Toe walking treatment – Therapy in three stages – Pyramid insoles in accordance with Pomarino
Should
there
be
no
noticeable
improvement
following
these
treatment
efforts,
it
may
be
appropriate
to
prescribe
treatments
such
as
the
use
of
botulinum
toxin,
orthotics, casts and/or night splints. The need for surgery on the Achilles tendon is only necessary in extreme cases.
Following
an
extensive
diagnostic
process
and
the
exclusion
of
the
possibility
of
an
underlying
severe
orthopaedic
or
neurological
cause
for
the
toe
walking,
treatment
is
commenced
in
three
stages.
The
initial
and
least
invasive
therapeutic
approach
involves
the
provision
of
personalised
pyramid
insoles
in
accordance
with
Pomarino
.
Accompanying
treatment
with
physiotherapy
may
also
be
recommended.
Depending
on
the
severity
of
the
symptoms,
meaning
the
extend
of
the
toe
walking
relative
to
the
age
of
the
child
and
the
patient’s
response
to
the
initial
treatment,
this
stage
may
last for a period of between six to 24 months.
Practice – Paediatric orthopaedics – Research and Development – Orthopaedic engineering
Rahlstedter Bahnhofstraße 9 · 22143 Hamburg · Germany · Tel.: +49 (0)40 / 513 20 880 · Fax: +49 (0)40 / 513 20 881 · Email: info@ptz-pomarino.de
