Treatment depends on the severity of the deformity. Most children with metatarsus adductus can correct the deformity with normal use of their feet as they develop. These cases do not require any treatment.
For children who cannot do this, but who have an affected foot that can be easily manipulated to normal positioning, stretching exercises are all that is needed.
Rarely, this disease causes a rigid deformity that cannot be corrected with simple manipulation. In these cases, casting and even surgery may be required. Other diagnoses may need to be considered in these children. A pediatric orthopaedic surgeon should be involved in treating more severe deformities.
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