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This patient’s story is a humbling reminder of how much the ability to walk means. Brought to the United States by a missionary from St. Lucia, this young woman had a rigid equinus deformity from a residual (untreated) clubfoot. Before treatment she could not properly care for herself; today she is walking, leading a good life back home, and has a family of her own.

Rigid equinus from residual clubfoot — before correction Rigid equinus from residual clubfoot — after correction

What Is Clubfoot and Residual Clubfoot?

Clubfoot (talipes equinovarus) is a birth deformity in which the foot is turned inward and downward. When treated early in infancy — usually with the Ponseti casting method — most children do very well. But when clubfoot goes untreated or comes back, it becomes a residual clubfoot: a stiff, often painful deformity in an older child or adult that no longer responds to casting alone.

What Is Equinus?

Equinus means the foot is fixed in a toes-down position, as if permanently pointing, because of a tight Achilles/calf complex or bony block at the ankle. A rigid equinus cannot be stretched back to neutral, which makes walking difficult and throws abnormal pressure onto the rest of the foot.

How Severe Deformities Are Corrected

Correcting a rigid, residual deformity is reconstructive surgery, often combining tendon lengthening or transfers, releases of tight joints, and bony procedures (osteotomies or fusions) to bring the foot back to a stable, plantigrade position that can bear weight. These cases require a surgeon experienced in complex foot and ankle reconstruction — and, as this patient shows, the payoff can be life-changing.

If you or a loved one has a complex or long-standing foot deformity, a specialist evaluation can lay out what is possible. Call (239) 430-3668 (FOOT) or book online at NaplesPodiatrist.com.


Serving Southwest Florida since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties — Naples, Estero, Fort Myers, Cape Coral, Port Charlotte, and Sarasota. We provide pediatric to geriatric foot and ankle care: ingrown toenails, heel pain, bunions, foot & ankle arthritis, plantar fasciitis, foot & ankle surgery, custom orthotics, and diabetic wound care — with in-office X-rays, diagnostic ultrasound, and minor surgical suites. Home of the Lam Minimally Invasive No-Scar Bunion Surgery. Same-day appointments and easy online scheduling.

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Written by Dr. Kevin Lam, D.P.M., F.A.C.F.A.S.

Dr. Kevin Lam, DPM, FACFAS, DABLES, DABPS is Clinical Director of Family Foot and Leg Center, PA — Southwest Florida's premier podiatric practice. He earned his Doctor of Podiatric Medicine degree with honors from Temple University School of Podiatric Medicine and completed advanced surgical training at Mount Sinai Medical Center and Jackson Memorial Health System, Miami. Named among America's Top Podiatrists. Board-certified in foot surgery, reconstructive rearfoot and ankle surgery, and lower extremity surgery. Serving Southwest Florida since 2005 across 9 locations from Marco Island to Sarasota.

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