sir my son has coginital vartical talus problem but hip scan is normal suggest a treatment we already in serial casting

Question

Accepted Answer

For a child with congenital vertical talus (also known as vertical talus or rocker-bottom foot) and a normal hip scan, the treatment typically involves addressing the foot deformity. Since you’re already undergoing serial casting, which is a common and effective initial treatment, here are additional considerations and potential next steps:

**1. Continue Serial Casting:

Objective: Serial casting helps to gradually correct the foot position by stretching the tight structures and aligning the foot.

Frequency: Ensure the casting is done regularly as advised by your orthopedic specialist.

**2. Orthopedic Evaluation:

Regular Check-ups: Keep up with regular appointments with your orthopedic specialist to monitor progress and adjust treatment as needed.

Assess Progress: Your doctor will assess how well the casting is working and determine if additional interventions are needed.

**3. Footwear and Bracing:

Custom Shoes or Braces: After the casting phase, custom shoes or bracing may be recommended to maintain the corrected position of the foot and prevent relapse.

**4. Physical Therapy:

Strengthening and Stretching: Physical therapy can help improve foot function, strengthen muscles, and maintain flexibility.

**5. Surgical Options:

Consideration: If serial casting and bracing are not sufficient to correct the deformity, or if there are persistent issues, surgery might be considered.

Consultation: Discuss with your orthopedic surgeon about the potential need for surgery and the options available, including the timing and type of surgical procedure.

**6. Monitor Development:

Overall Growth: Keep an eye on your child’s overall development and mobility. Address any concerns about gait or function with your healthcare provider.

**7. Support and Education:

Parent Support: Seek support and education on managing your child’s condition, including information on what to expect during treatment and how to support your child’s development.

**8. Follow Medical Advice:

Adherence: Follow all medical advice regarding treatment schedules, casting, and any additional therapies to ensure the best outcome.

If you have concerns or questions about your child’s treatment plan or progress, it’s important to discuss them with your orthopedic specialist to ensure you’re taking the right steps for your child’s condition.