Club Foot Treatment

LOC has been given the exclusive rights to prescribe and fit the Cunningham brace to patients in the UK and Europe. This treatment is available to patients at our Kingston and Manchester clinics.

The current treatment of club foot in the UK is very well managed and there are high success rates achieved by experienced clinical teams. However, parents still find the Boots and Bar treatment phase challenging and improving this phase of the treatment is the goal of the Cunningham Brace.

Photos courtesy of Cunningham Prosthetic Care

Photos courtesy of Cunningham Prosthetic Care

LOC believes that the introduction of the Cunningham Brace to the UK needs to be managed carefully. Therefore we will only see patients who have been referred to us or who have been seen by Club foot and Ponsetti experts.

Only if they determine that the club foot condition has been fully corrected following the Ponseti treatment will LOC offer a Cunningham Brace, in preference to the traditional boots and bar bracing, to complete the treatment.

Following the decision to proceed with the Cunningham Brace, measurements will be taken at our Kingston clinic. The fitting of the brace will take place about a week later. To ensure the brace is fitting correctly we would want to see the baby on consecutive days.

LOC will then manage the treatment with appointments by Skype, Zoom or Facetime.

 

 

Photos courtesy of Cunningham Prosthetic Care

Photos courtesy of Cunningham Prosthetic Care

TREATMENTS

Cunningham Brace

The Cunningham brace is the 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.

Gerald developed his brace in response to observing the distress to both child and parent with the Boots and Bar approach.

Jerald Cunningham

Jerald Cunningham (inventor of the Cunningham brace) is a board-certified prosthetist and orthotist (ABC) with 20 years of experience in the field.

He has also been a guest lecturer for the University of New England's PhD Physical Therapy program.  

Jerald is constantly working to bring new, patient-inspired solutions to reality in the form of the Cunningham brace.

Adult Club Foot

Adults with club feet can have trouble walking with curled toes, fused ankles, callouses and pain.

At LOC, we offer bespoke orthotic treatments such as bespoke insoles, custom-made footwear and AFOs

Upon consultation at LOC, we can discuss your goals and what you want to achieve via treatment.

Club Foot FAQs:

The affected foot will look like it’s rotating internally at the ankle, with the foot pointing down and inwards. The soles of the feet face backwards. If left untreated, people with club feet often appear to be walking on their ankles or the sides of their feet. 

The big difference is that the Cunningham Brace is flexible and only fitted to the affected leg. This allows for the sort of dynamic movement you’d expect in babies, such as crawling, rolling and standing. Greater activity helps build a more developed muscular system – particularly calf muscles. Anecdotally we’ve seen a lot more symmetry in calf muscles using the Cunningham Brace than boots and bar. And because it’s a different kind of mechanism we don’t have to strap the feet up so tightly, which reduces issues such as blistering on the legs.

At your first appointment we will take measurements and fit your child with their first Cunningham Brace. We’ll show you how to put the brace on and take it off and book you in for a review a week later. We then schedule a series of reviews as your child grows to check progress and ensure that your child is maintaining the correction. This can be done in the clinic or virtually via a system like Skype. There are lots of simple things we can adjust to encourage correct development.

The Cunningham Brace is made from a series of measurements that we can either take in the clinic or help you to take during a virtual appointment. We hold a range of Cunningham braces in stock that we can adapt to the correct size and foot type of your baby. This process normally takes a few hours unless your child has a size that is out of the normal range or we do not have it in stock.

It depends on your child and the complexity of their case. On average, though, we’ll be looking to review your baby’s progress once a month over the course of treatment.

Treatment lasts about two years – this is around one-third of the time other methods require. In the first year, your baby will wear the brace for 23 hours a day – compared with boots and bar which can only be done for three months. This means we can help correct your baby’s foot while their tissue and bones are at their softest and most compliant. Once your baby is standing, they will only wear the brace during nighttime and naps.

Very often parents contact us before their baby is even born, having discovered the club foot on a scan. However, they first need to go through the Ponseti method with their consultant and then be triaged by a specialist physiotherapist before we can start treatment.

The cost of treating club foot depends on whether your child will need one or both legs braced. You can find all the information you need on our club foot treatment pricing page.

RECENT POSTS

 Lucas's walking improves after just six months in his new AFOs

Cerebral palsy patient Lucas sees significant improvement in his walking after only six months in his new custom Ankle Foot Orthoses (AFOs), designed by Professor Saeed Forghany in our Manchester clinic. Hear how a detailed gait analysis and bespoke AFOs significantly improved Lucas's gait and comfort.

Freddie's plagiocephaly journey

Freddie’s positional plagiocephaly was treated successfully with the LOCBand Lite, going from 11mm to 2mm after four months in his helmet.

Natasha can walk again thanks to her new orthotics

Adult club foot (talipes) patient Natasha says, "I cannot stress how amazing my AFOs are and how they have changed so much for me. The support they give me allows me to walk without crutches outside the house for the first time in over fifteen years."

LOC’s Scoliosis Brace Prevents Polly’s Curve Getting Worse

Diagnosed with adolescent idiopathic scoliosis at 14 years old, Polly and mum Zoe looked to the LOC Scoliosis Brace to help her curve and avoid surgery at a later date.

London Orthotic Consultancy Opens New Clinic in Belfast

LOC opens its first clinic in Northern Ireland, LOC Belfast, offer non-surgical orthotic treatment for scoliosis, pectus carinatum and pectus excavatum. Here, we will also be able to provide orthotic treatments for a range of adult and paediatric lower limb conditions including cerebral palsy, spina bifida, hypermobility, stroke, post-polio syndrome, and multiple sclerosis.

Nina and Ella: identical twins treated for craniosynostosis

Mum Natalie shares her experience of having both her identical twins diagnosed with craniosynostosis. Ella and Nina had surgery at Great Ormond Street Hospital before going through cranial remoulding therapy at the London Orthotic Consultancy.

Reciprocating Gait Orthosis gets Ted back on his feet again

See how a thorough gait analysis and a correctly-fitted, bespoke Reciprocating Gait Orthosis (RGO) helped Ted, a spinal surgery and cancer survivor, improve his rehabilitation and mobility goals, getting him back on his feet again.

Introducing our new slimline pectus brace

We are proud to announce the launch of our latest innovation in non-surgical treatment for pectus deformities. Our new dynamic chest compressor is one of the slimmest pectus braces on the market and is designed to reshape the chest without the need for invasive surgery.

Pevious Next

For Plagiocephaly free photo diagnosis, please upload images in accordance with our plagiocephaly photo guide (max. 2mb each).

For Pectus, please follow our pectus photo guide (max 2mb each).