Cerebral palsy is a set of movement disorders that typically affects children and interferes with normal mobility, movement and coordination. Ankle and foot deformities are common in patients with cerebral palsy and can take shape in the form of Equinus, Hallux Valgus and similar deformities.
These ankle and foot deformities result in an imbalance of the muscles of the foot resulting in poor weight distribution and difficulty in walking. The anatomical deformity also makes it difficult to fit the foot in the shoe. In moderate cases, the presenting symptom could be pain and easy tripping.
A proper and complete physical examination by a qualified doctor will determine the plan of action that needs to be taken.
Treatment for Foot Conditions in Cerebral Palsy
Although cerebral palsy is a permanent disabling condition, there are ways to improve gait and mobility. Patients with foot deformities are prescribed medical orthotics and insoles and well as casts.
Some doctors will also recommend giving a botox A injection in the gastrocnemius muscle. However, these interventions are seldom fruitful. In severe cases of foot deformities, surgical options are often explored.
Tendo-Achilles lengthening, osteotomy, arthroereisis and joint arthrodesis are the surgical procedures of choice. It’s important to get evaluated before the best treatment option can be recommended.