Equinus — where it's treated in the network
Equinus foot is a deformity with impaired dorsiflexion in which the child walks on the toes. In preschoolers with the idiopathic form it often regresses without active treatment. In children with CP and neuromuscular forms it requires a targeted program — bracing, stretching, botulinum toxin therapy. A network of 6 clinics offers different approaches: from a conservative program in Tashkent to surgical correction in a clinic with an operating block. A network coordinator will help choose the tactic based on a video gait analysis.
Where it is treated in our network
2 clinics in our network offer different approaches to this diagnosis.
- Yuncheng, China
People's Hospital — Yuncheng
Surgical correction of fixed equinus: Achilles lengthening, SPML, Vulpius/Strayer procedures in CP children. Inpatient post-op rehabilitation with dorsiflexion recovery and AFO bracing.
Visit clinic site - Huizhou, China
Neurolife — Huizhou
Equinus correction program for CP and neuromuscular forms: botulinum toxin therapy combined with intensive exercise therapy, AFO bracing, serial casting for rigid contractures. Includes Tuina for gastrocnemius-soleus relaxation.
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What is Equinus Foot?
Equinus foot is a fixed plantar flexion of the foot with toe walking and inability to place the heel on the floor. ICD-10 codes it under Q66.8 (other congenital foot deformities) and G80.x (when associated with cerebral palsy). It can be idiopathic in young children or secondary — on a background of CP with increased calf-muscle tone.
Families reach the network case manager at different stages: with persistent toe walking after age 2–3 — for differential diagnosis (idiopathic vs CP vs neuromuscular cause); with CP and equinus — for a conservative program (stretching, AFO orthoses, botulinum toxin) or preparation for SPML or Achilles tendon lengthening. Details on diagnostics, the program and surgical indications are in the expandable blocks below.
Frequently asked questions about Equinus Foot
Is toe walking normal in a 3-year-old?
Are orthoses needed for mild equinus?
What is botulinum toxin therapy and how often is it done?
Is surgery needed for equinus?
Other directions in this category
Other diagnoses in this category — pick the most relevant one.
Talk to a network coordinator
The coordinator reviews your documents and suggests matching clinics. We reply on Telegram and WhatsApp within an hour on workdays.