Maintenance therapy is usually required for up to four years after casting. This involves using a foot abduction splint.  

The reported rate of success is upwards of 95% if the casting and post splinting are applied correctly.


Rothbart Proprioceptive Therapy is not indicated and should not be used when treating the Clubfoot Deformity.

Inventor and Designer of Postural Control Insoles

Corrected Clubfoot using Ponseti serial casts

Serial Casting - Ponseti Method

Treating the Clubfoot Deformity

Non-surgical treatment of the Clubfoot Deformity - The Ponseti Method

The Ponseti Method (named after Dr. Ignacio Ponseti, 1914 - 2009) advocates treating the Clubfoot Deformity with serial casts (See Photos below) starting within the first two to three months after birth.

Typically this incorporates a series of four to six casts over a period of one to two months to reposition and hold the foot in its correct position.  

In some cases, a microscopic incision into the Achilles tendon is required toward the end of the serial casting.