Advanced search


Search results        Search results      Copy URL to E-Mail


OMT as an Adjunct Therapy to Clubbed Feet: A Case Study

Journal: The AAO Journal Date: 2025/09, 35(3):Pages: 8-9. doi: Subito , type of study: case report


Keywords:

case report [708]
children [295]
clubfoot [3]
congenital talipes equinovarus [2]
male [767]
OMT [3751]
osteopathic manipulative treatment [3771]
pediatrics [528]

Abstract:

Introduction: Congenital talipes equinovarus (CTEV), also known as clubfoot, is a congenital disorder that affects 1-2 live births per 1000. Typical treatment involves extensive casting, tenotomy, and orthotic use. However, rates of relapse are high with inconsistent treatment or lack of access, resulting in long-term deformity, functional disability, and pain. Case: A 5-year-old male presented to the clinic with B/L foot pain L>R. He has a history of B/L clubbed feet and received a B/L Achilles tendonectomy at 4 months old in an attempt to correct the defect. Previous treatments were massage and chiropractic, in which he found mild relief of pain but no improvement of overlying symptoms. Pirani scores, the standard for measuring severity and treatment response in CTEV, were obtained before and after treatment. The patient was treated three times within five months using three OMM techniques: counterstain of the sacrum, articulatory technique of the talus, and post-isometric muscle energy technique on a posterior innominate, tibial torsion, and fibular head. Results: Subjective patient assessment of pain and gait analysis improved across visits. Objective Pirani measurements were taken at the second and third visits, and there was a longitudinal improvement in his right foot score from 2.0 to 0.5. Discussion: Given the prevalence of this condition and unequal access to care, OMM can serve as a potential alternative or adjunct to care for patients who cannot access conventional treatment. This case study can be the basis for future research to prove that OMM is a sufficient alternative to classic orthopedic management of CTEV. Limitations include the lack of consistent Pirani measurements across visits, and the patient was lost to follow-up.


Search results      Copy URL to E-Mail

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_jutqmxvgzrsnwbphkeyd



Supported by

OSTLIB recommends