This involves casting the affected foot within 1 to 3 weeks after birth. The cast is replaced weekly until all elements of the deformity are corrected (except for tight Achilles tendon). In many cases, 7 weeks is enough to complete Phase 1. Please note that only a certified pediatric orthopedic surgeon who knows the Ponseti Method well should do the casting.
It involves a minor surgery, called Achilles tenotomy, to correct the rigid Achilles tendon. This can be done in the doctor’s clinic under local anesthesia. Achilles tenotomy, which makes a small incision in the tendon to allow the affected foot to flex upwards, is often required in 90% of cases. After the surgery, the baby needs to wear a final cast for about 3 weeks.
This involves long-term full-time bracing for 3 months after removing the final cast. After full-time bracing, the baby only needs to wear the brace every night until they turn 4 or 5.