Botulinum toxin A combined with casting does not improve idiopathic toe walking
from Orthopedics Today
Researchers found no differences between casting-only and casting with botulinum toxin A injections when treating children with idiopathic toe-walking. "Whether the effect of botulinum toxin-A treatment for idiopathic toe-walking can be improved with repeated injections, addition of bracing or more vigorous physiotherapy programs is unknown and should thus be studied in future randomized controlled trials," Pähr Engström, M.D., and colleagues wrote in their study.
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