Pediatric Orthopedic Supports
Fitted at the clinic with sizing checked against your measurements — never sold off the shelf without assessment. Available at Modern Physio, Vaishali Nagar, Jaipur.
| Product | Sizes | Availability |
|---|---|---|
| Correct D.B Splint | 0-14 | Enquire on WhatsApp |
| Correct CTEV Shoes | A-E | Enquire on WhatsApp |
Conditions This Helps
CTEV shoes and Dennis Browne (D.B.) splints are bracing equipment used in the care of clubfoot — congenital talipes equinovarus — a condition some babies are born with in which one or both feet turn inward and downward. In modern care, most commonly the Ponseti method, the foot is first corrected step by step with gentle casting, and bracing then holds that correction while the child grows: special shoes attached to a bar that keeps the feet in the corrected position, worn on a schedule set by the treating specialist.
One thing must be said before anything else, and it shapes this entire page: these are not products a parent should ever select, size or schedule on their own. CTEV shoes and D.B. splints are used strictly under the direction of a paediatric orthopaedic surgeon or paediatric physiotherapy team. The treating doctor decides whether bracing is needed, in what position, and for how many hours a day; our role at Modern Physio is to support that plan — helping with correct fitting, teaching parents the daily routine, and providing the physiotherapy that runs alongside. We do not, and will not, supply this equipment for self-prescribed use on a child.
For parents, a clubfoot diagnosis can be frightening, so it is worth saying clearly: clubfoot is one of the more treatable conditions a baby can be born with. With proper correction and — critically — faithful bracing, most children walk, run and play normally. The bracing years ask a lot of parents; the equipment on this page is what that commitment looks like in practice, and helping Jaipur families carry it well is something Dr. Surabhi Bansal and the team take seriously.
Who This Helps
Babies and young children with clubfoot (CTEV) whose treating paediatric orthopaedic specialist has prescribed bracing — typically after serial casting has corrected the foot position.
Children in the maintenance phase of the Ponseti pathway, where the brace is worn to hold correction while the child grows — initially for most of the day, later usually during naps and nighttime, on the specialist’s schedule.
Families who have a prescription and a plan but need practical, local support in Jaipur — correct sizing as the child grows, help with fitting technique, and someone to check the skin and the routine between specialist visits.
Children under paediatric physiotherapy care at Modern Physio for related needs — movement development, stretching programmes and gait practice as advised — where bracing support is one part of joined-up care with the treating doctor.
What a Session Looks Like
- 1
Prescription first: we start from your specialist’s plan — the diagnosis, the stage of treatment, and the prescribed brace settings and wearing hours. If you do not yet have a paediatric orthopaedic specialist directing care, helping you connect with one is the first step, before any equipment.
- 2
Measurement and fitting: we measure your child’s feet and fit the CTEV shoes and bar to the prescribed settings, checking heel seating and strap tension — the heel sitting fully down in the shoe is the detail on which everything else depends.
- 3
Parent training: you practise putting the brace on and taking it off yourself, with our coaching, until it feels routine. We show you the daily skin checks — where to look, what a normal transient pressure mark looks like, and what is not normal.
- 4
Routine building: we go through the wearing schedule your specialist has set and help you plan it around feeds, sleep and family life — the practical details that decide whether bracing succeeds.
- 5
Physiotherapy alongside: where advised, we provide the accompanying paediatric physiotherapy — gentle stretches, movement and, for older children, gait and play-based exercise — coordinated with the treating doctor.
- 6
Growth and review: children outgrow shoes quickly, so we re-check size and fit at regular intervals and before each specialist follow-up, and we flag anything — fit, skin or foot position — that should go back to the specialist promptly.
Safety & Contraindications
This treatment is not suitable for everyone. Tell your physiotherapist about your full medical history — it is screened for at your first assessment.
- •Self-prescription — named first because it is the one that matters most. Never buy or fit CTEV shoes or a D.B. splint for a child without a specialist’s direction, and never change the prescribed wearing hours, bar width or shoe angles yourself. Bracing an uncorrected or partially corrected foot, or bracing in the wrong settings, can harm a growing foot.
- •An uncorrected or relapsing foot — bracing holds a correction; it does not create one. If the foot position seems to be slipping, the child needs specialist review, not tighter straps.
- •Skin problems under the brace — pressure marks that do not fade within a short time after removal, blisters, broken skin or persistent redness over bony points mean the fit is wrong. Stop and have the fit checked; do not pad over a pressure sore and continue.
- •Outgrown equipment — children grow fast, and shoes that have become tight cause pressure injuries and poor positioning. Regular size checks are part of safe bracing, not an optional extra.
- •A child in unexplained distress in the brace — most babies adapt to bracing within days or weeks, and settled sleep in the brace is the norm once adapted. A previously settled child who suddenly cannot tolerate the brace may have a fit, skin or foot-position problem that needs checking.
- •Fever, swelling, or a hot or painful foot — medical review first; the brace question comes after.
Expected Timeline
Clubfoot care is a years-long pathway, and honesty about that helps families pace themselves. In the standard Ponseti approach, casting corrects the foot over a period of weeks; bracing then begins, typically full-time for an initial period of months and then during naps and nighttime for several years, on the schedule the treating specialist sets. The exact durations are the specialist’s decision and vary from child to child — the figures here describe the common shape of the journey, not your child’s prescription.
The single most important thing research and clinical experience agree on: consistent brace wear is what protects the correction. Relapse — the foot drifting back toward its old position — is strongly associated with stopping the brace early or wearing it irregularly. The brace years can feel long precisely because the foot looks normal; the brace is what keeps it that way while growth continues.
Along the way there are natural checkpoints: specialist follow-ups, shoe size changes every few months, and, for us, fit and skin reviews between them. Most children adapt to the brace within a few weeks and sleep normally in it. If you are finding the routine hard — and many loving, diligent parents do at some point — say so at any visit. Problem-solving the routine is part of the care, and small practical fixes rescue more bracing plans than willpower does.
Evidence Base
A Cochrane review of treatments for clubfoot supports the modern serial-casting-plus-bracing approach and notes that relapse is a recognised risk when bracing is not maintained as prescribed.
Cochrane review CD008602 — Interventions for congenital talipes equinovarus (clubfoot)The NHS describes the Ponseti method — gentle casting followed by boots-and-bar bracing worn to a specialist-set schedule for several years — as the standard treatment pathway for clubfoot, with a good outlook for most children treated this way.
NHS — Club footThe Global Clubfoot Initiative promotes the Ponseti method — casting followed by sustained boots-and-bar bracing under trained supervision — as the internationally recognised standard of clubfoot care.
Global Clubfoot InitiativeFrequently Asked Questions
My baby has been diagnosed with clubfoot. Can I just buy CTEV shoes and start?
No — and this is the most important answer on this page. CTEV shoes and splints hold a correction that must first be achieved, almost always through specialist serial casting. Bracing an uncorrected foot does not straighten it and can cause harm. The pathway is: paediatric orthopaedic specialist first, casting as they direct, then bracing on their prescription. Once that plan exists, we help you with fitting, sizing and the daily routine here in Jaipur.
What is a Dennis Browne (D.B.) splint, and how is it different from CTEV shoes?
They are parts of the same system. The D.B. splint is the bar that connects two shoes and holds the feet apart at prescribed angles; CTEV shoes are the specially designed boots that attach to it and hold each foot. Together they form the "boots and bar" brace used to maintain clubfoot correction. The bar width and shoe angles are set from your specialist’s prescription — they are not adjusted by parents, and we fit them to the prescribed settings.
How many hours a day does my child wear the brace?
Your specialist sets this, and their instruction overrides anything general we could write here. The common pattern in Ponseti care is an initial period of near-full-time wear, reducing later to naps and nighttime for several years — but the exact hours and duration are individual to your child. What we add is the practical side: making the routine workable, checking the fit as your child grows, and helping you stay consistent, because consistency is what protects the correction.
My child cries when the brace goes on. Are we hurting them?
A correctly fitted brace on a corrected foot should not cause pain — but an adjustment period of fussing in the first days is common and usually settles as the child habituates. What you should check: the heel fully seated in the shoe, no red marks that persist after removal, and no change in how the foot looks. A child who was settled in the brace and suddenly is not, or persistent skin marks, mean bring the brace and the child in for a fit check — and anything concerning goes back to your specialist. Never simply push through unexplained distress, and never quietly reduce the hours; tell the team instead so the cause can be found.
How often will my child need new CTEV shoes?
Whenever the feet grow out of them — for babies and toddlers that can mean a size change every few months. Shoes that have become tight cause pressure marks and stop holding the foot properly, so regular size checks are part of the routine. We check fit at review visits and can re-measure quickly whenever you are unsure; sizes run from infant through early childhood to cover the bracing years.
What happens if we stop the brace early? The foot looks completely normal now.
The foot looking normal is the brace working, not a sign it is finished. Clubfoot has a known tendency to relapse while the child is growing, and stopping bracing early — or wearing it irregularly — is the factor most strongly linked to the foot drifting back, which can mean repeat casting or further treatment. The decision to reduce or stop bracing belongs to your specialist. If the routine is becoming unmanageable, tell us or your doctor — the fix is problem-solving the routine, not quietly dropping it.
Does physiotherapy have a role alongside the bracing?
Yes, in a defined lane. The correction and bracing decisions belong to the paediatric orthopaedic specialist; physiotherapy supports the plan around them — gentle stretching and movement work where advised, monitoring development milestones, gait practice as your child starts walking, and keeping the whole routine on track between specialist visits. At Modern Physio this is coordinated care: we work from the specialist’s plan and report back to it, never around it.
How do we get CTEV shoes or a D.B. splint at Modern Physio, and what do they cost?
Bring your specialist’s prescription or treatment notes to the clinic in Vaishali Nagar — we fit against that plan, measure your child, and teach you the routine in the same visit. We do not supply this equipment without specialist direction. Prices vary by size and change with suppliers, so we do not publish them here; call or WhatsApp +91 82334 02489 for current fees, availability and what to bring along.
Conditions We Treat With This
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Medically Reviewed
This content was reviewed for medical accuracy by Dr. Surabhi Bansal, BPT, MPT (Ortho) with 14+ years of clinical experience.
At Modern Physio, all medical content undergoes a thorough review process to ensure accuracy and alignment with current physiotherapy standards. Our content is created to educate and should not replace professional medical advice. Learn more about our review process.