The Ponsetti treatment for club foot was only introduced into the UK in the late 1990’s so there are a lot of adults who will not have enjoyed the benefits of this treatment and have to cope with the typical symptoms associated with the condition which could include:
Having to walk on their ankles or the sides of their feet
Many of these issues can be treated effectively with orthoses as we can manipulate the forces around joints and the internal structures of the foot and ankle.
These treatments include:
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.
When John Beacom and his wife, Janet, embarked on a trip of a lifetime around the UK, little did they know that it would nearly end in disaster. As a child, John had contracted Poliomyelitis, better known as polio, an infectious disease that can cause flaccid paralysis if the virus enters the central nervous system ... continue reading ...
After contracting poliomyelitis, better known as polio, back in the fifties when he was just 18 months old, John Gates was left with slightly reduced muscle movement in his left leg and barely any at all in his right. Polio is an infectious disease that can cause flaccid paralysis if the virus enters the central nervous system ... continue reading ...
Mr Jan Raposa has peroneal, gastrocnemius and soleus weakness with ankle instability following a herniated L4/5 lumbar vertebrae. Being otherwise fit and healthy – Jan’s rehabilitation goals were to return to his previous high-level activities - running and triathlons ... continue reading ...
Ellen came to LOC having suffered a stress fracture of her 2nd metatarsal in her right foot. She has high arched feet and given the intensity of her training and her recent injury she attended LOC to see what could be done to lessen her symptoms and allow her to train for a marathon ... continue reading ...
Nick attended LOC back on the 6th of May 2015, having suffered a traumatic brain injury in 2009. He had made progress in his recovery and had started to undertake some serious athletic endeavours as a part of his physical therapy. He was suffering from a right-sided foot drop and this was restricting his recovery ... continue reading ...
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.
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.
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.
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.
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.
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.
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.
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.
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.
Alex’s scoliosis curve treated successfully in just 6 weeks at LOC
LOC’s Scoliosis Team at SOSORT annual conference in May
Michael has achieved great results for his Pectus Excavatum with our vacuum bell treatment in combination with a specific exercise programme.
LOC welcomes Super Sofia to its Gait Laboratory at Salford University
Meet Jack who joined LOC in January as a Senior Orthotist
Rob can walk again thanks to the Neuro Swing AFO that LOC prescribed and manufactured for him
LOC’s Orthotic Clinic at Salford University’s teaching hospital to re-open on 14th February.
LOC’s first post-operative Sagittal Craniosynostosis patient
The Cunningham Brace was designed by Jerald Cunningham, who runs his own clinic in the US. It works using a firm strap around the thigh and a spring that holds the brace up against the bottom of the foot. This means that the brace is always gently stretching your baby’s foot into the correct position, in a similar way that a therapist applies manipulation.
Jerald developed the brace at the request of an orthopaedic surgeon and colleague who saw how distressing the boots and bar process was for many children and parents. Jerald has worked on the design for more than 10 years, tweaking as he goes, based on x-ray evidence after every patient fitting.
The exact number will depend on your child and their condition, but typically a child will only need to wear two to three braces over a two-year period. The first for about six months, then a year each for the second and third.
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.
No problem. Often parents come to us after they’ve tried persevering with the boots and bar treatment for a few months. It may change our treatment plan a little and your child might need treatment for a bit longer, but the process will essentially be the same.
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.
At the moment we can fit the brace at our clinics in Kingston-upon-Thames and Bristol; in addition, we can do follow up appointments at our Manchester clinic. There is a certain amount we can do virtually, but your first fitting would need to be done in person.
If your patient has asked you for more information about club foot treatment or the Cunningham Brace, our director Sam Walmsley would be happy to speak with you directly to explain the process. We can also offer your team an online presentation. Contact the LOC team if you’d like to know more.
The Ponseti method was only introduced in the UK in the late 1990s, which means there are lots of adults living with the long-term impact of untreated club foot. The good news is that many of the common problems that adults experience can be treated effectively with orthoses. Take a look at our treatment for adults with club foot page for more information.
If you would like to talk to us about your baby’s club foot and Cunningham Brace treatment, please don’t hesitate to get in touch via our Request an Appointment form or by calling us on 020 8974 9989.