Treatment of a 33 year old femalepresenting with bilateral toe walkingand mild scoliosis throughout entirespine: A case report

Objective: The objective of this report is to offer information on treatment of successful correction for toe walking in a 33 year old female utilising holistic chiropractic methods and other neuromusculoskeletal treatments.

Clinical Feature: A 33 year old female presenting for chiropractic care with unresponsive bilateral toe walking and mild scoliosis of entire spine due to gait disturbances in an interdisciplinary clinic. The patient had previous bilateral surgery of calf muscles ~ she was not sure which muscles were cut; she had scars on both calves. She had stated it was several years prior with no successful result for this condition.

Intervention and Outcome: Treatment consisted of ‘low force techniques’, sacro-occipital technique, cranial techniques and one visit to a pelvic floor physical therapist to address spinal, lower extremity, and postural imbalances, as well as abnormal placement of coccyx, possibly contributing to the patient’s toe-walking and difficulty with balance.

Conclusion: This case demonstrates a conservative, effective treatment for people of any age presenting with toewalking/gait disturbance, particularly when surgery, physical therapy and other methods were unsuccessful and are no longer welcomed by the patient. Indexing terms: Chiropractic; low-force; SOT; toe-walking; adult.

Introduction

Toe walking is a condition seen in children and adults often times associated with a neuropsychiatric diagnosis or developmental delays. It is typically addressed with casting or surgery which is often not permanently successful. (1) The patient presented with ‘toe and ball of foot only walking’ since a young child. Her stance showed forward bending at the waist, she could not stand up completely straight and when she did stand she needed to hold out her arms to balance herself so as not to fall forward. X-rays showed mild to moderate scoliosis throughout the entire spine. The balls of her feet were severely calloused and chaffed. The patient also noted she had difficulties with her partner regarding lack of orgasm during Treatment of a 33 year old female presenting with bilateral toe walking and mild scoliosis throughout entire spine: A case report Lisa M Stowell Objective: The objective of this report is to offer information on treatment of successful correction for toe walking in a 33 year old female utilising holistic chiropractic methods and other neuromusculoskeletal treatments. Clinical Feature: A 33 year old female presenting for chiropractic care with unresponsive bilateral toe walking and mild scoliosis of entire spine due to gait disturbances in an interdisciplinary clinic. The patient had previous bilateral surgery of calf muscles ~ she was not sure which muscles were cut; she had scars on both calves. She had stated it was several years prior with no successful result for this condition. Intervention and Outcome: Treatment consisted of ‘low force techniques’, sacro-occipital technique, cranial techniques and one visit to a pelvic floor physical therapist to address spinal, lower extremity, and postural imbalances, as well as abnormal placement of coccyx, possibly contributing to the patient’s toe-walking and difficulty with balance. Conclusion: This case demonstrates a conservative, effective treatment for people of any age presenting with toewalking/gait disturbance, particularly when surgery, physical therapy and other methods were unsuccessful and are no longer welcomed by the patient. Indexing terms: Chiropractic; low-force; SOT; toe-walking; adult. … Chiropractic has many paradigms for patient care and this Case Report describes a low-force approach to a patient presenting with life-long toew a l k i n g f o r w h i c h surgical intervention had been unsuccessful. …’ www.apcj.n et/papersissue-6-1/ #StowellTo eWalking sexual encounters, even when stimulated. She was quite distressed about this. The patient did not report any deficits regarding poor motor skills however, deficits displayed by toe walkers in previous reports suggests their poor motor skills are due to alterations in brain regions responsible for the cognitive organisation of motor perception and learning. (2) This case report has value given the literature is scant; searching revealed I only one other report on similar gait disturbances which demonstrates other alternative methods to correct this type of gait disturbance using conservative care when surgery did not help. (2) The purpose of this paper is to demonstrate how SOT/Cranial work and other Chiropractic techniques, coupled with trigger point therapy and other soft tissue methods corrected and terminated toe walking in a 33 year old female after she had tried many other methods including surgery which had shown to be unsuccessful.

Case Report ~

Patient assessment

Patient Characteristics:mA 33 year old female with long standing toe-walking (ever since she can remember) presented to my office for remedy of her condition. Care commenced on 30th August 2023. She attended twice a week for the first year. X-rays showed severe inward facing misalignment of her coccyx and mild to moderate scoliosis.