In ancient China, women bind their feet for cosmetic reasons, resulting in them not able to walk without help and walking in a shuffling gait.
Possibly this can be modified such that people do it for less stupid reasons.
Disclaimer: This is NOT a racist remark since I'm Chinese myself and hence entitled to freely judge Chinese customs. NOT sexist either since I'm female as well.
Patterns in surnames: There are many ways a surname could have evolved over centuries. One possibility is migration. A Roman name may have traveled to France and hence to England where it was later Anglicized. Case in point - the surname Lawrence went from Laurentius (Roman) to Laurent (French) to Lawrence (English) and then to Lowry (Scottish). There is also natural etymological evolution. For example, a Middle English spelling may have evolved to a modern English spelling (e.g. Stiward to Stewart). Where did your character's Surname come from?