HomePhilippine Scientific Journalvol. 43 no. 1 (2010)

Stand-Up and Be Counted (A Case of Talipes Equinovirus)

Ma. Pamela Milagros S. Perlas

 

Abstract:

Objective: To present a case of unilateral talipes equinovirus and to discuss latest treatment option; To show the role of Family Physician’s approach in the holistic care of the patient.

Design: Case Report

Setting: Tertiary hospital

Case Report: Four year old patient sought consult because his right foot was curved inward. During interview, mother confessed that they no longer consider treating patient’s condition because of financial constraints. Few months after birth, they were told at a government hospital that they would need 150,000 pesos for surgery. Condition has caused psychological pain on both patient and mother. The boy is shy and withdrawn. Family counseling is being done to help patient come out of his shell despite his disability and to encourage mother to let her child gain self-confidence. Other treatment options of club foot were given.

Conclusion: A case of unilateral Talipes Equinovirus in a four year old boy who appears to suffer not just from his disability but also from social isolation. Family counseling is being done to address this situation. Previous treatment of this condition required extensive surgeries. However, non-surgical method, the Ponseti method is fast becoming the mode of treatment even for older children.