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Clubfoot
Clubfoot | Omar Saleem, MD, MsPT
Dr. Omar Saleem is a highly experienced orthopedic surgeon and physical therapist specializing in the treatment of clubfoot, a congenital condition characterized by an abnormal positioning of the foot, typically turning inward and downward. His approach combines early diagnosis, effective treatment strategies, and comprehensive care to ensure optimal outcomes for infants and young children affected by this condition.
Comprehensive Diagnosis
Dr. Saleem employs a thorough diagnostic process to identify clubfoot:
- Physical Examination: A careful evaluation of the feet and ankles, assessing the degree of deformity, flexibility, and range of motion. This typically occurs shortly after birth.
- Imaging Studies: Although not always necessary, X-rays may be utilized in certain cases to evaluate the bone structure and severity of the deformity.
Non-Surgical Treatment Options
For most cases of clubfoot, Dr. Saleem emphasizes early non-surgical interventions:
- Ponseti Method: A widely accepted treatment protocol involving a series of gentle manipulations and casting to gradually correct the foot position. This method usually begins within the first few weeks of life and may require several weeks of casting.
- Bracing: After the initial correction, Dr. Saleem often prescribes a brace (abduction brace) to maintain the corrected position of the foot. This brace is typically worn for 23 hours a day for several months, followed by reduced hours as the child grows.
- Physical Therapy: Implementing a tailored physical therapy program to promote strength and flexibility in the affected foot, ensuring optimal functional recovery.
Surgical Treatment Options
In cases where non-surgical methods do not achieve the desired results or if the clubfoot is more severe, Dr. Saleem may recommend surgical intervention:
- Surgical Correction: Procedures may be performed to release tight tendons and ligaments, reposition bones, and stabilize the foot in the correct position. Surgery is usually considered if the Ponseti method does not yield sufficient correction.
- Post-Operative Care: Dr. Saleem provides comprehensive follow-up care to monitor healing and rehabilitation progress, ensuring the best possible outcome.
Holistic Care and Long-Term Management
Dr. Saleem takes a holistic approach to managing clubfoot, focusing on long-term health and functionality:
- Ongoing Monitoring: Regular follow-up appointments to assess foot position and function as the child grows, adjusting treatment plans as necessary to prevent recurrence.
- Education and Support: Providing families with information about clubfoot, treatment options, and long-term management strategies to support their child’s development.
- Rehabilitation: Collaborating with physical therapists to design individualized rehabilitation programs that promote strength, mobility, and functional ability after treatment.