What is the initial treatment method for clubfoot in infants?

The initial treatment method for clubfoot in infants is casting, specifically utilizing the Ponseti method. This approach involves a series of corrective casts that are applied to the foot to gradually reposition it into a more normal alignment. The effectiveness of this method lies in its ability to gradually stretch the tight tissues and ligaments around the foot and ankle, effectively correcting the deformity without the need for immediate surgical intervention.

Casting typically begins shortly after birth and is performed weekly, with the position adjusted each time to achieve optimal correction. Once the foot is appropriately positioned, a brace is often used to maintain the correction and prevent recurrence. This conservative treatment is preferred because it has a high success rate and minimizes the need for more invasive procedures, which can have greater risks and complications.

In contrast, while surgery might be considered later in life if other treatments are unsuccessful, it is not the first course of action. Physical therapy and medication do not play a primary role in the initial management of clubfoot. This makes casting the most appropriate and effective initial treatment strategy for infants diagnosed with this condition.