Ponseti Method

The Ponseti method is a three-stage treatment for clubfoot. It involves stretching, casting, and bracing to help position the foot so that a child can stand and walk normally. Treatment usually starts in the first 2 weeks after birth.

Stage 1: Stretching and Casting

Timeline: 4 to 6 weeks

During this first stage of treatment, a LuskinOIC clubfoot specialist will gently manipulate your baby’s foot through stretching into the right position. A long-leg cast that spans from the toes to the thigh will be applied to hold your baby’s foot in place.

This step will be repeated weekly for 4 to 6 weeks. Once the foot is in the proper position, the treatment moves into Stage 2.

Stage 2: Achilles Tenotomy

Timeline: 3 weeks

Next is a quick, minor medical procedure called an Achilles tenotomy. Your baby’s surgeon will make a tiny cut in the Achilles tendon (the cord behind the heel), which will allow the tendon to lengthen and be more flexible as it grows back. Because it is such a small incision, your child won’t need stitches.

After the procedure, your baby will receive a new cast. The cast will be removed when the tendon has healed at the right length and the foot is completely corrected.

Stage 3: Bracing

Timeline: 3 to 5 years

Once Stage 2 is complete, your child will need to wear a brace for a few years to keep the clubfoot from recurring. This brace is sometimes called the “boots and bar” brace (because it’s made of two shoes connected by a metal bar). Some bars allow each leg to move on its own, while others only allow both feet to move together. The brace may look uncomfortable, but should not hurt or bother your child. Your child will learn how to crawl, sit and walk with the brace on, just like other kids their age. Learn more about the Boots and Bar brace.

The brace is usually worn for 23 hours each day for the first 3 months. After that, your child might have to wear it during nap time and overnight (about 12 to 14 hours a day) for 3 to 5 years.