What problems can cavovarus foot cause?

Written in association with: Mr Sam Weston-Simons
Published:
Edited by: Conor Lynch

In this article, esteemed consultant paediatric orthopaedic surgeon, Mr Sam Weston-Simons, explains exactly what cavovarus foot is and what complications it can lead to. The London-based surgeon discusses whether it is hereditary, if treatment is necessary, and when surgery should be considered. 

What is cavovarus foot?

It is a description of how the foot changes with an imbalance between the muscles outside the foot and the muscles within the foot. If you look at a normal-shaped foot, it will tend to have a small arch in the middle, and the heel will be pointing a little bit towards the outside.

 

In a cavovarus foot, the arch becomes significantly more pronounced, and the heel comes towards the middle point of the foot. This can affect one’s quality of life significantly.

 

What problems can cavovarus foot cause?

It can cause a multitude of problems, depending on the severity of the deformity. Initially, symptoms may be related to day-to-day pain, and recurrent sprains due to the instability within the foot.

 

As a result of the imbalance, children in particular can suffer from these symptoms, and will struggle to run and take part in sports. They will also struggle to find comfortable and appropriate footwear.

 

Is it genetic?

Most cavovarus feet are bilateral, and because of this, there is a genetic component to it. A genetic inheritance analysis will be performed when diagnosing a cavovarus foot. As well as this, the spinal cord will be looked at, as there may be a number of neurological abnormalities that can also cause this foot deformity.

 

Is treatment always required?

Treatment is not always required. Ultimately, the initial management of the condition is to provide an underlying diagnosis for the cause. Once this is found, we can offer various treatment options, which can include the following supportive measures:

 

  • orthotics within the shoes
  • making specific shoes to accommodate the foot

 

When is surgery for cavovarus foot indicated?

The only time that surgery is indicated is when children are not managing day-to-day activities with these supportive measures that have been mentioned above.

 

If you are worried about your child’s feet, make sure you book a consultation with Mr Sam Weston-Simons today via his Top Doctors profile.

Mr Sam Weston-Simons

By Mr Sam Weston-Simons
Paediatric orthopaedics

Mr Sam Weston-Simons is a leading consultant paediatric orthopaedic surgeon based in London. He specialises in the treatment of congenital malformations, skeletal dysplasia and limb abnormalities and deformities in children. He is also expert in paediatric foot, ankle and hip disorders as well as all aspects of paediatric orthopaedic trauma. 

Mr Weston-Simons qualified in medicine in 2004 at the Royal Free and University College Hospital School of Medicine, having also achieved a bachelor’s degree with honours in pharmacology. He then went on to receive invaluable experience in various international appointments and developed a specialist interest in paediatric and developing world orthopaedics. This included six months at the Beit-Cure Orthopaedic Children’s Hospital in Malawi where Mr Weston-Simons volunteered as a fellow and a six month trauma fellowship in South Africa, which he both established and carried out as part of the orthopaedic program.

After completing further speciality training in London and the south east of England, Mr Weston-Simons completed a further fellowship at The Hospital for Sick Children in Toronto, Canada specialising in paediatric orthopaedics in 2017 and another in paediatric limb reconstruction at Sheffield Children’s Hospital the following year. He was appointed as a children’s orthopaedic consultant at London’s Evelina Children’s Hospital in 2020 where he has since established a limb reconstruction unit. He sees private patients at The Portland Hospital and the Cromwell Hospital.

Mr Weston-Simons’ numerous academic contributions are published in peer-reviewed journals. He has been an ATLS course instructor since 2011 and regularly trains medical students in ward-based and surgical skills in both formal and informal settings. His excellence in his field has been recognised with various awards and esteemed fellowships, including the Amulree award with elective bursary which he received during his time at medical school.

Mr Weston-Simons is a member of a number of esteemed learned bodies including the British Limb Reconstruction Society and the British Orthopaedic Association. He was appointed as member of the Royal College of Surgeons of England in 2007 and as fellow in trauma and orthopaedics in 2016.


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