The most effective treatments are usually physical therapy, occupational therapy, splinting, serial casting, and surgery when needed. In real life, the best results usually come from starting early and combining them, not relying on just one thing. Therapy helps improve movement, strength, and daily function. Splints and casting help gradually improve joint position and range of motion. Surgery is usually most helpful when contractures or deformities are severe, especially in the feet, hips, knees, hands, or arms