Why So Many Children Still Grow Up with Preventable Clubfoot

Updated Aug 30, 2025 | 05:00 AM IST

SummaryClubfoot, a common congenital deformity in India, often goes untreated due to low awareness, stigma, and poor healthcare access. Expert stresses that with early diagnosis and simple treatment, disability can be prevented, while even neglected cases benefit from surgery and rehabilitation.
Clubfoot

Credits: Canva

If you’ve ever seen a baby’s tiny foot curled awkwardly inwards and downwards, you might dismiss it as “just the way they’re born.” But that little twist, called clubfoot, is no small matter. Left untreated, it can turn into a lifelong disability. And in India, where over 70% of cases in rural areas go untreated, clubfoot remains one of the most common yet most overlooked childhood deformities.

The Twist at Birth

Clubfoot is a congenital condition where one or both feet are turned inwards and downwards, making it difficult for the child to walk normally. “Clubfoot may look like a simple deformity at birth, but when not addressed in time, it becomes a rigid, disabling condition,” explained Dr Aashish Chaudhry, Orthopaedic Surgeon at Aakash Healthcare.

India sees roughly 1 in every 300 children born with a bone deformity, according to the Indian Orthopaedic Association, and clubfoot leads the list. Yet, awareness remains staggeringly low. Families often think the foot will straighten on its own or that treatment is too costly, so the condition is neglected. Children who should be running and playing instead limp through life, sometimes in pain and often with a heavy emotional burden.

Why India Lags Behind

Unlike countries such as China, Uganda, and Malawi that have national clubfoot programmes, India still does not have a dedicated public health plan. This gap leaves thousands of children untreated every year. “Children with neglected clubfoot often face pain, difficulty walking, and emotional distress. They may get bullied in school and develop poor self-esteem, which impacts their overall development,” said Dr Chaudhry, who himself grew up with the condition before becoming an orthopaedic surgeon.

The neglect is not just physical; it’s social. In communities where disability already carries stigma, children with clubfoot often become isolated, missing out on school and normal childhood experiences.

Early Treatment Is Possible

The irony is that treating clubfoot early is neither complicated nor expensive. The most widely used method is the Ponseti technique, which involves gentle manipulation of the foot, followed by a series of plaster casts and then bracing. “This method has a high success rate when started early, usually within the first few weeks after birth,” explained Dr Chaudhry.

Parents often believe treatment means surgery, but that’s not the case when intervention happens early. “Timely diagnosis and intervention can prevent the need for complex surgeries later and greatly improve outcomes,” he added.

When Treatment Is Delayed

But what about children whose clubfoot is neglected? Is it too late for them? Dr Chaudhry said, “Even in neglected cases, it is absolutely possible to correct the deformity with modern surgical techniques. Surgery, followed by proper physiotherapy and braces, can help the child walk normally again. The earlier the intervention, the easier the recovery but it's never too late to act.”

This is a crucial message for parents who assume that once their child starts walking with difficulty, nothing can be done. The truth is, whether it’s casting or surgery, medical science today offers hope.

Spotting It Early

Doctors recommend that all newborns undergo simple foot checks as part of routine postnatal screening. Parents should also be vigilant: if a baby’s feet appear turned inwards or if the child struggles when learning to stand or walk, medical advice should be sought immediately. Delay only makes matters worse.

“Many parents wait, thinking the child will outgrow the twisted foot. But delay in treatment often makes it worse,” said Dr Chaudhry.

Changing the Story

Ultimately, the solution lies not only in treatment but also in awareness and policy. With a dedicated national programme, better newborn screening, and parent education, India can turn the tide. As Dr Chaudhry put it: “Clubfoot is a treatable condition. With awareness, early action, and the right care, we can ensure that no child has to grow up with a disability that could have been prevented.”

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Long COVID Symptoms In Young Women May Trigger THIS Chronic Illness

Updated Oct 16, 2025 | 03:24 PM IST

SummaryA new study reveals that young women with symptomatic long COVID may be at higher risk of developing a chronic condition called POTS, affecting heart rate and overall well-being. Learn what long COVID is, how it can trigger this condition, and why early diagnosis and treatment are essential for managing symptoms and staying healthy.
long covid trigger chronic illness

Credits: Canva

When most people think of COVID today, they imagine a mild illness, like a cold, a few days of fever, a sore throat, or a cough, before recovery. But for many, the story does not end there. Long COVID, which the World Health Organization defines as symptoms lasting at least three months after infection, has become a lasting reality of the pandemic.

Most studies have focused on describing symptoms such as fatigue, brain fog, and shortness of breath. However, a recent study has shown that long COVID, especially in women, can trigger a chronic condition known as Postural Orthostatic Tachycardia Syndrome (POTS).

What Is Long Covid?

Long COVID affects roughly 6% of people who had COVID, with over 200 symptoms recorded. For some, it lasts just a few months, while for “long haulers,” it can continue for years. Measuring the scale of the problem is difficult because symptoms differ widely from person to person. This has sparked debates over what long COVID truly is, what causes it, and even whether it is real.

However, as per Johns Hopkins Medicine, common symptoms include fatigue, brain fog, shortness of breath, headaches, and changes in smell or taste, and multiple organ systems can be affected.

New Study Says Long Covid Can Trigger This One Chronic Illness

A study from Sweden found that young women with symptomatic long COVID were at a higher risk of developing POTS, adding an extra burden, according to research from the University of Nebraska Medical Center. Among a cohort of predominantly younger women with highly symptomatic post-COVID-19 sequelae (PCS), also called long COVID, there was a notable incidence of POTS. The research noted significantly lower physical activity and capacity in long COVID patients with POTS compared to those without it.

The study examined 467 non-hospitalized, highly symptomatic long COVID patients, 91% of whom were healthy, physically active women before their COVID infection. About 12 months after their initial COVID illness, patients underwent cardiologist evaluations including a 48-hour electrocardiogram, head-up tilt test, and Active Stand Test for those suspected of having POTS.

What Is Postural Orthostatic Tachycardia Syndrome (POTS)?

POTS is a disorder of the autonomic nervous system in which the heart rate rises excessively when standing. This can lead to symptoms like lightheadedness, fatigue, and fainting. In POTS, blood vessels don’t constrict as they should, causing blood to pool in the lower body and reducing blood flow to the brain. The nervous system compensates by releasing hormones that sharply increase heart rate, producing various symptoms, according to Johns Hopkins Medicine.

COVID-19 and POTS: Is There A Link?

POTS can be triggered by various factors, including viral or bacterial infections. Researchers believe the coronavirus that causes COVID-19 may act as a trigger, as more people recovering from COVID are showing POTS-like symptoms such as brain fog, rapid heartbeat (tachycardia), and severe chronic fatigue. The overlap in symptoms has prompted doctors to start testing patients for POTS.

Johns Hopkins explains that the autonomic nervous system controls functions we don’t consciously think about, like heart rate, blood pressure, sweating, and body temperature. Problems in these areas can cause symptoms that overlap with other conditions. Patients may have their POTS symptoms dismissed as lingering COVID effects or even psychological issues. Accurate diagnosis is critical, as POTS can be debilitating and requires targeted treatment.

How Can Volume Expansion Therapy Help With POTS?

The main goal of initial POTS treatment is to improve blood flow back to the heart, a strategy known as volume expansion therapy. This can include medication-based and non-medication approaches. Physical therapy also plays a key role in increasing blood volume over time. However, it often takes months before patients are able to respond enough to participate fully in physical therapy.

If you are experiencing COVID-like POTS symptoms, consult your healthcare professional for evaluation and guidance.

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Health Tests To Do Before Diwali For A Safe And Stress-Free Festive Season

Updated Oct 16, 2025 | 01:12 PM IST

SummaryWith Diwali just around the corner, it is the perfect time to get your health checkups done to ensure a stress-free festive season. Many people get so caught up in the celebrations that their health takes a backseat, but a few simple and common tests can help you stay safe and fully enjoy Diwali without any concerns. Keep reading for more details.
health test before diwali

Credits: Canva

Diwali season is here, which brings with it the joy of celebrations, endless sweets, and festive food, all of which make this time of year so special. But to enjoy it fully without health worries, it is important to keep a check on your wellbeing with a few basic tests.

As the festivities begin, it is natural to get carried away with indulgent meals, late nights, and social gatherings. However, a few simple blood tests before Diwali can help you stay active, balanced, and ready to celebrate without any setbacks.

Why You Should Get Tested Before Diwali

Surrounded by all the happiness and excitement, many people tend to overlook their health during the festive season. This often leads to avoidable health issues that can interrupt the joy of celebrations and take away from the festive mood.

These problems usually stem from a few common habits that creep in during festivals, overeating, irregular sleep schedules, eating too many fried or sugary foods, skipping workouts, or changing usual meal times. They can also worsen any chronic health condition you already have.

You might now be wondering what these health problems are and whether they should be taken seriously. Mostly, they begin with stomach-related troubles that interfere with digestion, causing discomforts like acidity, gas, tiredness, constipation, diarrhoea, or irregular bowel movements. We got in touch with Dr Ranjeet Singh, Professor and HOD General Medicine- NIIMS Medical College And Hospital.

Do These Health Tests Before Diwali For A Festive Free Season

HbA1c and Blood Sugar Test

People living with diabetes should check their sugar levels before the festive season. An HbA1c test shows your average blood sugar over the last three months and helps your doctor adjust your diet or medicines accordingly. Even if you don’t have diabetes, a simple fasting or random blood sugar test can help you track early signs of imbalance, especially if you plan to indulge in sweets and rich foods.

Blood Pressure Check

Irregular blood pressure is common during festivals due to stress, erratic sleep, and heavy food intake. Both high and low BP can cause headaches, dizziness, or even heart complications. Checking your blood pressure and basic heart health markers before Diwali ensures you celebrate safely without fatigue or uneasiness.

Liver Function Test (LFT)

Festive feasts are often loaded with fried, oily, and sugary items that can strain your liver. The Liver Function Test helps assess how well your liver is processing toxins and nutrients. If you already have liver concerns or a history of fatty liver, this test becomes even more essential before you begin your festive indulgence.

Kidney Function Test (KFT)

The Kidney Function Test checks how efficiently your kidneys are filtering waste and maintaining fluid balance. Overeating, dehydration, or excess salt and sweets can put pressure on your kidneys. Getting this test done before the festivities helps detect any early signs of kidney stress or damage.

Thyroid Function Test

Thyroid hormones control your metabolism, mood, and energy levels but when they get imbalanced, they can lead to fatigue, mood swings, or sudden weight changes, issues that tend to worsen during the festive rush. A Thyroid Function Test ensures your hormone levels are stable, helping you feel active and positive throughout the season.

Lipid Profile (Cholesterol Test)

During Diwali, fried snacks and sweets can cause a spike in cholesterol levels. A Lipid Profile Test helps measure good and bad cholesterol and triglycerides in your blood. If you get your Lipid profile done before Diwali, it can make you make better decisions when you are gorging on all the diwali sweets and make smarter food choices through the festive week.

To enjoy Diwali while reducing the risk of health problems, it’s a good idea to get these essential tests done in advance. Keeping your health in check will help you make the most of the celebrations without worry.

You can also encourage your family and friends to do the same. Remind them to take simple preventive steps and schedule their checkups so that everyone can enjoy a safe Diwali.

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World Anesthesia Day 2025: What Do Our Minds Do Under Anesthesia?

Updated Oct 16, 2025 | 12:52 PM IST

SummaryAnesthesia doesn’t simply make you sleep — it temporarily disconnects the brain’s communication networks, silencing awareness and memory while keeping the body stable. As it wears off, the mind “reboots” in layers, gradually regaining consciousness. Though safer today, anesthesia still puzzles scientists, revealing how fragile and fascinating human consciousness truly is.
World Anesthesia Day 2025: What Do Our Minds Do Under Anesthesia?

Credits: Canva

It was 1846, when a young man lay on an operating table as doctors were ready to perform a surgery to remove a tumor from his neck. Then came a strange-smelling vapor. It was mix of ether and oil, and it filled the room. The man lying on the operation table did not flinch or cry out, there was no pain. When he woke up, it was as if nothing had happened.

This was the day that marked the dawn of general anesthesia. It was on this day today in 1846, that surgical anesthetic WTG Morton conducted the first successful demonstration of ether. Thus, this day is observed as the World Anesthesia Day.

Nearly two centuries later, scientists are still trying to figure out what actually happens to the brain when we under go anesthesia?

The Mind Under Anesthesia

Anesthesia doesn’t simply make a person “fall asleep.” It creates a state where the brain disconnects from conscious awareness while vital body functions remain stable.

When the drug enters your bloodstream, it alters how the nerve cells in the brain communicate. Usually, a billion of neurons send and receive signals rapidly, and forms networks responsible for thinking, feeling, and awareness. However, when anesthesia enters the body, these signals slow down or stop and it disrupts the communication between key regions, such as the cortex, which is responsible for handling thought and sensory perception, and the thalamus, which is responsible for processing information from the body.

Furthermore, the brainwave pattern, which usually looks fast and varied on an EEG, shift into slower and larger waves. The mind actually "tunes out" losing its ability to form memories, sense time, or even to process pain.

While anesthesia is designed to create total unconsciousness, it’s a delicate balance. Too little, and traces of awareness can slip through, a phenomenon known as accidental awareness, where patients recall sounds, sensations, or pressure during surgery. It’s rare but can be distressing.

However, too much can make the brain enter a state of extreme suppression. In such cases, EEG readings show almost flat patterns, indicating that neurons have gone quiet. This can also raise the risk of confusion or cognitive issues after surgery, especially among older adults.

In most people, the fog clears within hours, but some experience short-term problems with memory or focus, known as post-operative cognitive dysfunction. In older patients, this sometimes extends into delirium — temporary disorientation or hallucinations caused by lingering changes in brain activity.

How Does The Mind Wake Up?

You do not immediately wake up, but the mind reboots in layers. High-order functions like reasoning and self-awareness are the first to recover, then attention, coordination, and reaction time.

Studies show that as the anesthetic wears off, brain activity gradually reconnects across different regions. Certain rhythms that dominate during unconsciousness fade, replaced by faster, more complex patterns as the brain resumes its normal communication. It’s as though the mind is reassembling itself, piece by piece.

Anesthesia does not just turn the brain off, but reshapes consciousness, suspending awareness, while also preserving life.

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