Plenty of toddlers when they are learning to walk, walk up on the ball of the foot. This is totally normal and often is of no importance. By the age of three, the child ought to be walking freely with the entire foot flat on the floor. Nonetheless a small number don’t and continue to toe walk. These should be looked at further because there are a number of serious issues that may be causing the problem.
There are several reasons for toe walking with about 10% getting categorised as idiopathic, meaning that the cause is unknown. Several neurological conditions such as cerebral palsy or muscular dystrophy that can cause the calf muscles to be limited can cause it. Musculoskeletal problems such as club foot that is a deformity or severs disease that causes heel pain or simply very tight calf muscles can also result in toe walking. There is also a group of kids who can get their heels down, but just would rather walk on their toes. This later one might be connected with behavioural conditions or connected to conditions like the autism spectrum disorders or developmental delay. After all these potential underpinning disorders are excluded, the diagnosis of idiopathic toe walking can be made in those who continue to walk on the toes.
The treatment of Toe walking targets the underlying disorder that is underlying it. In cases in which idiopathic toe walking has been clinically diagnosed, there are a number of options such a behavioural treatments, calf muscle stretching, vibration treatment, plaster casting as well as Botox injections. If all that does not work out, a surgical extending of the Achilles tendon can be carried out. Many cases do often come right over time, so moderate cases might just be watched to let it resolve or later make the diagnosis of a disorder that is underpinning it. All cases need to be taken seriously and further looked at.