The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. Poorly conducted manipulations will further complicate the clubfoot deformity. These can cause congenital contractures, including clubfoot, in distal arthrogryposis (DA) syndromes. Progressive dystonia results in clubfoot and tiptoe walking. Achilles tenotomy is commonly used as part of the Ponseti Method of treating clubfoot. CURE established a program to treat infant clubfoot called CURE Clubfoot Worldwide, in 2006. It is estimated that only 15% of those diagnosed with clubfoot receive treatment. Sometimes, it is possible to detect clubfoot before birth using ultrasound. His name appears to mean some sort of physical deforming, possibly a clubfoot. MiracleFeet is an organization that works to treat children with clubfoot in developing countries. Their first child, Peyton, is born with a clubfoot (like his namesake uncle). In clubfoot, feet are rotated inward and downward. The autosite's (Lakshmi herself) feet were affected by clubfoot. The PITX1-TBX4 transcriptional pathway has become key to the study of clubfoot.