Although Ponseti Technique is gold standard for non-invasive CTEV treatment but following are the challenges:
Faced by Patients
- Child Discomfort
- Social Stigma
- Physical Distance from treatment center
- Lack of Awareness
- Lack of Expert Physicians
Faced by Doctors
- Late Representation
- Brace Compliance
- Irregular or no follow-up
- Casting is highly uncomfortable for child, even leads to skin ulcers.
- Extensive travel to treatment centres is required on weekly basis
- It is skill intensive at physician level, and hardly outsourced to paramedical staff.
- Treatment cost is a challenge for parents from economically weaker sections
All these factors contribute to the neglect of the treatment of clubfoot. 50 % of children born with clubfoot do not have access to treatment / do not continue the treatment.