Metatarsus adductus

What is metatarsus adductus?

Metatarsus adductus is a common foot condition in babies and young children. Normally, the foot has a straight outside border. In metatarsus adductus, the outside border of the foot curves inwards, resulting in a bean-shaped appearance.

Metatarsus adductus is thought to be related to the position of the baby in the mother’s uterus and can affect one or both feet. A baby with metatarsus adductus should have a careful hip examination.

In most babies, affected feet stay flexible, and the condition resolves over the first 2 to 3 years without treatment.

Treatment of metatarsus adductus

Some babies and young children with metatarsus adductus need assessment and monitoring by the child’s doctor or physiotherapist. Gentle stretches and exercises may help to straighten the foot. These exercises should be performed regularly. Exercises are most effective when the baby or child is relaxed and should never be painful for them. In rare cases treatment may be needed. This may consist of a series of casts, special braces or shoe inserts.

If you are concerned that your child’s foot remains stiff or is not improving, talk to their doctor or physiotherapist.

Stretches and exercises

• Midfoot stretch

  

  Gently move the side of your baby’s foot outwards so it is straight. This may be held for a 20-30 seconds, or longer if your baby is comfortable.

• Muscle stimulation exercise

  

  Gently stroke the outside and front of your baby’s foot and lower leg to encourage the foot into a normal position.