Paediatric Surgery, by video or in person

Club Foot

The signs, the danger signs that mean hospital now, and how to see a doctor by video from anywhere in Nigeria.

A father in a red hat holding his young daughter

Signs to look for

Club Foot

  • One or both feet turned in and down at birth
  • A foot that cannot be gently moved into a normal position
  • A deep crease across the sole and at the back of the heel
  • A smaller foot and calf on the affected side

Club foot, also called talipes, is when a baby is born with one or both feet turned in and down, so the sole faces inwards. The tendons and ligaments are too short and tight. It is not caused by anything the mother did, and it is not painful for the baby. It is very treatable. The Ponseti method, gentle stretching and weekly casts followed by a small heel procedure and boots, corrects most feet without major surgery, and most treated children walk, run and play normally. Treatment works best when it starts in the first weeks of life, while the foot is most flexible. Some babies have a foot turned in from their position in the womb that moves easily to normal, which is not true club foot and usually needs only stretching or nothing.

Medically reviewed by , Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.

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Symptoms

  • One or both feet turned in and down at birth
  • A foot that cannot be gently moved into a normal position
  • A deep crease across the sole and at the back of the heel
  • A smaller foot and calf on the affected side

When to See a Doctor

See a doctor soon after birth if your baby's foot turns in and does not move easily into a normal position, and ask for a referral, because treatment works best when it starts in the first weeks. See a doctor the same day if a cast makes the toes swollen, pale, blue or cold, or if your baby cries constantly in a cast. Go to a hospital if your baby has a fever with a hot, swollen limb.

Treatment options

  • Examination of the feet, hips and spine
  • Ponseti casting, with a new cast each week for about five to eight weeks
  • A small procedure to release the tight heel cord, in most babies
  • Boots and bar, full time for about three months, then at night for several years
  • Surgery for a foot that does not correct with casting, or comes back later

What it costs on Mezo

Starting cash prices for the treatments used for this condition.

How paediatrics works at Mezo

Common Questions

Will my child walk normally?

Most children treated with the Ponseti method walk, run and play normally. Wearing the boots and bar as advised is what keeps the foot corrected.

Can an older child be treated?

Yes. Casting can still help older children, though it may take longer and some need surgery. It is never too late to be seen.

Does club foot hurt my baby?

No. Club foot does not hurt a baby. Untreated, it can make walking painful and difficult later, which is why early treatment matters.

Need Help?

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See a paediatrician by video

If any of the danger signs on this page applies, go to the nearest hospital now instead.

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Sources and further reading

The guidelines and patient information this page is checked against. Care in Nigeria follows the same evidence; what differs is the price and where it is done.

  1. Club foot. NHS. Patient information.
  2. Club foot: treatment. NHS. Patient information.

Links last checked 3 November 2026.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.

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