What is toe walking?
Toe walking occurs when a child is walking on the balls of their feet or “tiptoes” without their heels touching the ground. While brief periods of toe walking can be common when children are first learning to walk, persistent toe walking is not considered a typical gait pattern in childhood development. If your child has been toe walking consistently, it’s time to consider a physical therapy and occupational therapy evaluation.
Why is my child toe walking?
There are many different reasons why a child might be toe walking. In many cases, it is not caused by a single factor but rather a combination of underlying factors which can usually be categorized as musculoskeletal, neurological, or sensory. Because of this, a comprehensive evaluation by both a physical therapist and an occupational therapist is important to identify and address the root cause.
What happens if toe walking is not addressed?
Regardless of the cause, persistent toe walking can eventually affect multiple body systems due to prolonged time spent in an abnormal position. Some effects of toe walking include:
- Muscle tightness
- Core weakness
- Altered foot development
- Decreased balance and coordination
- Poor body awareness
- Increased risk of tripping or falling
- Pain and more
If left untreated, muscles can become significantly shortened, potentially requiring interventions such as casting or surgery. Children who toe walk may also struggle to keep up with their peers in sports and recreational activities.
My child is toe walking. Now what should I do?
Early intervention is key! The sooner toe walking is addressed, the easier it is to correct.
If you have concerns about your child’s walking pattern, we’re here to help. Contact Hummingbird Pediatric Therapies to schedule an evaluation and take the first step towards supporting your child’s movement and development.
Meet the author: Ms. Marisa, PT, DPT