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Metatarsus
Adductus
| Q.
My daughter is almost a year of age, and a friend of ours (whose
children have this problem) was examining her feet/ankles yesterday
when she explained to me that she believes she has Metatarsus Adductus.
She explained to me what the treatment was for her children, and
what can happen if it is left untreated. My daughter has just started
walking, and she barely walks at all, when she does. I am concerned
that maybe she didn't walk prior to now because of this, or that
she is barely walking now because of this, or whether or not I should
even worry. I guess this is just another symptom of "first-time
mommy" syndrome. I was wondering if you had any experience
with this at all? My friend said I should make sure she sees a podiatrist,
not an orthopedist. I'm concerned and confused and I would very
much like your opinion. A.
Metatarsus Adductus used to worry docs (and parents) until
we figured out that it is normal and corrects itself in 99% of
kids. Braces, reverse last shoes, casts and surgery were done--needlessly!--in
years past and we virtually never do any of those things anymore.
Toddlers who can't
walk because they trip over their feet every second or third step
might need evaluation. Others do not. Podiatrists give everybody
orthotics and many people actually benefit from them but kids
rarely really need them at this age.
One thing is crucial:
either NO shoes at all or little "sock shoes" for the
first year or two of walking to allow the muscles on the bottom
of them feet to get stronger and to give the ankles the LEAST
support possible so they get stronger, too. When babies' feet
are "locked up" in those rigid white Stride-Rites, muscles
are allowed to atrophy and the disconnection from the ground leads
to lots more falling. (Ever have a cast on your arm for 4 weeks?
The inactivity is similar and requires weeks and weeks of rehab.)
If you have large
doubts, see a pediatric orthopedist to get a formal opinion and
then possibly still wait before doing anything.
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