A number of kids when they are learning how to walk, walk on their ball of the foot. This is very normal and usually is of no importance. By the age of three years, the child should be walking comfortably with the whole foot flat on the ground. Nonetheless a tiny number don’t and persist with the toe walk. These ought to be looked into further as there are a number of treatable issues that may be causing the problem.
There are many reasons for toe walking with about 10% being classed as idiopathic, meaning that the reason is unknown. Certain neurological conditions for example cerebral palsy or muscular dystrophy that can cause the calf muscle to be tight may cause it. Orthopaedic disorders such as club feet that is a deformity or severs disease that causes heel pain or simply really tight calf muscles can also result in toe walking. There is also a group of kids who are able to get their heels down, but merely would rather walk on their toes. This later one could be associated with behavioural conditions or linked to disorders like the autism spectrum disorders or developmental delay. After all these kinds of potential underpinning disorders are ruled out, 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 root disorder which is underlying it. In cases in which idiopathic toe walking has been clinically diagnosed, there are a variety of options such a behavioural treatments, stretching, vibration therapy, plaster casting and Botox injections. If all that does not work out, a surgical extending of the Achilles tendon can be done. Many cases do tend to come right over time, so minor cases might just be watched to let it resolve or later make the diagnosis of a condition that is underpinning it. All cases need to be taken seriously and further looked at.