“ For paralytic club-foot, in which distressing corns have been developed over the unnatural prominences upon which the sufferer has been accustomed to walk, the adoption of the most promising conservative measures are usually disappointing, and relief and happiness may be obtainable only after the performance of Syme’s amputation through the ankle-joint. ”

“ The nurse should be shown how to twist and coax the foot into the improved position, and should so hold it in her hand many times a day. And thus by daily, or, one might almost say, hourly manipulations, much good may be accomplished without distress to the infant. ”

“ Exercises on tip-toe, especially with a skipping rope, massage, rest and tonic treatment will give relief, and shoes or boots may be supplied with the heel and sole thickened along the inner borders so that the weight may be received along the strong outer border of the foot. When the flat-footed individual stands it should be upon the outer borders of his feet, or better still, when convenient, on tip-toe, as this posture strengthens those muscles of the leg which run into the sole of the foot and hold up the bony arches. ”