From First Steps to Full Stride: Living Well with Clubfoot
Clubfoot is a congenital condition where one or both feet are twisted inward and downward. While it can look concerning at birth, early diagnosis and treatment mean that most people with clubfoot can walk, run, and live active lives. In Australia, clubfoot affects approximately one in every 1,000 newborns, and support from families, allied health professionals, and disability support workers plays an important role throughout early development and beyond.
Understanding Clubfoot and Its Treatment
Clubfoot, or talipes equinovarus, is not caused by anything a parent did during pregnancy. It happens as a result of tendons and muscles in the leg and foot developing differently in utero. The condition ranges in severity, with some cases resolving through conservative treatments, while others may require surgery.
The most common and effective treatment is the Ponseti method, which involves a series of gentle manipulations and plaster casts starting soon after birth. Once the foot has been corrected into a neutral position, children often wear a boots and bar brace for several years during naps and overnight to prevent recurrence. While this can be frustrating at times, consistent follow-through makes a long-term difference.
Some children may need additional procedures like a heel cord release or future orthotic support, but with ongoing care, they can typically enjoy the same activities as their peers.
Beyond Early Childhood: Ongoing Support Matters
While many children with treated clubfoot go on to walk and move without difficulty, some may still experience challenges with balance, stiffness, fatigue, or pain—especially during growth spurts or in adolescence. For these individuals, NDIS funding may support access to physiotherapy, orthotic devices, mobility aids, or home modifications.
Disability support workers can also help by:
Encouraging low-impact physical activity that supports strength and flexibility.
Monitoring for signs of discomfort or fatigue during outings or community access.
Supporting adherence to exercise plans or follow-up care as directed by allied health providers.
Providing emotional reassurance and positive reinforcement, especially when navigating changes in mobility or physical self-confidence.
Promoting Inclusion and Self-Esteem
Because clubfoot is often treated early, some people assume it no longer impacts the individual later in life. But that’s not always the case. It’s important to validate each person’s lived experience—including any pain, adjustments, or limitations they face.
Children and teens might worry about differences in how they walk, run, or move. Support workers and families can foster self-esteem by:
Celebrating progress, not just outcomes.
Promoting inclusion in sport, dance, and physical play with adaptations if needed.
Advocating for school-based accommodations when pain or reduced mobility affects participation.
Like many conditions, the long-term impact of clubfoot varies from person to person. Some may experience minimal disruption, while others may benefit from additional support well into adulthood.
Supporting Holistic Wellbeing
Support for someone with clubfoot goes beyond physical care. Consider the whole person:
Social connection: Encouraging participation in peer groups or inclusive community activities.
Emotional wellbeing: Checking in about self-image, identity, or confidence during key developmental stages.
Life transitions: Supporting people as they navigate work, education, or independence, including potential footwear needs or accessible environments.
Final Thoughts
With early intervention and the right supports, people with clubfoot can thrive in every aspect of life. But support doesn’t stop after infancy. Disability support workers, families, and communities play an ongoing role in helping individuals feel empowered, included, and proud of every step they take.