Appointments & care

At Mayo Clinic, we take the time to listen, to find answers and to provide you the best care.

Walking on the toes or the ball of the foot, also known as toe walking, is fairly common in children who are just beginning to walk. Most children outgrow toe walking. Kids who continue toe walking beyond the toddler years often do so out of habit. As long as your child is growing and developing normally, toe walking on its own is unlikely to be a cause for concern.

Toe walking is sometimes the result of cerebral palsy, muscular dystrophy or another generalized disease of nerve and muscle. Children with autism also may walk on their toes or the balls of their feet, but many do not.

Source: http://www.mayoclinic.com

Toe walking is walking on the toes or the ball of the foot.

When to see a doctor

If your child is still toe walking after the age of 2 years, talk to your doctor about it. Make an appointment sooner if the toe walking is accompanied by tight leg muscles, stiffness in the ankle's Achilles tendon or a lack of muscle coordination.

Source: http://www.mayoclinic.com

Typically, toe walking is simply a habit that develops when a child learns to walk. In a few cases, toe walking is caused by an underlying condition, such as:

• A short Achilles tendon. This tendon links the lower leg muscles to the back of the heel bone. If it's too short, it can prevent the heel from touching the ground.
• Cerebral palsy. Toe walking can be caused by cerebral palsy — a disorder of movement, muscle tone or posture that is caused by injury or abnormal development in the parts of the immature brain that control muscle function.
• Muscular dystrophy. Toe walking sometimes occurs in muscular dystrophy, a genetic disease in which muscle fibers are unusually susceptible to damage and weaken over time. This diagnosis may be more likely if your child initially walked normally before starting to toe walk.
• Autism. Toe walking has also been linked to autism, a complex spectrum of disorders that affect a child's ability to communicate and interact with others.

Source: http://www.mayoclinic.com

Appointments & care

At Mayo Clinic, we take the time to listen, to find answers and to provide you the best care.

Toe walking can be observed during a physical exam. In some cases, the doctor may do an in-depth gait analysis or an exam known as electromyography (EMG). During an EMG, a thin needle with an electrode is inserted into a muscle in the leg. The electrode measures the electrical activity in the affected nerve or muscle.

If the doctor suspects an underlying condition such as cerebral palsy or autism, he or she may recommend a neurological exam or testing for developmental delays.

Source: http://www.mayoclinic.com

Persistent toe walking may increase a child's risk of falling. It also can result in a social stigma if the child is perceived as "different" by peers.

Source: http://www.mayoclinic.com

Toe walking out of habit, also known as idiopathic toe walking, sometimes runs in families.

Source: http://www.mayoclinic.com