Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Metatarsus Abductus- treat or not treat

Discussion in 'Pediatrics' started by Zari C, Oct 8, 2018.

  1. Zari C

    Zari C Welcome New Poster


    Members do not see these Ads. Sign Up.
    Hi,
    My 6 mo has MEtatarsus abductus. Her father and I noticed curvature of foot from about 2.5/3 months of age. I mentioned it to her pediatrician at 4 months and was told it’s normal. We took her to an orthopedic surgeon on our own at 5.5 months. What conservative treatments are available for this condition? The forefront of her feet are very flexible and she is asymptomatic. The ortho’s office wanted to do xray of foot and pelvis ( to rule out DDH). I declined, doc did not seem very pleased and kept trying to explain why it is needed. Clinical exam for DDH was negative. Doc mentioned xray of foot will provide baseline and better help him determine what exercises are needed. I still declined. He gave us referral for PT and showed us stretching exercises to do at home. We return in 2 months for eval. If baby needs casts do they need xray images to apply cast? I am strongly opposed to xray at this tender age. Thanks for your input.
     
  2. Rob Kidd

    Rob Kidd Well-Known Member

    Where does the evidence take you? In the first place, why are you so strongly against (appropriate) X rays at "this tender age"? What does the evidence say? Secondly, what does the evidence say about treatment, including casting? Go where the evidence takes you is firm advice - and take evidence from appropriate refereed sources, not the bus stop.
     
  3. Zari C

    Zari C Welcome New Poster


    What is the purpose of your response? Nothing in my post indicated I was taking evidence from the bus stop. If you have no appropriate response there is no need to respond to my postc
     
  4. Are you a health professional? This is a sight for health professionals not for asking advice.

    But as Rob indicated got get the x-ray and consult with the appropriate specialist in your area
     
  5. Zari C

    Zari C Welcome New Poster

    Are any of you experienced in treatment options for MA? Please stop assuming I am asking u to tell me what to do. My post clearly states that an orthopedic specialist was seen. Yes, I am in the medical profession ( hope this helps u to feel more at ease that I am on this forum) but as pediatrics not podiatry is not my area of expertise I thought a forum with those in this area would be a good place to hear thoughts on conservative treatment options being used today. I am not asking for any medical advice——I am simply asking the views of the medical professionals in podiatry on conservative treatment options for MA.

    FYI X-rays are not required for diagnosis or treatment of MA- and AGAIN I did not ask for advice on whether or not to do an X-ray. If this SITE has strict requirements for content then I missed it.
     
  6. Rob Kidd

    Rob Kidd Well-Known Member

    I seem to have offended you - that was not my intent. Lets take this slowly. My point re treatment of met adductus (I assume you had a typo for met abductus - if you did not , then I really grovel). Serial casting, in my very limited experience, has a bad rap for a lack of evidenced based practice. What does Cochrane say? That is where I would go.
     
Loading...

Share This Page