Treatment depends on how rigid the foot is when the doctor tries to straighten it.
No treatment may be needed if the foot is very flexible and easy to straighten or move in the other direction. The child will be checked regularly.
In most children, the problem corrects itself as they use their feet normally. They do not need any further treatment.
If the problem does not improve or your child's foot is not flexible enough, other treatments will be tried:
Stretching exercises may be needed. These are done if the foot can be easily moved into a normal position. The family will be taught how to do these exercises at home.
Your child may need to wear a splint or special shoes, called reverse-last shoes, for most of the day. These shoes hold the foot in the correct position.
Rarely, your child will need to have a cast on the foot and leg. Casts work best if they are put on before your child is 8 months old. The casts will probably be changed every 1 to 2 weeks.
Surgery may be needed, but this is uncommon. Most of the time, your doctor will delay surgery until your child is between 4 and 6 years old.
A pediatric orthopaedic surgeon should be involved in treating more severe deformities.