Abstract Background: Congenital talipes equinovarus is a paediatric congenital deformity with an occurence of 1 in 1,000 live births, it is distinguished with the development of equinus and varus deformity in the hind foot, cavus in the middle of the foot, forefoot adduction. Clubfoot assessment is essential to assess the initial severity of the clubfoot, to monitor treatment progress and to identify relapses. Currently, there is no measurement tool available to measure the extent of the deformity or control the treatment and it is difficult to do so using measures such as Pirani scoring and Dimeglio classification, as observer bias is susceptible. With Real Time Sonoelastography we can test changes in the properties of CTEV-affected Soft tissues.