technique The Kite technique was widely practised until the emergence of the Ponseti technique. The Kite technique involves long leg plaster casts (toe to groin) with manipulation around the calcaneo‐cuboid joint in the foot. Casting may continue for up to two years, with more than half of cases requiring major su...
The Ponseti method works well to correct the foot deformity for most children with club foot. For between 8 and 9 out of 10 children, the deformity will be corrected. However, in a small number of children, it does not correct the deformity and more major surgery may be needed. Children who have other problems as well as club foot, such as those di...
The gold standard treatment across the world is the Ponseti method. Research has shown that more than 90% of cases with CTEV can be effectively treated with this method. The goals of treatment are for children to have functional/pain free feet, wear normal shoes and avoid permanent disability.
Apr 7, 2017 · Over the last 20 years, Ponseti’s serial casting treatment for clubfoot has emerged as a superior treatment to other non operative and operative treatments. This has been supported by evidence from a systematic review and meta-analysis [ 3 ]; RCTs [ 4 – 6] and long term cohorts studies [ 7 – 10 ].
Jun 18, 2024 · You can look after the skin on your feet by: smoothing dry or hard skin using a foot file or pumice stone; keeping feet clean, dry – especially between your toes; keeping feet comfortable and warm; checking for cracks and breaks in the skin
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The plaster cast stops the foot and ankle moving, giving the muscles and ligaments time to relax and the bones time to grow into the correct position. Once a child’s foot and ankle is in the correct position, it will be held in place with special boots and bars worn until the age of five years.
