WV
A 34-year-old female asked:

At the age of four the child still walks on his tip-toes ... i know that's not normal could it be a sign of autism..

3 doctor answers5 doctors weighed in
Dr. Jeffrey Kass
Podiatry 30 years experience
It could be a sign : Of a problem but does not have to be. Some kids are idiopathic toe walkers. Are there any other signs of developmental delay? Try putting heel lifts in the shoes, but would recommend a neurology consult. (pediatric neurologist).
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Dr. Andrew Reeves
Neurology 32 years experience
More likely to indicate abnormal tone to the muscles of the legs. Mild cerebral palsy is often the case, and doesn't necessarily have anything to do with autism spectrum disorder.
Feb 8, 2014
Dr. Jay Park
Dr. Jay Parkanswered
Pediatrics 52 years experience
Doubtful: Persistent tip-toeing could be from tight heel cord and can also be a part of cerebral palsy.
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Dr. Carlos Barrios
Child Psychiatry 25 years experience
Criteria is more.: Social give and take problems: not having good eye contact to not being able to join up with peers ideas for play. Prefer to be alone/not seeking to start social interaction. This is central and it is not situational e.g like a social anxiety. Two other key areas: social communication probs and restricted patterns of behavior. Full criteria at: http://www.autismspeaks.org/what-autism/diagnosis
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016
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