Toe walking is a pattern of walking wherein a child walks on the balls of their feet, with no contact between their heels and the ground. As our Fort Myers physical therapy team can explain, it’s common among children who are learning to walk, but most kids outgrow it after age 2, when they assume the typical heel-to-toe gait.
However, when toe walking persists beyond that, it could be a sign of an underlying medical condition, such as cerebral palsy, muscular dystrophy or a spinal cord abnormality. (Children with autism spectrum disorder and related conditions often toe walk more frequently, but there isn’t any direct link between the two conditions. There is some speculation that it’s related to sensory issues.) Sometimes, the causes are idiopathic, meaning we don’t know why it happens.
In any case, regardless of the cause, toe walking can result in complications. Children who spend a lot of time on their toes can develop stiffness, tightening and pain in their Achilles tendon and calf. In turn, this can lead to poor range of motion in the ankle, which is going to have a snowball effect. This can be treated by our Fort Myers physical therapy and occupational therapy teams.