• Stowell LM
• Blum C

• Child, Preschool
• Chiropractic
• Female
• Metatarsus Varus
• Open Access Document
• Sacro Occipital Technique

Introduction: Pigeon-toe or in-towing is a relatively common condition in childhood causing the toes to point inward or feet to excessively internally rotate when standing or walking. While this condition usually resolves as the child ages it does appear to affect a child’s gait, causing repetitive falls. Sometimes a child’s self-esteem may also be adversely affected by this condition. This case report discusses care rendered to a 2 ½ year old female child presenting for chiropractic care with bilateral in-toeing in an interdisciplinary clinic.

Methods: Treatment was rendered that included “low force techniques,” Sacro-occipital technique, and cranial techniques to address spinal, lower extremity, and postural imbalances ~ possibly contributing to the patient’s intoeing.

Results: Following the third treatment, the patient was able to walk with one foot pointing straight ahead and by the fourth office visit was walking and standing with both feet pointing straight ahead. Further care continues to sustain progress with intervals between treatment extended as the patient’s progress is maintained.

Conclusion: This case may demonstrate a conservative, effective treatment for a subset of children presenting with in-toeing ~ particularly when watching and waiting is not preferred and the child’s gait, repetitive falls, and self-esteem are being adversely affected by this condition.

Author keywords: Chiropractic - Sacro-occipital technique (SOT)- Pigeon toe - In-toeing

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