05 Apr 😬Have you been told that your baby has a clubfoot? 🥴Were you told that your baby’s foot would straighten out by itself but it didn’t.
Talipes, often referred to in the context of “clubfoot,” is a condition that affects the foot and ankle, causing them to be twisted. The classification into positional talipes and structural (or true) talipes is important for diagnosis and treatment.
Positional Talipes is typically considered to be due to the position of the fetus in the uterus. It is not related to any structural abnormalities in the foot itself but rather to the positioning and restricted movement inside the womb. The foot may appear misshaped or twisted, but this is due to its position rather than any inherent deformity in the bones or joints. Positional talipes often resolves on its own or with very minimal intervention, such as gentle stretching or physiotherapy. It is generally considered less serious than structural talipes because the foot’s bones, joints, and muscles are normal.
Structural Talipes is caused by a congenital anomaly, meaning it is present at birth and involves actual structural deformities in the foot’s bones, joints, and muscles. The most common form is talipes equinovarus, which involves the foot being pointed downwards (equinus) and turned inwards (varus). The deformity is rigid and cannot be corrected simply by repositioning the foot. It involves abnormalities in the foot’s structure that affect its appearance, functionality, and mobility. Structural talipes requires more intensive treatment to correct the deformity. This may include casting, bracing, physiotherapy, and sometimes surgery. The Ponseti method is a common and effective treatment approach involving serial casting followed by the use of a brace.
If you are concerned about your baby’s foot posture, reach out to My Favourite Physio on 
(02) 9790 4233 or DM us @myfavouritephysio to speak to one of our Expert Paediatric Physiotherapists today! 
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