Site icon Metatarsus Adductus

Common Treatment Options

Mild and moderate forms (~85% of patients) are initially treated by stretching exercises administered by the child’s parents. Despite its common practice, the effectiveness of stretching is questionable with many parents unable to implement this consistent routine into their days as part of treatment.

If the deformity is not resolved by 2 to 4 months, serial casting is recommended with long leg casts being applied every two weeks for a period of 6 to 12 weeks.  Additionally, it is important to note, that the physician must take into consideration that casting is most effective prior, within the first 6 months of the child’s life and ineffective after 2 to 3 years. Severe and rigid cases of MTA (~15%) are prescribed serial casting in the first weeks of life. These patients may require night splinting to maintain correction after the casting is complete.

Currently, serial casting is considered to be the most commonly suggested treatment of MTA, but has distinct complications and disadvantages such as:

Failure of conservative treatment options in children older than 2 years of age may indicate surgery as an option for treatment.

Exit mobile version