Taping or casting should be started as early in life as possible. By holding the foot in such a position all three components of clubfoot are essentially corrected. At this point, adhesive tape is applied to hold the foot in this position. By about eight weeks of age, the foot and leg are large enough that a long leg cast may be applied with the foot in the corrected position. The casts are changed weekly or biweekly until the position of the foot is acceptable or improvement has ceased.
Conservative treatment is generally more successful in cases where the deformity is mild.
Examples of casting If cast treatment fails, operative treatment should be undertaken. This should be reserved until the child is between four and eight months of age. This allows the repositioning of the talus laterally. Sometimes it is necessary to perform extensive subtalar release as well. Pins are left in place for six weeks to help stabilize the correction.