Abstract This case report covers a nonagenarian who was in otherwise good health before a significant ankle fracture that required surgery and a prolonged rehabilitation due to the trauma, surgery and colitis. She developed or exacerbated a postural imbalance due to deconditioning, unequal leg length due to immobilization, and shoulder pain due to the use of a walker. This case report also covers the osteopathic manipulative treatments used.

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