Clubfoot

Clubfoot (talipes) is a condition present from birth in which one or both feet turn inward and downward. It is one of the more common birth differences of the foot. With early, consistent treatment, most children grow up to walk, run and play normally.

How it is treated

The standard treatment is the Ponseti method, usually started in the first weeks of life by an orthopaedic team:

1. Gentle stretching and weekly plaster casts gradually move the foot into position.
2. Many babies need a small procedure to release a tight Achilles tendon, followed by a final cast.
3. A foot abduction brace (often called "boots and bar") then holds the correction.

Our role: the brace

The bracing phase is where we come in, and it is the part that prevents the clubfoot from coming back. We fit the brace, teach you how to put it on, and review it regularly as your child grows.

• Usually worn [23 hours a day for about 3 months] after the last cast
• Then [at night and during naps until about age 4]
• Wearing it consistently is the single most important factor in preventing relapse.

We know it can be hard, especially at first. We'll help with comfort, skin care and routines that work for your family.

When to contact your doctor or us

• Red marks or blisters that don't fade within an hour of removing the boots
• Your child suddenly refuses the brace or seems in pain
• The foot seems to be turning in again, or your child walks on the outside of the foot. These can be signs of relapse.