Club foot or clubfoot, is a term for the medical condition congenital talipes equinovarus (CTEV). It is a congenital deformity involving one foot or both. It is relatively common, affecting around one in every 1,000 babies born in the UK. Both feet are affected in around half of the children born with the condition.
The affected foot appears to have been rotated internally at the ankle. The foot points downwards and inwards, with the soles of the feet facing backwards.
Without treatment, people with club feet often appear to walk on their ankles or on the sides of their feet.
While a baby is young, natural flexibility can be utilised to get things back to where they belong. In most cases, the foot will respond well to conservative correction using the Ponseti method which involves manipulation, serial casting and a very small procedure to release the tight Achilles tendon at the back of the ankle.
There follows a long period of maintenance of the corrected position of the feet, traditionally this has been achieved with what is called the boots and bar approach.
LOC is pioneering the use of a different brace in this final phase of treatment – the Cunningham Brace.
The Ponseti method is the gold standard treatment for club foot in the UK and most of the world.
The method involves gently manipulating the baby's foot into a better position and then being put in a cast.
Babies will then need to wear special boots attached to each other with a bar, to prevent club foot returning.
LOC has been given the exclusive rights to prescribe & fit the Cunningham brace in the UK and Europe.
Current treatment in the UK is well-managed with high success rates achieved by experienced clinical teams.
The Cunningham brace is used for paediatric treatment whereas adults can benefit from LOC's bespoke orthotics.
The Cunningham brace is brainchild of Jerald Cunningham, a certified American prosthetist and orthotist.
It is a flexible brace that is only fitted to the affected leg and allows movement for all of the normal activities.
Developed from observing the distress to both child and parent with the Boots and Bar approach.
The purpose of the white paper is to present information about an alternative protocol for post-Ponseti casting. This innovative orthotic management of Talipes equinovarus is being utilized on a small scale and is resulting in effective maintenance following Ponseti-casting of clubfeet. We are now looking to collaborate with researchers to further study this intervention's effectiveness.
Due to the relatively recent introduction of the Ponseti method, patients living with club foot have to seek bespoke orthotics in order to improve their comfort and minimise pain.
At LOC, we prescribe and manufacture all ranges of orthoses to cater for this need. Dependent on what treatments you may have had in the past, our clinicians will review your current symptoms and discuss what goals you want to achieve; this will help your clinician determine which is the right orthotic treatment for you.
Victor the Robot, our new Computer Numerical Control milling machine, in action! Victor is noisy, but he’s transforming our ability to design and manufacture orthotic devices at our Kingston-upon-Thames clinic.
Manufactured by Rodin4D, Victor is capable of milling complex ergonomic shapes, meaning that we can now potentially assess a spinal orthotic patient, manufacture the orthosis and have it fitted, all in the space of a day. Victor can do everything we need to do for our patients, in-house and in the shortest time possible with no compromise on quality.
For six-year-old Sophie, life has always carried unique challenges. LOC orthotist, Alan Hews, has been working with Sophie and her family since she received selective dorsal rhizotomy (SDR) surgery for cerebral palsy at the Portland Hospital aged three ... continue reading ...
LOC has been treating Lilac since 2018 following her SDR surgery for cerebral palsy. Her extraordinary progress has been possible thanks to her own courage, her family’s determination in fundraising through Just4Children and the targeted intervention of a number of professionals including our own team at LOC ... continue reading ...
For 10-year-old Aran, the ability to walk independently is becoming reality with the help of the Elaine Owen Clinic, which is run at our Gait Laboratory in Kingston upon Thames. Aran has diplegia cerebral palsy, which manifests itself in tense muscles and spasms ... continue reading ...
With a diagnosis of cerebral palsy, little Sofia has more to contend with than the average four-year-old! But her positive outlook, combined with her family’s support and determination plus orthotics and physiotherapy, is helping her on the way to a bright future ... continue reading ...
LOC has recently begun treating five-year-old Esme to help her regain strength and independence of movement following SDR surgery for cerebral palsy. Esme’s mum, Charlotte, is already seeing significant improvement in Esme’s mobility since her bespoke AFOs were fitted ... continue reading ...
Five-year-old Austin has a diagnosis of cerebral palsy and underwent SDR surgery in November 2018. In July 2020, Austin’s parents brought him to LOC’s OSKAR Clinic, hoping that we could help him to walk independently and with more confidence ... continue reading ...
Elouise’s parents were acutely aware of the risk of flat head syndrome because their first child had developed severe plagiocephaly but was treated late with a headband after false reassurances from health professionals ... continue reading ...
This little boy first visited LOC in July 2015 with his parents. Has had been diagnosed with torticollis when he was 2 months old and had begun to receive physiotherapy to treat this ... continue reading ...
As Gary got to 5 months it was even more noticeable. During Gary's check-up with the GP, I expressed my concern about his head shape but once again I was told it would grow out and there was no reason for concern ... continue reading ...
This little boy has a twin brother and they were born 5 weeks prematurely. Both babies lay breach in the womb and this little one was stuck under mum’s ribs. His parents noticed a lump on his neck at a few weeks old ... continue reading ...
Working with LOC and Elaine has been a great experience – they really take the time to look at your child and understand their individual challenges and needs. For parents who are in the same position that we were, I would say do your research – see what clinics are available near you and what the costs are, but my feeling is it’s worth every penny.
After 10 years of daily physiotherapy and swimming, not to mention SDR, hamstring and tendon lengthening, we have finally achieved independent walking – it was a mother’s day gift that would take some beating.
LOC’s video vector technology measures exactly where Austin’s weight is being distributed, how his hips are moving and how his legs are moving. It’s those insights that have made his new AFOs so effective. Even within a few days, LOC’s splints have had more impact on his independence of movement than anything else we have done.
Since his new orthoses, his change has been remarkable. He is more mobile and can walk independently. Jason is now walking indoors and outdoors and is unrestricted. He is now properly enjoying the summer sunshine for the first time in a few years with no complaints of pain.
It has been a breath of fresh air – LOC’s ability to accommodate Sophie’s circumstances and manufacture her orthotics so quickly has taken a huge amount of potential stress away. Alan talks to Sophie as well - she looks forward to seeing him. He has even been able to fulfil her request to have her SMOs decorated with unicorns! It makes her feel special and much happier about wearing them.
I can now go a mile without having to stop, so it is a lot better and I’m walking in a regular pattern now. The orthotic fits perfectly because LOC took proper mouldings and photographs; they were very thorough.
Amelia was always looking for something to hold on to, now she runs around. Sam really puts in that extra effort to make the clients happy. I’d recommend LOC because they have all the equipment and extremely professional staff who have been trained by world-renowned physiotherapist Elaine Owen.
Lilac just flits about now. Every day she's getting stronger and our expectation now. We are absolutely with The London Orthotics Consultancy for the long haul now. We’ve found a business that can provide what we need and who we trust, and it’s the trust that's the most important thing to us.
My left knee hyperextends and Sam felt he could improve that condition with a different design of brace and also improve my gait with some other adjustments. The brace was such a success that I used it solely after receiving it. I am most thankful to Sam and his colleagues for their dedication to my case and their prompt assistance, which changed a potential disaster into a great tourist visit.
Multidisciplinary teams in business will sit down together and discuss a project with all parties concerned, each adding their particular expertise and insight. This is what it is like at London Orthotic Consultancy (LOC) but on a more personal level: Teamwork is evident. The camaraderie and mutual respect are undeniable. The attention to the smallest achievement is uplifting.
The orthotics help support my foot. Not only that, they have endured daily use, training for the Marathon des Sables, the race itself and they are still going! I am amazed that they survived the MDS and they are still being used today.
22-month-old Scarlett, who has periventricular leukomalacia, struggled to stand independently because of the condition, but her new AFOs from our Bolton clinic are making a world of difference!
An introduction to LOC's new website and what to look out for
Neurotronic KAFO is game-changing for post-polio patient, Sarah
LOC is launching its scoliosis treatment package using the Gensingen Brace by Dr Weiss® in our Cambridge Clinic. Find out more and book a free assessment on launch day!
Sofia’s AFOs Help Her to Stand and Walk During Lockdown
Toddler's brachycephaly treatment is greatly improved with LOCband treatment
A combined orthotic bracing solution for Scoliosis, Pectus and Rib Flare
Non-Surgical Treatment for Scoliosis - A Comprehensive Package