Toe walking treatment – Therapy in three stages – Pyramid insoles in accordance with Pomarino
Shouldtherebenonoticeableimprovementfollowingthesetreatmentefforts,itmaybeappropriatetoprescribetreatmentssuchastheuseofbotulinumtoxin, orthotics, casts and/or night splints. The need for surgery on the Achilles tendon is only necessary in extreme cases.
Followinganextensivediagnosticprocessandtheexclusionofthepossibilityofan underlyingsevereorthopaedicorneurologicalcauseforthetoewalking,treatment iscommencedinthreestages.Theinitialandleastinvasivetherapeuticapproach involvestheprovisionofpersonalisedpyramidinsolesinaccordancewithPomarino. Accompanyingtreatmentwithphysiotherapymayalsoberecommended.Depending ontheseverityofthesymptoms,meaningtheextendofthetoewalkingrelativeto theageofthechildandthepatient’sresponsetotheinitialtreatment,thisstagemay last for a period of between six to 24 months.
Practice – Paediatric orthopaedics – Research and Development – Orthopaedic engineeringRahlstedter Bahnhofstraße 9 · 22143 Hamburg · Germany · Tel.: +49 (0)40 / 513 20 880 · Fax: +49 (0)40 / 513 20 881 · Email: info@ptz-pomarino.de