Scoliosis Treatment

Scoliosis is a three dimensional deformity of spine in which spine get deform and bend on either side of body. Early diagnosis of scoliosis can give better chances of correction as spine becomes more rigid with increasing age. Treatment can be started in very early age group so that angle of scoliosis can either reverse or stable with increasing age. Sometimes it remains unnoticeable till adolescent age group when curve start appearing. That’s why routine screening of spine for scoliosis can diagnose it very early stage. Screening is very easy and takes hardly few minutes.

Children with family history of scoliosis have more chances of having scoliosis and should be given more attention.

There are certain screening test and symptoms which can be done easily by teachers, parents, and other care givers. There are certain visual indicators of scoliosis which give us idea about scoliosis like uneven shoulder level, limb length discrepancy, uneven level of hips, and lump on either side of body, gap in between either side of body and arm and limp while walking.

Flat Foot Treatment

Flat foot (also called pes planus or fallen arches) is a postural deformity in which the gap between foot and the floor collapse, with the entire sole of the foot coming into complete or near-complete contact with the ground. Flat foot may involve either one or both the feet of a child. Children with flat foot have abnormal shoe wear and tear. However, the symptoms of flat foot differ from one individual to another. Some children with flat foot do not show any symptoms, whereas others experience pain.

Causes  

  1. Physiological
  2. Idiopathic
  3. Hyperlaxicity
  4. Oblique/Vertical Talus
  5. Inter-tarsal bar

Flat foot is normal in toddlers and infants. Most children are even born with underdeveloped arches of feet. The arches keep developing gradually as a child grows.

Symptoms

Sometimes it remains unnoticed as children with flat feet do not experience any pain. But there are many children who experience foot pain, ankle pain, or lower leg pain due to flat feet. Hence, often parents find it difficult to identify the symptoms of flat feet precisely. But the parents must get the feet of their child examined by a skilled orthopaedic to identify the symptoms immediately.

Diagnosis

Clinical examination is the most important part of diagnosis. A skilled orthopaedic can easily diagnose flat feet by observing the child’s feet from both front, side and back. One should always check for sign of hyperlaxicity and should ask the child to stand on his toes to identify the type of flat feet. Sometimes x-rays gives us idea about pathological flat feet like bar, vertical talus, oblique talus.

Treatment

Orthopaedician always try to treat flat feet in the initial stages by making the child wear supporting shoes, perform stretching exercise, and undergoing physical therapy. Also, they alleviate the pain experienced by the child by suggesting custom designed arch supports/shoes. Surgery needed only in case of failed conservative treatment and pathological causes of flat foot.

FAQs

Q: – What is hyperlaxicity? How I can correct this?

A: – Hyperlaxicity is laxicity of joint either because of poor nutrition or genetic causes. Good nutrition and physical therapy can improve it to some extent.

What is flat foot or Vertical Talus and it’s Treatment?

Absence of Medial arch or if your baby’s foot is touching the ground is known as flat foot.
There are different reasons for flat foot…
1. Hyperlaxity of joints
2. Chubby soles of infants and toddlers
3. Pathological like Vertical Talus/ oblique Talus

Vertical Talus is not very common but one of the cause of Pathological Flat foot. In this Talus (Ankle Bone ) is facing downwards and results in Flat foot. In this, the foot appears convex Boat shaped.
Treatment should be started as early as possible from day one of life which includes serial plaster cast (Reverse Ponseti cast) followed by surgery (Dobbs Procedure), if required. Results are very satisfying and good. Foot appears normal and is functionally good.
Regular stretching exercises and braces are required for sometime.

Dr Nargesh Agrawal is a renowned Paediatric Orthopaedic and Deformity correction Surgeon And has a vast knowledge in the field of Paediatric Orthopaedic. He has many National and International research work.
Contact for appointments:
+91-9899930767 | [email protected] | www.childorthocare.com

My child is six years old and had relapse of Clubfoot Deformity….is it correctable now ?

Yes, It’s correctable…,!!!
At this age child needs serial plaster cast followed by surgery and tendon transfer if required.
Best part is that Clubfoot is correctable even at this age or even more.

Dr Nargesh Agrawal is the renowned Paediatric Orthopaedic Surgeon . He has done more than 500 Clubfoot or CTEV correction with very high success rate. His approach and knowledge towards ctev is excellent . He has many national and international research work on Clubfoot or CTEV. He runs his Clubfoot clinic on Friday morning and Saturday evening at Sant Parmanand Hospital, Civil Lines, New Delhi.

For appointment with Dr Nargesh Agrawal contact on:
+91-9899930767 | [email protected] | childorthocare.com

Is Clubfoot or CTEV correctable??

Yes , it is correctable.

Clubfoot or CTEV is one of the most common Paediatric Orthopaedic problems in child. It can be corrected easily with serial plaster technique. Treatment of Clubfoot should be started as early as possible from first week of life (first day of life). 1. Child’s bone and joints are soft and easily stretchable with cast. Number of cast required for correction may be lesser.
2. Early treatment gives you better results with better compliance during brace treatment.

So every effort should be made to start best possible treatment for Clubfoot or CTEV for your baby.

Dr Nargesh Agrawal is the renowned Paediatric Orthopaedic Surgeon . He has done more than 500 Clubfoot or CTEV correction with very high success rate. His approach and knowledge towards ctev is excellent . He has many national and international research work on Clubfoot or CTEV. He runs his Clubfoot clinic on Friday morning and Saturday evening at Sant Parmanand Hospital, Civil Lines, New Delhi.

For appointment with Dr Nargesh Agrawal contact on:
+91-9899930767 | [email protected] | childorthocare.com