The Ponseti Method has become the go-to treatment for babies born with clubfeet who are otherwise healthy. It avoids invasive surgery by using a series of casts that manipulate tissues in the legs and feet into correct alignment.
The Ponseti Method should be begun within one to two weeks of birth. It consists of between five and nine casts, changed weekly, with the final cast left on for three weeks. Before the final cast is set, most patients have their Achilles tendon cut in a simple office procedure. By the time the cast is removed, the tendon should be healed and regrown to the proper length. After the final cast is taken off, a removable splint is worn almost constantly for three months, then throughout the night for three to four years.