Clubfoot is a congenital birth defect. The shape of the baby’s foot points down and is turned in. This happens because the tissues that connect the bone to the muscles in the leg are defective in some way. The tendons are shorter than they should be so the foot is pulled into an abnormal position. There may be additional changes to the ankle joint, bone of the foot, and muscles with clubfoot. Male babies are twice as likely to develop clubfoot at birth than females. A little less than half of those born with a clubfoot will suffer this condition in both feet. Having another birth defect, such as cerebral palsy or spina bifida, increases the chances of a baby being born with clubfoot. Infections during pregnancy, smoking, or using drugs can also increase the likelihood of this defect. This can be a genetic birth defect, especially if there is a family history on the father’s side of the family. Clubfoot has a higher incidence of occurrence in countries with lower incomes. Those born in Hawaii are six times more likely to be born with clubfoot, and those born in Japan are 50% less likely to be born with clubfoot. Clubfoot can be cured but this is not always the case. If your child is born with clubfoot, include a podiatrist on your healthcare team for proper diagnosis and treatment as soon as possible. Early intervention can make a difference.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.