I’m organising a free medical camp on June 4th at Palakkad Cooperative Hospital, Palakkad, Kerala on World Clubfoot Day.
Please do spread the news so that anybody interested can seek care.
Attaching below is a poster in local language Malayalam.
Interested patients may contact hospital Reception on following phone numbers for registration :
+91 491 252 0391
+91 491 252 2805
+91 491 253 6293
Once clubfoot is corrected with Ponseti plaster application and tendoachilles tenotomy, it’s time to maintain the correction of foot till child is grown more and started walking well. There is risk of clubfoot recurring without proper bracing.
Steinbeck device, Iowa Brace and Dobbs Brace are commonly used clubfoot Foot Abduction Orthosis.
Dobbs brace in particular has the added advantage of providing extra mobility to the child potentially improving compliance. Comparatively it’s more expensive.
In rural India it’s especially difficult to ensure compliance to orthosis for parents as many feel clubfoot treatment finishes with Ponseti casting. Social issues and sensitivity of going out of home with brace fitted is one of the issues that makes parent fall out. Some of them don’t spend enough time learning to put it on and take it off and give up once child starts crying. It’s an easy procedure that we teach aling with nurses and orthotists to help parents during initial days.
Osteogenesis Imperfecta is a congenital disorder of bones that has varied types and presentations. Severity varies based on the type of the genetic mutation that causes this disorder.
Regardless of the type the genetic modification cause malformed and weak bones and in some cases malformed teeth. Bone bend and deform or break easily and heals in deformed position. This results in cosmetic deformity along with issues with walking , standing for the child.
The bend of the bone if significant can cause repeated fractures either due to poor handling by caretakers or when child tries to bear weight and stand up.
Fortunately for the milder variants there’s are medications to make bones stronger and surgery to straighten bent bones. This allows child with help of walking aids and/or splints to ambulate.
For the very severe variants unfortunately clinical breakthrough is still awaited.
At ICCONS, where we have been successfully treating cerebral palsy children for over 10 years, rehabilitating them to achieve goals. It is so important to maintain the momentum of care across all departments.
Paramedical training ( physiotherapists, occupational therapists, orthotists, speech therapists, behavioral therapists, clinical psychologists, nursing team, social workers ) in cerebral palsy care, handling, treatment options and outcomes gives all those who are involved in the care of these children hope for the future. It also helps them prime parents towards realistic goals; both long and short term. The end result is a comprehensive care for these children with cerebral palsy.
Frequent lectures are so important to keep up the spirit among team members and orienting new employees.
A recent talk i gave at Pediatric Orthopedic & Cerebral Palsy Clinic, ICCONS, Kerala preceding the World Health Day , 2017
Take a look at @dreaswar‘s Tweet: https://twitter.com/dreaswar/status/850260886535020544?s=09
Dr. Easwar T.R 