Treatment most commonly consists of a series of castings in the newborn over a period of several weeks with frequent cast changes to gradually correct the deformity. Often, the heel cord needs to be lengthened during this time. This requires a small incision, followed by a final cast.
For those feet that do not respond to casting, surgery is required once the child gets a little older (between 6 and 12 months). Additional surgeries may be required as the child gets older if some deformity still exists.
The goal of treatment is a normal-appearing foot that fits well in shoes, functions normally and does not cause pain.