Outcome: Plantar Facia release for residual Cavus in treated Clubfoot
Several years ago I came here asking about the possibility of using a plantar facia release to treat residual cavus in an atypical clubfoot treated in the Ponseti method. More casting and bracing than I care to think of later, our son's surgeon finally concurred that this might be the answer.
The surgery was performed, along with "nick" releases on the long toe flexors to prevent clawtoes, last May. It has been a raving success. This child went from needing casting to flatten the foot back out every 4-6 months to having his foot finally stay as it should for the first time in SIX YEARS. Also, with his arch in a more normal position, the surgeon finally agrees that he does not need an ATTT.
One thing I would caution anyone considering this step is that physical therapy after the casts come of really would be a good choice. My son spent most of his life walking on his foot with the wrong dynamics; he had to re-learn how to walk, and limped for nearly 4 months after the proceedure. I do believe that physical therapy would have helped him emensely.
Something I would like all to take away from this post ... sometimes, a parent can completely understand medical issues and come up with reasonable solutions. Never discount a parents thoughts or ideas simply because they are not "medically trained" :)
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