Toe walking in children

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Preparing for your appointment

By Mayo Clinic staff

You'll probably first bring your concerns to the attention of your family doctor or pediatrician. He or she may refer you to a doctor specializing in nerve function (neurologist) or orthopedic surgery.

What you can do
Before your appointment, you may want to write a list of questions for the doctor, including:

  • What could be causing toe walking in my child?
  • Are any tests needed? If so, what are they?
  • What treatments are recommended for this problem?

What to expect from your doctor
Your doctor may ask some of the following questions:

  • Does your child have any other medical problems?
  • Do you have a family history of muscular dystrophy or autism?
  • Was your child born prematurely?
  • Did your child previously walk flat-footed and only recently begin to toe walk?
  • Can your child walk on his or her heels if you ask?
  • Does your child avoid eye contact or exhibit repetitive behaviors such as rocking or spinning?
References
  1. Solan MC, et al. Idiopathic toe walking and contractures of the triceps surae. Foot Ankle Clinics of North America. 2010;15:297.
  2. Williams CM, et al. Idiopathic toe walking and sensory processing dysfunction. Journal of Foot and Ankle Research. 2010;3:16.
  3. Williams CM, et al. The toe walking tool: A novel method for assessing idiopathic toe walking children. Gait & Posture. 2010;32:508.
  4. Cerebral palsy: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/cerebral_palsy/detail_cerebral_palsy.htm. Accessed Jan. 23, 2012.
  5. JAMA patient page: Muscular dystrophy. Journal of the American Medical Association. 2011;306:2526.
  6. Autism fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/autism/detail_autism.htm. Accessed Jan. 23, 2012.
  7. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Jan. 23, 2012.
DS01162 March 22, 2012

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