Centre of Excellence · Adult & Pediatric

Foot & Ankle Deformity Centre

Adult & pediatric foot and ankle deformity correction

A dedicated centre for correcting complex foot and ankle deformities in both children and adults — from flat foot and cavus foot to bunion, hammer toe, club foot, and post-traumatic malunion. Every plan combines Germany-trained surgical precision with a clear non-surgical pathway wherever possible.

Overview

Understanding Deformity Centre

The shape of your foot decides how you walk, how long you can stand, which shoes you can wear, and — over decades — whether your knees, hips and back stay pain-free. When the foot or ankle is misshapen (a deformity), forces that should travel through the middle of the joint get pushed to the edges. That is why a bunion turns into pain in shoes, why a flat foot becomes an aching arch by evening, and why a child who walks on her toes eventually complains of calf tightness and falls.

The Foot & Ankle Deformity Centre at Dr. Chandan Narang's practice was built around one idea: deformity is a mechanical problem that needs a mechanical solution. Whether the patient is a 4-year-old with in-toeing, a 25-year-old bride worried about a bunion before her wedding, or a 55-year-old diabetic with a collapsing Charcot foot, the goal is the same — put the bones back where nature meant them to be, and protect the surrounding soft tissue while it heals.

Dr. Narang is Germany-trained in minimally invasive foot & ankle surgery with MIFAS, is a BEOFAA Fellow, and a national faculty for MIS foot surgery in India. Patients travel to Chandigarh and Mohali from across Punjab, Haryana, Himachal Pradesh, Chandigarh and Jammu & Kashmir — many of them beginning with a paid online video consultation to see whether they even need surgery.

Adult & pediatric under one roof

Care pathways designed for growing children and mature adults — with a parent-friendly explanation at every step.

Reconstructive expertise

Osteotomies, tendon transfers, arthroereisis and MIS techniques — chosen for each deformity, not one-size-fits-all.

Non-surgical first when possible

Custom orthotics, physiotherapy and observation protocols for children — surgery only when clearly indicated.

Symptoms

How patients describe it

Plain-language descriptions patients use — with the medical name in brackets.

"Foot looks flat when standing, arch appears when sitting"
Flexible pes planus
"Arch is too high; you walk on the outside of the foot"
Cavus foot
"Big toe bone bulging out; toe drifting toward the second toe"
Hallux valgus (bunion)
"One or more toes bent, curled, or riding over another"
Hammer toe / claw toe / cross-over toe
"Child walks on toes and cannot bring heels down"
Idiopathic or spastic toe-walking
"Toes pointing inward (pigeon-toed) or outward while walking"
In-toeing / out-toeing gait
"Foot never looked right after a fracture healed"
Post-traumatic malunion
"Foot suddenly changing shape in a diabetic patient"
Charcot neuroarthropathy
"Baby born with foot turned inward and downward"
Congenital talipes equinovarus (club foot)
Recognise any of the above? Start with an Expert Video Consultation from anywhere in India.
Red flags

When should I see a specialist?

  • Pain in the foot or ankle that lasts more than 4–6 weeks despite rest and shoe changes
  • Visible change in the shape of the foot (new bump, collapsing arch, drifting toe)
  • A child over 8 whose flat foot is painful, one-sided, or getting worse
  • A child who has never been able to bring the heel down when walking
  • An old fracture that healed crooked and now hurts with walking or shoes
  • A diabetic whose foot is suddenly hot, red or swollen without a wound — Charcot foot until proven otherwise
  • Difficulty finding shoes that fit — an early sign your foot mechanics need attention
Treatment

Treatment options — from conservative to surgical

Every plan starts with the least invasive option that works for you.

Custom orthotics & footwear modification

For flexible flat foot, mild bunions, and early adult acquired flat foot. Well-designed insoles offload the painful area and re-align the heel.

Best for: First-line for most flexible, painless or mildly painful deformities.
Physiotherapy & serial stretching

Targeted calf, tibialis posterior and intrinsic-foot strengthening. In children with toe walking or in-toeing, structured physiotherapy often solves the problem without surgery.

Best for: Any deformity with tight soft tissues but reducible bones.
Serial casting (Ponseti method)

The world standard for correcting club foot in babies — a series of gentle plaster casts followed by a small heel-cord release and a bracing programme.

Best for: Congenital club foot, ideally started within weeks of birth.
Minimally invasive arthroereisis (HyProCure®)

A tiny titanium implant is placed between the ankle and heel bones through a 1-cm incision to restore the arch of a flexible flat foot. No plaster, walking the same day.

Best for: Symptomatic flexible flat foot in older children and adults.
Reconstructive osteotomy & tendon transfer

Bone cuts (medial displacement calcaneal osteotomy) combined with tendon transfers (FDL to navicular) rebuild the collapsed arch of an adult acquired flat foot.

Best for: Stage 2 adult acquired flat foot with tibialis posterior dysfunction.
MIS bunion correction (MICA / PECA)

3rd–4th generation minimally invasive correction of hallux valgus through 3–4 mm incisions. Walk the same day in a post-op shoe; no plaster cast.

Best for: Mild, moderate and even severe bunions in adults.
Charcot foot reconstruction

Beam-and-bolt or superconstruct fixation to salvage a collapsed diabetic foot and prevent amputation.

Best for: Established Charcot deformity with ulceration risk.
Procedures we perform

Signature procedures

  • Minimally invasive arthroereisis (HyProCure) for flexible flat foot
  • Reconstructive flat-foot surgery (medial calcaneal slide + FDL transfer)
  • Cavus foot correction with tendon rebalancing
  • MIS bunion (hallux valgus) correction
  • Lesser toe deformity correction (hammer / claw toe)
  • Pediatric club foot & serial Ponseti casting oversight
  • Post-traumatic deformity correction and leg-length equalisation
  • Charcot foot beam-and-bolt reconstruction
Clinical scope

Medical focus areas

pes planus reconstructioncavus foot correctionpediatric flexible flat foothallux valgus (bunion) correctionpost-traumatic foot deformityCharcot foot reconstructionarthroereisis / HyProCurecalcaneal osteotomytendon transfer (FDL to navicular)adult acquired flat foot deformity (AAFD)
Recovery

What recovery looks like

A realistic timeline — every patient is different, but this is what most people experience.

  1. Week 0 · Day 1–7
    Post-op shoe / walking boot fitted on day one for most MIS procedures. Foot elevated 20 hrs/day for the first 3 days.
  2. Weeks 2–6 · Suture removal & re-imaging
    Progressive weight-bearing. Driving usually possible by 3–4 weeks for right-foot procedures.
  3. Weeks 6–12 · Return to normal shoes
    Regular shoes, structured physiotherapy, return to desk work and light social activities.
  4. Months 3–6 · Return to activity
    Gym, walking long distances, sandals and open footwear. Return to running is planned individually.
  5. Months 6–12 · Full remodelling
    Bone remodelling completes. Sports and heels resumed with a clear pathway for female patients.
Planning your travel from Punjab, Haryana, HP, Chandigarh or J&K? Book the video consultation first — plan surgery around your calendar.
Video consultation

Can I book an online consultation?

Yes — most deformity assessments can begin online. Take clear photos of your feet standing (front, side, back), a short video of you walking, and upload any X-rays or MRIs you already have. In a 20-minute paid video consultation Dr. Narang will tell you whether the deformity needs surgery, non-surgical care, or simply monitoring. This alone saves many patients from unnecessary travel to Chandigarh.

Regional care

Serving patients across North India

Patients travel to our centre from Chandigarh, Mohali, Panchkula, Ludhiana, Amritsar, Jalandhar, Patiala, Bathinda, Ambala, Karnal, Yamunanagar, Shimla, Solan, Kangra, Jammu, Srinagar and beyond. For most patients, we run the first assessment online, plan the surgery date, and have you travel to Fortis Hospital, Mohali only for the surgical window — typically 2–4 nights.

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FAQs

Frequently asked questions

My child's feet look flat — should I worry?

Flexible flat feet in children under 8 are usually normal and painless. We only intervene when the flat foot is rigid, painful, asymmetric, or interfering with activity. Send us a short walking video for a quick opinion.

Can adult flat foot be corrected without a big surgery?

In many early cases yes — with custom orthotics, physiotherapy, or a minimally invasive arthroereisis implant that restores the arch through a small 1-cm incision.

Is bunion surgery still done with a big scar and a plaster cast?

No. Modern 3rd–4th generation MIS bunion surgery is done through 3–4 mm incisions with no plaster. You walk the same day in a special post-op shoe.

Do I have to travel to Chandigarh just to be told I don't need surgery?

That is exactly why we offer a paid 20-minute video consultation. Most deformities can be triaged online first, saving unnecessary travel.

Will my child's toe-walking need surgery?

In the vast majority of children, no. A structured stretching and physiotherapy programme, sometimes with serial casting, resolves it. Surgery is reserved for stubborn or neurological cases.

Can a diabetic foot with a deformity still be saved?

Yes — with the right combination of offloading, infection control, and reconstructive surgery, we save limbs that other centres consider for amputation.

Ready to speak with Dr. Chandan Narang?

A 30-minute Expert Video Consultation from anywhere in India. Upload your X-ray or MRI in advance for a proper review.

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