
Clubfoot is a congenital foot deformity in which one or both feet are turned inward and downward. The medical term is talipes equinovarus. The affected foot may appear smaller than expected, with the heel turned inward and the front of the foot angled toward the opposite leg. The ankle may also have limited movement. Clubfoot is usually present at birth and can be identified during a routine newborn examination. In some cases, it can be seen during a prenatal ultrasound. Although the foot may look significantly different, clubfoot is treatable, and early care can help a child develop a functional foot for walking.
The exact cause of clubfoot is not always known. It may involve a combination of genetic and environmental factors that affect the development of the muscles, tendons, and connective tissues of the foot. Having a family history of clubfoot can increase risk. Symptoms are primarily related to the foot position and stiffness rather than pain in a newborn. Without treatment, the child may eventually have difficulty placing the foot flat on the ground and developing a normal walking pattern.
The Ponseti method is a widely used treatment for clubfoot. Treatment usually begins soon after birth and involves gentle manipulation followed by a series of casts that gradually guide the foot into a more appropriate position. A podiatrist changes the cast regularly while monitoring correction. The foot is then maintained in its corrected position with a brace according to the treatment plan.
Follow-up care is important because clubfoot can return as a child grows. The podiatrist monitors foot position, flexibility, and development during follow-up visits. Parents are given instructions about brace use and are encouraged to attend scheduled appointments so changes can be identified early. If your child has clubfoot, it is suggested that you consult a podiatrist who can help support healthy foot development.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Larry Slomowitz, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
- Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
- Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
- Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
- Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
- Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions, please feel free to contact our office located in Westlake Village, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

