Children's Physiotherapy -
Clubfoot and Ponseti treatment

The Ponseti service offers the full assessment and treatment of children with structural foot deformities. This includes conditions such as Clubfoot (Congenital Talipes Equinovarus), Congenital Vertical Talus and Metatarsus Adductus as well as other foot deformities.

Noah's Ark Children's Hospital for Wales, Ysbyty Plant Cymru

Our clinic was established in 2005 and includes a team of Consultant Paediatric Orthopaedic Surgeons and Specialist Physiotherapists.   

The Pontseti Method  

The service follows the Ponseti method as the primary management for Clubfoot. Antenatal counselling is offered following diagnosis at the 20-week scan. The clinic runs weekly, with treatment usually starting two to three weeks following delivery. The casting phase is a series of weekly casts above the knee to gently manipulate and correct the foot position.  

The child may require an Achilles tenotomy which is often performed under local anaesthetic in clinic. Following this, three further weeks of casting is required, then transition into a Foot Abduction Brace. The brace is worn for 23 hours a day for 12 weeks, then at night and nap times until the child is age 5.   

The Pontseti Team  

  • Olga Bizby, Specialist Paediatric Physiotherapist 
  • Natalie Morgan, Specialist Paediatric Physiotherapist 
  • Amelia Stubbs, Paediatric Physiotherapist  
  • Clare Carpenter, Consultant Orthopaedic Surgeon 

Useful websites

Key contacts

For referrals and appointments: Paediatric Orthopaedic Secretaries  
Contact: 02920 748034

For clinical questions: Email ponseti.cav@wales.nhs.uk  

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