The first May edition of the program “Vamos Falar de Saúde” addressed clubfoot, a congenital orthopedic condition that affects the positioning of the feet towards the scalp and can compromise a child’s mobility if not treated promptly.
The program featured Luís Catumbela, a social worker, and Ana Paula da Silva, an orthotist, clinical psychologist, and director of the Lubango Orthopedic Center, who presented a clear analysis of the causes, diagnosis, and treatment of the condition.
What is clubfoot and what are the causes?
During the session, the specialists began by defining clubfoot as a congenital deformity characterized by abnormal rotation of the foot. Three main causes were identified, with genetic origin being considered the most frequent factor. The following associated factors that may influence the development of the condition were also mentioned:
- Intrauterine factors (during pregnancy)
Environmental factors
Neuromuscular factors
Associated conditions (spina bifida or arthrogryposis)
Other genetic or neurological syndromes
Early diagnosis is fundamental
Regarding the diagnosis of clubfoot, it was explained that, locally, this is mainly done after birth, through clinical evaluation performed by physiotherapists. In some cases, the problem can be identified during pregnancy through ultrasound.
The two main types of the condition were also presented:
- Idiopathic clubfoot
- Syndromic clubfoot
Treatment: between physiotherapy and surgery
Treatment for clubfoot can vary depending on the severity of the case, ranging from physiotherapy to surgical intervention. According to specialists, continuity of treatment is essential to avoid complications such as contractures and functional limitations.
Within the scope of the surgical campaigns carried out in Lubango, approximately 58 children have already undergone surgery, demonstrating the positive impact of these initiatives on patient recovery.
The Role of the Patient and Family Office
The Patient Office was highlighted as a key element in the process, being responsible for the registration and monitoring of patients. Furthermore, continuous work was developed to raise awareness among families, promoting adherence to treatment and clarifying doubts about the condition.
Partnerships with the Pediatric Hospital and the Maternity Hospital have reinforced clinical education, while the Lubango Orthopedic Center has supported patient transportation, facilitating access to healthcare.
Challenges and Appeal to Families
One of the main challenges identified is the resistance to or abandonment of treatment by some families, which can worsen the child’s clinical condition. Social worker Luís Catumbela highlighted the importance of continuous monitoring and made an appeal against resistance to treatment.
It was also mentioned that clubfoot affects males more frequently and can lead to social consequences, such as bullying, if not treated specifically.
The first edition of “Vamos Falar de Saúde” reinforced the importance of early diagnosis of clubfoot, adherence to treatment, and family involvement. With proper follow-up, it is possible to accept the deformity and ensure a better quality of life for affected children.