Positional Talipes: What You Need to Know
Positional talipes, or positional clubfoot, is a type of clubfoot that occurs due to the position the baby assumes in the womb. Unlike congenital clubfoot, which involves structural abnormalities in the foot, positional talipes can be corrected more easily with treatment and is often a temporary condition. Here’s what you need to know about positional talipes and how it can be addressed.
What Is Positional Talipes?
Positional talipes is a condition where a baby’s feet are positioned abnormally in the womb, typically pointing inward or downward. The condition is often identified shortly after birth when the baby is placed in a neutral position and the feet return to normal or can be gently moved into a more neutral position without the need for extensive treatment.
This condition is different from congenital clubfoot, as the feet are not structurally deformed. Instead, the baby’s feet are temporarily misaligned due to limited space in the womb or certain fetal positioning. 
Causes of Positional Talipes
The main cause of positional talipes is the limited space available for the baby in the uterus.
Factors such as:
Positioning: If the baby is positioned in a way that puts pressure on the feet, this can cause temporary deformities.
Multiple Births: In cases of twins or triplets, there is less space for the babies, increasing the likelihood of positional issues like positional talipes.
Oligohydramnios: Low amniotic fluid levels may restrict movement and cause
Treatment for Positional Talipes
In many cases, positional talipes resolve themselves naturally as the baby grows and develops muscle strength. However, if the condition persists or affects movement, mild treatments can help:
Stretching and gentle manipulation: Physiotherapists can work with parents to stretch and reposition the feet gently, encouraging proper alignment.
Bracing: In some cases, a brace or splint may be used to maintain the feet in the correct position.
Monitoring: Regular follow-up visits are essential to monitor progress and ensure the condition is improving as expected.
Our physiotherapists at First Step Therapy Services specialize in assessing and treating conditions like positional talipes. We provide expert guidance for parents on how to care for and manage their baby’s feet during this critical time, offering a combination of hands-on therapy, stretching techniques, and support.
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