About positional talipes

Positional talipes is a common problem with baby feet. A child with positional talipes has a foot or feet that are pointed and twisted out of the normal position.

It happens when a baby is positioned in the womb with their feet tucked up underneath their body.

Symptoms of positional talipes

If your baby has positional talipes, their foot is pointed downwards and inwards, but you can move the foot gently into a normal position.

Positional talipes can affect one or both feet.

Clubfoot is another condition where the foot twists downwards and inwards. But with clubfoot, the foot can’t be gently moved into its correct position. This is because clubfoot is a problem with the structure of the foot.

Diagnosis of positional talipes

Your midwife or paediatrician will probably pick up positional talipes during checks on your baby after birth.

Your child and family health nurse can also pick up positional talipes during your baby’s regular health check-ups.

Treatment of positional talipes

In most cases, positional talipes fixes itself within 6 months. Gentle stretches and tickles to your baby’s feet can help. If you’re concerned your baby’s foot is stiff or not improving, talk to your doctor.

Occasionally, babies with more severe positional talipes need a cast and orthotics.

Positional talipes won’t affect your baby’s ability to crawl or walk.

If your baby has positional talipes, a hip screening ultrasound is recommended at 8 weeks of age. Also make sure your child and family health nurse is checking your baby’s hips at their scheduled check-ups.