What is the best management approach for metatarsus adductus in infants?

Metatarsus adductus is a common condition in infants characterized by inward turning of the foot. The management of this condition largely depends on the severity of the deformity and the age of the infant. In many cases, particularly when the metatarsus adductus is flexible, the best approach is reassurance and observation.

Flexibility indicates that the condition is likely to resolve naturally as the child grows and develops, typically by the age of 1 or 2 years. As a result, immediate intervention is often not necessary and can even be counterproductive. Providing reassurance to parents about the natural course of this condition can alleviate concerns, while regular monitoring ensures that any potential issues are identified early if they do arise.

While surgical intervention, physical therapy, and the use of orthotic devices can be appropriate in more severe or rigid cases, these options are not the first line of management for the majority of infants with metatarsus adductus. Therefore, the focus on observation allows infants to develop naturally without unnecessary interventions, making reassurance and observation the best management strategy in this context.