Congenital foot posture (positional talipes)
What is congenital foot posture?
Congenital foot posture (also known as positional talipes, or talipes equinovarus), is a common condition in newborns, where a baby's foot turns inwards and downwards. It can affect one or both feet. Unlike congenital talipes equinovarus (clubfoot), positional talipes is usually less severe and is caused by the baby's position in the womb. The foot remains fully flexible and can be moved through the full range of motion.Causes
In-utero positioning: The primary cause is the baby's position in the womb.
Multiple Births: Higher chances if there are twins or more, due to restricted space.
Multiple Births: Higher chances if there are twins or more, due to restricted space.
How is positional talipes managed?
Positional talipes is correctable and most babies’ feet return to a normal position by themselves within the first few months of life. Physiotherapy is not routinely required for positional talipes.
- Give your baby time out of their clothing/ any footwear to allow them to kick and move their feet and legs freely.
- Stretches for the feet can help. These can be performed regularly throughout the day - as a rule of thumb they can be completed as often as you change their nappy and are most effective when the baby is relaxed.
- Click here for a helpful leaflet from the Association of Paediatric Chartered Physiotherapists on exercises for positional talipes.
When to seek further advice
Please speak to your health visitor or attend the Little Feet drop in-clinic for assessment if:
- Your baby’s foot is stiff/ you are unable to correct the position of the foot.
- Your baby’s foot position has not improved after a few weeks of life.
- Your baby’s foot appears painful.
Last updated01 Apr 2025