Riding tips - Treatment

Specific therapeutic indications for each of the causes of toe walking requires determining the indications for treatment of the condition. This can be corrected surgically or nonchirurgical.Conservative treatment involves monitoring the condition, exercise programs of stretching, and application of orthoses ghipsajul. An infant with idiopathic toe walking who has just started to walk and with no fixed contractures require only observation. For many patients this condition is usually temporary one. The patient should be monitored for a period of six months. If calcanian tendon contractures are progressive and do not resolve spontaneously habit until the age of 3 years treatment should be recommended.
Conservative therapy:Stretching exercises of the Achilles tendon in idiopathic toe walking offers a limited chance of success. Ghipsajul series is an effective technique to gain strength in the tendon. The child will wear a cast unit normal or fiberglass shank while until the knee is flexed. These devices must be changed weekly until progressive increase dorsiflexiei. Orthosis Ankle-plant is a cosmetic device acceptable to meet the shoe fits normally allows walking almost normally and prevent plantar flexion while allowing dorsiflexia.These devices calcanian tendon is stretched at every turn. They are worn for six months.For muscle spasticity secondary condition only stretching exercises are ineffective. Plasters can be used several devices to strengthen the tendon, but the contraction will return quickly if the patient will not wear an orthosis. It carries up to maturity when you can try tendon lengthening surgery.
Surgical therapy:If conservative therapy fails to correct idiopathic abnormal gait 12 months after interventional elongation of the tendon is recommended.It is the most common surgery to treat toe walking. The most important postoperative complication is recurrence. It is rare but is recommended if there is articulated orthoses until a year before considering reintervention.
Prognosis:Patients with idiopathic toe walking, which stopped spontaneously or after ratament course remain on the heel for a period exceeding one year may be considered cured. Late Recurrence is uncommon and there is no adverse effect approached a therapeutic option.The prognosis for patients with spasticity or paralytic muscle disease is less predictable. Recurrence remains a risk to them.