A character's hands turn into feet, their fingers shrink as they turn into toes, while the palms elongate into arches. The bottom of the character's hands develop into heels, while the wrists become more akin to ankles. The character's arms may optionally turn into legs as well, with the biceps thickening into thighs, the elbows becoming knees, and the forearms elongating into shins. These changes could allow for the character to easily walk on all fours. Once the character's hands transform into feet, which can also be referred to as feet-hands or fore-feet, it becomes considerably clumsy and awkward for the affected character to grasp or hold onto objects, often requiring the toes of both fore-feet to do so, especially when stroking a cock. There may or may not be an explanation for this transformation.