The majority of toddlers when they're learning how to walk, walk on the toes. This is really normal and frequently is of no importance. By the age of three, the child ought to be walking comfortably with the whole foot flat on the floor. Nonetheless a small number do not and continue to toe walk. These need to be looked into further because there are a variety of treatable issues that may be leading to the problem.
There are several reasons for toe walking with approximately 10% being categorised as idiopathic, meaning that the reason is unknown. Certain neurological problems for example cerebral palsy or muscular dystrophy that causes the calf muscle to be limited can cause the toe walking. Musculoskeletal problems for example club foot which is a deformity or severs disease which causes heel pain or simply really tight calf muscles can also result in toe walking. There is another group of kids who are able to get their heels to the ground, but merely prefer to walk on their toes. This later one might be related to behavioural problems or connected to conditions like the autism spectrum disorders or developmental delay. After all these potential underlying 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 actual condition that is underlying it. In cases in which idiopathic toe walking has been clinically diagnosed, there are a variety of options such a behavioural interventions, calf muscle stretching, vibration therapies, plaster casting and Botox injections. If all that fails, a surgical extending of the Achilles tendon is possible. Many cases do often come right with time, so minor cases could just be watched to let it resolve or later result in the diagnosis of a disorder that is underlying the toe walking. All cases really do need to be taken seriously and further examined.