Treatment for metatarsus adductus:
Specific treatment for metatarsus adductus will be determined by your child's physician based on:
your child's age, overall health, and medical history
the extent of the condition
your child's tolerance for specific medications, 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
surgery
Studies have shown that metatarsus adductus may resolve spontaneously (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.
Metatarsus adductus, also known as metatarsus varus, is a common foot deformity noted at birth that causes the front half of the foot, or forefoot, to turn inward. Metatarsus adductus may also be referred to as "flexible" (the foot can be straightened to a degree by hand) or "non-flexible" (the foot cannot be straightened by hand).
What causes metatarsus adductus?
The cause of metatarsus adductus is not known. It occurs in approximately one out of 1,000 to 2,000 live births and affects girls and boys equally.
Other causal factors include the following:
family history of metatarsus adductus
position of the baby in the uterus, especially with breech presentations
sleeping position of the baby (babies sleeping on their stomach may increase the tendency of the feet to turn inward)
Babies born with metatarsus adductus may also be at increased risk of having an associated hip condition known as developmental dysplasia of the hip (DDH). DDH is a condition of the hip joint in which the top of the thigh (femur) slips in and out of its socket, because the socket is too shallow to keep the joint intact. here is a link maybe of use www.chp.edu/CHP/P02770-