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. Once the foot is corrected by casting, it is important to maintain the correct position by wearing the brace your doctor prescribes.
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.