Ponseti Tenotomy: The Tiny Procedure That Feels Like a Big Deal
If you’ve already gone through the casting phase, you’ve probably heard the word “tenotomy” by now.
And just like it happened to me, you might have frozen the first time you heard it.
"A surgery? On my baby’s tiny foot?"
That was my first thought too.
And if you’ve had the same reaction, I see you, I feel you, and I get it.
Let me explain what really happens, in words we can all understand.
What Is a Ponseti Tenotomy?
A tenotomy is a small, quick procedure that helps release the Achilles tendon so the foot can finish aligning properly.
Doctors make a tiny cut in the tendon (don’t worry—it heals by itself very quickly), and this allows the foot to stretch into the right position.
Is It a Big Surgery?
Not at all.
In most cases, it’s done in just a few minutes at the hospital or clinic.
Some doctors use local anesthesia, others may use light sedation.
Most families go home the same day, with their baby already back in their arms.
What Happens After?
After the tenotomy, your baby will wear one final cast, usually for three weeks.
This cast “seals” all the progress made with the previous casts.
What I Wish I Had Known Sooner
Babies don’t remember it, and they recover much faster than we expect.
It’s not as scary as it sounds—it’s actually a small but important step.
And when that final cast comes off… you’ll finally see your baby’s straight little feet.
And trust me, you’ll never forget that moment.
The tenotomy is a tiny moment in time, but it’s a giant leap forward in your baby’s journey toward walking, running, and chasing their dreams.
