Toe Walking: when is it a concern??

Toe Walking

Toe walking is a developmental concern that is frequently seen in private paediatric physiotherapy practice. There are a number of reasons why your child might be walking on their toes. These include:

· High or low muscle tone

· Difficulties with depth perception or sensory integration

· Tightness of muscle(s) in the leg

· Idiopathic (no identifiable cause). This type occurs in up to 5% of children.

As a parent, how do you know when to intervene?! Some children walk on their toes while their gait is still maturing. However, you should consider a review from a paediatric physiotherapist if:

1. Your child has been walking for more than 6 months

2. They spend the vast majority of their day (more than 70%) walking on their toes

3. Your child cannot get their heels flat on the floor

A paediatric physiotherapist can complete a full assessment of your child’s muscle strength and joint range of motion. From this, they will recommend targeted exercises and activities that will address the cause. Your physiotherapist may also provide advice for footwear or refer you to other health professionals for further follow up.

If you have concerns about your child’s toe walking, book an appointment with “Tots to Teens Physio” who can provide you with expert advice and recommendations.

References:

Caserta AJ, Pacey V, Fahey M, Gray K, Engelbert RH, Williams CM. Interventions for idiopathic toe walking. Cochrane Database Syst Rev. 2019 Oct 6;10(10)