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There are many ways you can help children and their families get the care they need.
• your child's age, overall health, and medical history
• the extent of the condition
• your child's tolerance for specific procedures, or therapies
• expectations for the course of the condition
• your opinion or preference.
The goal of treatment is to straighten the position of the forefoot and heel. Treatment options vary for infants, and may include
• observation, for those with a supple, or flexible, forefoot
• stretching or passive manipulation exercises casts
Studies have shown that metatarsus adductus may resolve without treatment in the majority of affected children.
• Your child's physician or nurse may instruct you on how to perform passive manipulation exercises on your
child's feet during diaper changes.
• A change in sleeping positions may also be recommended. Suggestions may include side-lying positioning.
In rare instances, the foot does not respond to the stretching program, plaster casts may be applied.
• Casts are used to help stretch the soft tissues of the forefoot.
• The plaster casts are changed every one to two weeks by your child's pediatric orthopedist.
• If the foot responds to casting, straight last shoes (made without a curve in the bottom of the show) may be
prescribed to help hold the forefoot in place.
For those infants with very rigid or severe metatarsus adductus, surgery may be required to release the forefoot joints. Following surgery, casts are applied to hold the forefoot in place as it heals.
Learn more about our care tips for cast maintenance.
Contact your child's physician if your child develops one or more of the following symptoms:
• fever greater than 101 degrees Fahrenheit
• increased pain
• increased swelling above or below the cast
• complaints of numbness or tingling
• drainage or foul odor from the cast
• cool or cold toes
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”