The prognosis for these piglets is never good. Crushing and starvation are common as piglets have limited mobility. With enough care these piglets can show much improvement within two to three days of birth and can return 100% to normal within ten days. The care needed is however quite intensive. Piglets firstly need to be regularly fed (ideally hourly), they also need to be kept warm and if left with the sow need to be separated from her so that she does not lie on them. Repeated massage of the hind limbs improves survival dramatically and elastic bands on the legs as well as non-slip floors do help somewhat. Humane killing in some cases will be necessary where nursing has not been sufficient or in severe cases where recovery is too slow