Tuesday, March 5, 2019

Tendon Achilles Lengthening (TAL)/ Gastrocnemius Recession

Why does my child need this surgery?

When a child’s Achilles tendons (thick tendons that help connect the heel to the calf muscle) are overly tight because of spasticity (very tight muscle tone), they can be forced to walk on tiptoe. Pushing the foot into a flat position makes the knee bend back. The problem will get worse as they grow. The first treatment is physical therapy and bracing. For example, a child may be fitted with a molded ankle foot orthosis (MAFO). But if the brace can’t keep the foot flat, or is too uncomfortable, or if your child is too old to want to wear a brace, surgery is the next step.

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