As a team of experienced podiatrists in Singapore, we know that metatarsus adductus is a condition that affects many people but is rarely talked about. Therefore, we are here to help you understand it better. In this article, we will discuss everything you need to know about metatarsus adductus, including its causes, symptoms, and treatment options.
What is Metatarsus Adductus?
Metatarsus adductus is a common foot condition that affects the way the front part of the foot (forefoot) is positioned. This condition causes a curve in the middle of the foot, resulting in the front part of the foot turning inward. This inward curve is known as the “C” shape, which gives the foot a curved appearance.
The inward deformity of the foot causes a child or adult to walk with an in-toe walking pattern. Hence, it is important to check for metatarsus adductus when examining a person with in-toeing gait.
Metatarsus adductus can present at birth, or develop as the child ages. The severity of the condition can range from mild to severe, and the treatment plan will depend on the severity of the curve.
Diagnosis
Your medical professional or podiatrist can easily identify metatarsus adductus through a simple exmaination, known as the Bleck’s test. The Bleck’s classification system can also help determine the severity of the condition, and if the condition is correctable.
X-rays are another tool that can help detect this condition, but it is generally not required. This may only be necessary if the condition presents as a fixed deformity, or to rule out conditions such as skew foot or clubfoot.
Causes
The exact cause of metatarsus adductus is not clear, but studies suggest that it could be a result of the baby’s position in the womb. Some of the factors that may increase the risk of developing this condition include:
- Family history: If someone in your family has had metatarsus adductus, you may be more likely to develop the condition.
- Firstborn child: It is more common in firstborn children.
- Breech position: Babies who are in a breech position in the womb may be at a higher risk of developing this foot deformity.
- Twins: Metatarsus adductus appears to be more frequent in twins than a single-born
Symptoms
The most common symptom of metatarsus adductus is the curved appearance of the front part of the foot. Other symptoms may include:
- Difficulty fitting shoes properly
- Pain or discomfort in the foot
- Reduced flexibility in the foot
- Difficulty walking or standing for extended periods
Treatment Options for Metatarsus Adductus
Metatarsus adductus in adulthood is usually non-correctable without any surgery. In childre, the treatment will depend on the severity of the condition. In mild cases, the condition may improve on its own as the child grows. However, in more severe cases, treatment is necessary to prevent future foot problems.
Some of the treatment options in Singapore include:
- Stretching exercises: Regular stretching exercises can help improve flexibility in the foot.
- Special shoes: In some cases, special shoes, paediatric foot braces ,or foot orthoses may be necessary to support the foot and encourage proper development.
- Serial casting: In more severe cases, casting may be required to correct the position of the foot.
- Surgery: In rare severe cases, correcting the position of the foot through a surgery may be necessary.
Does Metatarsus Adductus Go Away?
In some cases, metatarsus adductus can resolve on its own as the child grows and starts to walk more. However, in other cases, the condition may persist or even worsen over time, leading to other foot problems. The likelihood of metatarsus adductus going away depends on the severity of the condition and the age of the child. It is important to monitor the child’s foot development and seek medical attention if there are any concerns.
Can Metatarsus Adductus Affect Walking?
Metatarsus adductus can affect the way a child walks, as it can cause the foot to turn inward and affect the balance and stability of the foot. Children with this condition may have a in-toe walking gait pattern and may be more prone to tripping or stumbling. However, with appropriate treatment and management, most children can walk and run normally.
Does Metatarsus Adductus Correct Itself?
In some cases, it can correct itself over time as the child grows and develops. However, this is not always the case, and some children may require treatment to prevent other foot problems from developing. Early detection and management often leads to better chances of successful outcome.
What Are the Long-Term Effects of Metatarsus Adductus?
This condition can lead to other foot problems if they persist through life, such as metatarsalgia, hammertoes, and tailor’s bunion. These conditions usually cause pain, discomfort, and difficulty walking or standing. Additionally, children with metatarsus adductus may find it difficult to participate in sports, especially if their stability is affected. Therefore, it is important to monitor the child’s foot development and seek appropriate treatment if needed.
Conclusion
Metatarsus adductus is a common foot condition that can cause discomfort and difficulty walking. At Straits Podiatry, we are here to help you understand this condition better and provide you with the best possible management options. If you or someone you know is experiencing the above symptoms, please do not hesitate to contact us for a consultation. Our team of experienced podiatrists is here to help you every step of the way.
