Habitual tip-toe walking usually causes no long term difficulties and improves well with treatment. When walking improves, children can still show a tendency to tip-toe walk, for instance when they become tired or excited. If your child seems to be experiencing any pain or discomfort or is struggling to stand upright, a visit to your GP is advisable. We hope that this leaflet will have helped to reassure you about your child.
A tip-toe walking pattern is commonly seen when children are learning to walk. This is a normal part of development and the majority of children will
grow out of it. However, some children will continue tip-toe walking for a prolonged period of time until an older age. When there is no underlying medical cause, which will be assessed by your doctor or physiotherapist, this is known as habitual or idiopathic tip-toe walking.
Habitual tip-toe walking usually affects both feet. Children can be predisposed to this if other family members have tip-toe walked or if they spent prolonged periods in baby walkers or door bouncers. Children’s tip-toe walking can become more prominent when they are barefoot, tired or excited.
1. Gastroc Stretch
2. Soleus Stretch
3. Hamstring Stretch
Idiopathic tip-toe walking generally does not cause children any pain, although some children can complain of achy legs and feet. It does not affect their development; however children may lose their balance or fall over more than usual. Children will still be able to run, jump and hop and participate in activities/sports.
Some children will be intermittent tip-toe walkers, sometimes being able to place their feet flat on the floor whilst standing or walking. This can be difficult if prolonged tip-toe walking occurs, this can cause tightening of the calf muscles and shortening of the heel (achillies) tendon, which will likely increase the amount of time your child spends of their toes.
The correction of tip-toe walking does take time, usually over several months,cas the body has to retrain patterns of movement. However, sometimes other treatment options are considered alongside physiotherapy: