An 18-year-old male sought care for a 2-year history of low back, leg and foot pain, and associated neuropathy. Previous management included 13 months of physical therapy, with progressively worsening symptoms. Postural alterations, reduction in cervical and lumbar ranges of motion (ROM), altered thermographic and surface electromyographich (sEMG) studies, and decreased left great toe dorsiflexion strength were found in conjunction with vertebral subluxation throughout the spine